Science and Innovations in MedicineScience and Innovations in MedicineНаука и инновации в медицине2500-13882618-754XFSBEI of Higher Education SamSMU of Ministry of Health of the Russian Federation68816510.35693/SIM688165Traumatology and OrthopedicsТравматология и ортопедияReview ArticleRhizarthrosis: treatment approaches in modern orthopedicsРизартроз: особенности лечения в современной ортопедииhttps://orcid.org/0009-0004-1518-7936ShafievOleg A.ШафиевО. А.
Russian Federation

Postgraduate Student of the Department of Traumatology, Orthopedics, and Extreme Surgery n.a. Academician of the RAS A.F. Krasnov

аспирант кафедры травматологии, ортопедии и экстремальной хирургии имени академика РАН А.Ф. Краснова

dr.oleg.shafiev@gmail.comhttps://orcid.org/0000-0003-1123-1544BistrovSergei А.БыстровС. А.
Russian Federation

MD, Cand. Sci. (Medicine), Associate Professor, Associate Professor of the Department of Hospital Surgery, Deputy Chief Physician for Surgery at the Clinics

канд. мед. наук, доцент, доцент кафедры госпитальной хирургии, заместитель главного врача Клиник по хирургии

s.a.bystrov@samsmu.ruhttps://orcid.org/0000-0002-6031-4824PankratovAleksandr S.ПанкратовА. С.
Russian Federation

MD, Cand. Sci. (Medicine), Associate Professor, Associate Professor of the Department of Traumatology, Orthopedics, and Extreme Surgery n.a. Academician of the RAS A.F. Krasnov, Head of the Traumatology and Orthopedics Department No. 1 of the Clinics

канд. мед. наук, доцент, доцент кафедры травматологии, ортопедии и экстремальной хирургии имени академика РАН А.Ф. Краснова, заведующий травматолого-ортопедическим отделением №1 Клиник

a.s.pankratov@samsmu.ruhttps://orcid.org/0009-0008-8476-744XKarpinskiiNikolai А.КарпинскийН. А.
Russian Federation

Postgraduate Student of the Department of Traumatology and Orthopedics

аспирант кафедры травматологи и ортопедии

email@handclinic.prohttps://orcid.org/0000-0002-7853-4825NakonechnyDmitrii G.НаконечныйД. Г.
Russian Federation

MD, Cand. Sci. (Medicine), Associate Professor of the Department of Traumatology and Orthopedics

канд. мед. наук, доцент кафедры травматологии и ортопедии

dnakonechny@mail.ruhttps://orcid.org/0000-0003-1770-965XKnyazevNikita A.КнязевН. А.
Russian Federation

MD, Cand. Sci. (Medicine), Assistant of the Department of Traumatology, Orthopedics, and Extreme Surgery n.a. Academician of the RAS A.F. Krasnov, Traumatologist-Orthopedist of the Traumatology and Orthopedics Department No. 1 of the Clinics

канд. мед. наук, ассистент кафедры травматологии, ортопедии и экстремальной хирургии имени академика РАН А.Ф. Краснова, врач травматолог-ортопед травматолого-ортопедического отделения №1 Клиник

n.knyazev.bass@gmail.comSamara State Medical UniversityФГБОУ ВО «Самарский государственный медицинский университет» Минздрава РоссииSaint Petersburg State UniversityФГБОУ ВО «Санкт-Петербургский государственный университет»First Saint Petersburg State Medical University named after I.P. PavlovФГБОУ ВО «Первый Санкт-Петербургский государственный медицинский университет имени академика И.П. Павлова»29092025101120251043323402307202519092025Copyright ©; 2025, Shafiev O.A., Bistrov S.А., Pankratov A.S., Karpinskii N.А., Nakonechny D.G., Knyazev N.A.Copyright ©; 2025, Шафиев О.А., Быстров С.А., Панкратов А.С., Карпинский Н.А., Наконечный Д.Г., Князев Н.А.2025Shafiev O.A., Bistrov S.А., Pankratov A.S., Karpinskii N.А., Nakonechny D.G., Knyazev N.A.Шафиев О.А., Быстров С.А., Панкратов А.С., Карпинский Н.А., Наконечный Д.Г., Князев Н.А.https://creativecommons.org/licenses/by/4.0https://innoscience.ru/2500-1388/article/view/688165

Rhizarthrosis is an osteoarthritis of the trapezium-metacarpal joint, a common condition mainly affecting postmenopausal women, which has a significant impact on the quality of life and functionality of the hand. The thumb is critical for grasping and strength of the entire hand, and functional impairment of the thumb mobility in rhizarthrosis reduces hand function significantly. Despite its high prevalence and risk of disability, therapeutic options for rhizarthrosis remain limited. Treatment usually requires a multidisciplinary approach using a combination of non-pharmacological, pharmacological and surgical strategies. The literature review observes various surgical treatment options for rhizarthrosis, such as ligament reconstruction, tendon interposition, resection arthroplasty and joint replacement or arthrodesis.

