Eligibility Criteria
All patients will be screened using the eligibility criteria detailed below:
Inclusion Criteria:
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Patient is aged 16 years and above
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Patient has symptomatic BTOA
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Patients who the clinician considers would benefit from surgical intervention
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Patient is suitable for either surgical intervention (e.g. does not have a flat trapezium or severe subluxation of metacarpal)
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Patient is able to consent for a surgical procedure
Exclusion
Criteria:
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Patient has inflammatory arthritis (likely to have soft tissue +/- bony problems which may preclude either or both surgical interventions)
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Patient has or has had infection around the base of the thumb
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Patient has had previous surgery on the affected carpometacarpal joint (CMCJ)
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Patient has any comorbidity which precludes them from undergoing surgical intervention