Surgical Options for Failed Thumb Basal Joint Arthroplasty

  • Scott A. Mitchell
  • Roy A. MealsEmail author


Failed basal joint arthroplasty can be a very challenging condition to treat. There can be multiple potential sources for continued pain about the base of the thumb. These sources can be neurogenic in nature, but can also represent continued arthritic problems in some of the other small joints of the wrist. In some cases, there may be carpal instability present that is contributing to continued symptoms. In other cases, there may be frank failure of the previous procedure. The reoperative hand surgeon must carefully weight potential treatment options which will depend on what the previous procedure was and what is believed to be causing the symptoms. If the true source of the patient’s continued pain can be identified, frequent improvement in the patient’s symptoms can be achieved with further surgical intervention. However, these patients should be counseled that it is rare for them to ever achieve complete pain relief, but that the surgical goal is improvement in their symptoms.


Thumb Basal Joint Arthroplasty Revision Failure 


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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.Department of Orthopedic SurgeryUniversity of California, Los AngelesLos AngelesUSA

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