Ризартроз, или остеоартроз трапециевидно-пястного сустава, – распространенное заболевание, в основном поражающее женщин в постменопаузе и оказывающее значительное влияние на качество жизни человека. Первый (большой) палец определяет силу хвата всей руки, поэтому нарушение его подвижности при ризартрозе значительно снижает функционал кисти. Несмотря на высокую распространенность и риск развития инвалидности, терапевтические возможности лечения ризартроза по-прежнему ограничены. Лечение обычно требует междисциплинарного подхода с использованием комбинации нефармакологических, фармакологических и хирургических методик.

Литературный обзор посвящен анализу таких хирургических методов лечения ризартроза, как реконструкция связок, интерпозиция сухожилий, резекционная артропластика, эндопротезирование или артродезирование сустава.

rhizarthrosisorthopedicstrapezium-metacarpal jointsurgical treatmenthand jointsbiomechanicsjoint replacementризартрозортопедиятрапециевидно-пястный суставхирургическое лечениесуставы кистибиомеханикапротезирование суставаRodomanova LA, Orlova IV. Surgical treatment of trapeziometacarpal osteoarthritis (review). Traumatology and Orthopedics of Russia. 2018;24(3):135-144. [Родоманова Л.А., Орлова И.В. Хирургическое лечение остеоартроза седловидного сустава (обзор литературы). Травматология и ортопедия России. 2018;24(3):135-144]. DOI: 10.21823/2311-2905-2018-24-3-135-144Pellegrini VD Jr. The ABJS 2005 Nicolas Andry Award: osteoarthritis and injury at the base of the human thumb: survival of the fittest? Clin Orthop Relat Res. 2005;438:266-276. DOI: 10.1097/01.blo.0000176968.28247.5cColonna S, Borghi C. Rhizarthrosis Part I: A Literature Review. Cureus. 2024;16(1):e52932. DOI: 10.7759/cureusAgostini F, Bressanin E, de Sire A, et al. The Effect of Intra-Articular Injections of Hyaluronic Acid for the Treatment of Trapezio-Metacarpal Joint Osteoarthritis. J Pers Med. 2024;14(8):806. DOI: 10.3390/jpm14080806Ladd AL, Weiss AP, Crisco JJ, et al. The thumb carpometacarpal joint: anatomy, hormones, and biomechanics. Instr Course Lect. 2013;62:165-179.Shigematsu S, Shimizu H, Beppu M, Hirata K. Anatomy of the extensor pollicis brevis associated with an extension mechanism of the thumb metacarpophalangeal joint. Hand Surg. 2014;19(2):171-179. DOI: 10.1142/S0218810414500166 Published correction appears in Hand Surg. 2015;20(1):201-2. DOI: 10.1142/S021881041592001XMarzke MW, Wullstein KL, Viegas SF. Evolution of the power (“squeeze”) grip and its morphological correlates in hominids. Am J Phys Anthropol. 1992;89(3):283-298. DOI: 10.1002/ajpa.1330890303Napier JR. The form and function of the carpo-metacarpal joint of the thumb. J Anat. 1955;89(3):362-369.Cooney WP 3rd, Chao EY. Biomechanical analysis of static forces in the thumb during hand function. J Bone Joint Surg Am. 1977;59(1):27-36.Nichols DS, Oberhofer HM, Chim H. Anatomy and Biomechanics of the Thumb Carpometacarpal Joint. Hand Clin. 2022;38(2):129-139. DOI: 10.1016/j.hcl.2021.11.001Hafiz H, Yousefsani SA, Moradi A, et al. Contribution of Soft Tissue Passive Forces in Thumb Carpometacarpal Joint Distraction. Ann Biomed Eng. 2024;52(8):1991-1999. DOI: 10.1007/s10439-024-03492-2Moran SL, Berger RA. Biomechanics and hand trauma: what you need. Hand Clin. 2003;19(1):17-31. DOI: 10.1016/s0749-0712(02)00130-0Cormier G, Le Goff B, Denis A, et al. Corticosteroids injections versus corticosteroids with hyaluronic acid injections in rhizarthrosis: the randomised multicentre RHIZ’ART trial study protocol. BMJ Open. 2019;9(1):e022553. DOI: 10.1136/bmjopen-2018-022553Tenti S, Cheleschi S, Mondanelli N, et al. New Trends in Injection-Based Therapy for Thumb-Base Osteoarthritis: Where Are We and where Are We Going? Front Pharmacol. 