Surgical therapy of conservatively exhausted rhizarthrosis – total joint replacement or resection arthroplasty? A systematic review. - Takeaways - MDSpire

Surgical therapy of conservatively exhausted rhizarthrosis – total joint replacement or resection arthroplasty? A systematic review.

  • By

  • Julie Boever

  • Frank Unglaub

  • Christian K. Spies

  • Adrian Cavalcanti Kußmaul

  • Jan Wulf

  • Wolfgang Böcker

  • Ali Ayache

  • March 12, 2026

  • 0 min

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  • 1

    Rhizarthrosis, affecting the thumb CMC joint, is prevalent in older adults, particularly women, with significant functional limitations.

  • 2

    Surgical options for rhizarthrosis include total joint replacement and resection arthroplasty, with evolving prosthetic designs improving outcomes.

  • 3

    Modern prostheses, such as the MAÏA and TOUCH® models, show high survival rates and significant functional improvements in patients.

  • 4

    A systematic review indicates that prosthetic treatments provide faster pain relief and better functional outcomes than trapeziectomy.

  • 5

    Early advantages of prosthetic treatments over resection arthroplasty diminish over time, highlighting the need for long-term evaluations.

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