Basal thumb arthritis is osteoarthritis of the trapezium and first metacarpal, which comprise the trapeziometacarpal joint. 80% of women have basal joint arthritis, usually around menopause. It seldom occurs earlier than fifty years. It occurs at a rate of 8–22% in women and 2–5% in men. In the development of minimally invasive surgery, there is a genuine need to identify conservative therapeutic solutions for young patients that allow them to “experience a significant pain” and thereby defer the least conservative surgeries. The Partial Arthroscopic Trapeziectomy and Distraction procedure has two objectives: targeted excision of severe arthritic lesions and joint distraction to regain ligament strain and, ultimately, to promote fibrocartilage regeneration on excised lesions. This review article aimed to provide clinicians with evidence-based insights to inform surgical decision-making and highlight the evolving role of arthroscopic approaches in thumb basal joint arthritis management.
mahmoud et al. (Thu,) studied this question.