2021;12:637904. DOI: 10.3389/fphar.2021.637904Sodha S, Ring D, Zurakowski D, Jupiter JB. Prevalence of osteoarthrosis of the trapeziometacarpal joint. J Bone Joint Surg Am. 2005;87(12):2614-2618. DOI: 10.2106/JBJS.E.00104Ateshian GA, Rosenwasser MP, Mow VC. Curvature characteristics and congruence of the thumb carpometacarpal joint: differences between female and male joints. J Biomech. 1992;25(6):591-607. DOI: 10.1016/0021-9290(92)90102-7Wilkens SC, Meghpara MM, Ring D, Coert JH, Jupiter JB, Chen NC. Trapeziometacarpal Arthrosis. JBJS Rev. 2019;7(1):e8. DOI: 10.2106/JBJS.RVW.18.00020Eaton RG, Glickel SZ. Trapeziometacarpal osteoarthritis. Staging as a rationale for treatment. Hand Clin. 1987;3(4):455-471.Kennedy CD, Manske MC, Huang JI. Classifications in Brief: The Eaton-Littler Classification of Thumb Carpometacarpal Joint Arthrosis. Clin Orthop Relat Res. 2016;474(12):2729-2733. DOI: 10.1007/s11999-016-4864-6Wu EJ, Fossum BW, Voort WV, et al. Surgeon preferences in the treatment of thumb carpometacarpal osteoarthritis. World J Orthop. 2024;15(5):435-443. DOI: 10.5312/wjo.v15.i5.435Villafañe JH, Valdes K, Pedersini P, Berjano P. Thumb carpometacarpal osteoarthritis: A musculoskeletal physiotherapy perspective. J Bodyw Mov Ther. 2019;23(4):908-912. DOI: 10.1016/j.jbmt.2019.02.018Eliseeva LN, Zhdamarova OI, Blednova AYu, et al. The advantages of sodium hyaluronate for small joint disorders in patients with comorbidities. Russian Medical Review. 2020;4(2):95-100. [Елисеева Л.Н., Ждамарова О.И., Бледнова А.Ю., и др. Преимущества использования гиалуроната натрия при суставной патологии мелких суставов у полиморбидных пациентов. РМЖ. Медицинское обозрение. 2020;4(2):95-100]. DOI: 10.32364/2587-6821-2020-4-2-95-100Tortora S, Messina C, Albano D, et al. Ultrasound-guided musculoskeletal interventional procedures around the elbow, hand and wrist excluding carpal tunnel procedures. J Ultrason. 2021;21(85):e169-e176. DOI: 10.15557/JoU.2021.0027Valachová K, Šoltés L. Hyaluronan as a Prominent Biomolecule with Numerous Applications in Medicine. Int J Mol Sci. 2021;22(13):7077. DOI: 10.3390/ijms22137077Oo WM, Hunter DJ. Efficacy, Safety, and Accuracy of Intra-articular Therapies for Hand Osteoarthritis: Current Evidence. Drugs Aging. 2023;40(1):1-20. DOI: 10.1007/s40266-022-00994-3de Sire A, Marotta N, Sconza C, et al. Oxygen-ozone therapy for pain relief in patients with trapeziometacarpal osteoarthritis: a proof-of-concept study. Disabil Rehabil. 2025;47(2):452-458. DOI: 10.1080/09638288.2024.2342491Egiazaryan KA, Parsadanyan GK, Ershov DS, et al. Mid-Term Results of Surgical Treatment for Rhizarthrosis Using Interposition and Suspension-Interposition Arthroplasty. Traumatology and Orthopedics of Russia. 2023;29(4):69-77. [Егиазарян К.А., Парсаданян Г.К., Ершов Д.С., и др. Среднесрочные результаты хирургического лечения ризартроза методами интерпозиционной и суспензионно-интерпозиционной артропластики. Травматология и ортопедия России. 2023;29(4):69-77]. DOI: 10.17816/2311-2905-17288Gervis WH. Osteo-arthritis of the Trapezio-metacarpal Joint treated by Excision of the Trapezium. Proc R Soc Med. 1947;40(9):492. DOI: 10.1177/003591574704000908Newton A, Talwalkar S. Arthroplasty in thumb trapeziometacarpal (CMC joint) osteoarthritis: An alternative to excision arthroplasty. J Orthop. 2022;35:134-139. DOI: 10.1016/j.jor.2022.11.011Saab M, Chick G. Trapeziectomy for trapeziometacarpal osteoarthritis. Bone Jt Open. 2021;2(3):141-149. DOI: 10.1302/2633-1462.23.BJO-2020-0188.R1Yeoman TFM, Stone O, Jenkins PJ, McEachan JE. The long-term outcome of simple trapeziectomy. J Hand Surg Eur Vol. 2019;44(2):146-150. DOI: 10.1177/1753193418780898Janakiramanan N, Miles O, Collon S, et al. Functional Recovery Following Trapeziectomy and Ligament Reconstruction and Tendon Interposition: A Prospective Longitudinal Study. J Hand Surg Am. 2021;46(11):963-971. DOI: 10.1016/j.jhsa.2021.04.036Murley AH. Excision of the trapezium in osteoarthritis of the first carpo-metacarpal joint. J Bone Joint Surg Br. 1960;42:502-507.Weilby A. Surgical treatment of osteoarthritis of the carpo-metacarpal joint of the thumb. Indications for arthrodesis, excision of the trapezium, and alloplasty. Scand J Plast Reconstr Surg. 1971;5(2):136-141. DOI: 10.3109/02844317109042954Van Royen K, Vanmierlo B, Goorens CK, Goubau J. Scaphometacarpal arthrodesis with autologous structural bone graft as a salvage procedure after failed trapeziectomy - Surgical technique and initial results. Hand Surg Rehabil. 2020;39(6):539-544. DOI: 10.1016/j.hansur.2020.06.004Wajon A, Ada L, Edmunds I. Surgery for thumb (trapeziometacarpal joint) osteoarthritis. Cochrane Database Syst Rev. 2005;(4):CD004631. DOI: 10.1002/14651858.CD004631.pub2Froimson AI. Tendon arthroplasty of the trapeziometacarpal joint. Clin Orthop Relat Res. 1970;70:191-199.Eaton RG, Littler JW. Ligament reconstruction for the painful thumb carpometacarpal joint. J Bone Joint Surg Am. 1973;55(8):1655-1666.Eaton RG, Lane LB, Littler JW, Keyser JJ. Ligament reconstruction for the painful thumb carpometacarpal joint: a long-term assessment. J Hand Surg Am. 1984;9(5):692-699. DOI: 10.1016/s0363-5023(84)80015-5Burton RI, Pellegrini VD Jr. Surgical management of basal joint arthritis of the thumb. Part II. Ligament reconstruction with tendon interposition arthroplasty. J Hand Surg Am. 1986;11(3):324-332. DOI: 10.1016/s0363-5023(86)80137-xFreedman DM, Eaton RG, Glickel SZ. Long-term results of volar ligament reconstruction for symptomatic basal joint laxity. J Hand Surg Am. 2000;25(2):297-304. DOI: 10.1053/jhsu.2000.jhsu25a0297Tomaino MM, Pellegrini VD Jr, Burton RI. Arthroplasty of the basal joint of the thumb. Long-term follow-up after ligament reconstruction with tendon interposition. J Bone Joint Surg Am. 1995;77(3):346-355. DOI: 10.2106/00004623-199503000-00003Thompson JS. Complications and salvage of trapeziometacarpal arthroplasties. Instr Course Lect. 1989;38:3-13.Soejima O, Hanamura T, Kikuta T, et al. Suspensionplasty with the abductor pollicis longus tendon for osteoarthritis in the carpometacarpal joint of the thumb. J Hand Surg Am. 2006;31(3):425-428. DOI: 10.1016/j.jhsa.2005.12.010Bezwada HP, Sauer ST, Hankins ST, Webber JB. Long-term results of trapeziometacarpal silicone arthroplasty. J Hand Surg Am. 2002;27(3):409-417. DOI: 10.1053/jhsu.2002.31733Minami A, Iwasaki N, Kutsumi K, et al. A long-term follow-up of silicone-rubber interposition arthroplasty for osteoarthritis of the thumb carpometacarpal joint. Hand Surg. 2005;10(1):77-82. DOI: 10.1142/S0218810405002607MacDermid JC, Roth JH, Rampersaud YR, Bain GI. Trapezial arthroplasty with silicone rubber implantation for advanced osteoarthritis of the trapeziometacarpal joint of the thumb. Can J Surg. 2003;46(2):103-110.Naidu SH, Kulkarni N, Saunders M. Titanium basal joint arthroplasty: a finite element analysis and clinical study. J Hand Surg Am. 2006;31(5):760-765. DOI: 10.1016/j.jhsa.2005.12.022Adams BD, Pomerance J, Nguyen A, Kuhl TL. Early outcome of spherical ceramic trapezial-metacarpal arthroplasty. J Hand Surg Am. 2009;34(2):213-218. DOI: 10.1016/j.jhsa.2008.10.017Agout C, Ardouin L, Bellemère P. A ten-year prospective outcome study of Pi2 pyrocarbon spacer arthroplasty in carpometacarpal joint osteoarthritis. Hand Surg Rehabil. 2016;35(4):255-261. DOI: 10.1016/j.hansur.2016.05.002Athwal GS, Chenkin J, King GJ, Pichora DR. Early failures with a spheric interposition arthroplasty of the thumb basal joint. J Hand Surg Am. 2004;29(6):1080-1084. DOI: 10.1016/j.jhsa.2004.06.012Clarke S, Hagberg W, Kaufmann RA, et al. Complications with the use of Artelon in thumb CMC joint arthritis. Hand (N Y). 2011;6(3):282-286. DOI: 10.1007/s11552-011-9332-xRusso S, Bernasconi A, Busco G, Sadile F. Treatment of the trapeziometacarpal osteoarthritis by arthroplasty with a pyrocarbon implant. Int Orthop. 2016;40(7):1465-1471. DOI: 10.1007/s00264-015-3016-zLogan J, Peters SE, Strauss R, et al. Pyrocardan Trapeziometacarpal Joint Arthroplasty-Medium-Term Outcomes. J Wrist Surg. 2020;9(6):509-517. DOI: 10.1055/s-0040-1714685Smeraglia F, Barrera-Ochoa S, Mendez-Sanchez G, et al. Partial trapeziectomy and pyrocarbon interpositional arthroplasty for trapeziometacarpal osteoarthritis: minimum 8-year follow-up. J Hand Surg Eur Vol. 2020;45(5):472-476. DOI: 10.1177/1753193420906805Pendse A, Nisar A, Shah SZ, et al. Surface replacement trapeziometacarpal joint arthroplasty – early results. J Hand Surg Eur Vol. 2009;34(6):748-757. DOI: 10.1177/1753193409343750Pérez-Ubeda MJ, García-López A, Marco Martinez F, et al. Results of the cemented SR trapeziometacarpal prosthesis in the treatment of thumb carpometacarpal osteoarthritis. J Hand Surg Am. 2003;28(6):917-925. DOI: 10.1016/s0363-5023(03)00378-2de la Caffiniere JY, Aucouturier P. Trapezio-metacarpal arthroplasty by total prosthesis. Hand. 1979;11(1):41-46. DOI: 10.1016/s0072-968x(79)80007-8Skyttä ET, Belt EA, Kautiainen HJ, et al. Use of the de la Caffinière prosthesis in rheumatoid trapeziometacarpal destruction. J Hand Surg Br. 2005;30(4):395-400. DOI: 10.1016/j.jhsb.2005.03.012Johnston P, Getgood A, Larson D, et al. De la Caffinière thumb trapeziometacarpal joint arthroplasty: 16-26 year follow-up. J Hand Surg Eur Vol. 2012;37(7):621-624. DOI: 10.1177/1753193411433226Nicholas RM, Calderwood JW. De la Caffinière arthroplasty for basal thumb joint osteoarthritis. J Bone Joint Surg Br. 1992;74(2):309-312. DOI: 10.1302/0301-620X.74B2.1544976Regnard PJ. Electra trapezio metacarpal prosthesis: results of the first 100 cases. J Hand Surg Br. 2006;31(6):621-628. DOI: 10.1016/j.jhsb.2006.05.019Frølich C, Hansen TB. Complications Related to Metal-on-Metal Articulation in Trapeziometacarpal Joint Total Joint Arthroplasty. J Funct Biomater. 2015;6(2):318-327. DOI: 10.3390/jfb6020318Hansen TB, Dremstrup L, Stilling M. Patients with metal-on-metal articulation in trapeziometacarpal total joint arthroplasty may have elevated serum chrome and cobalt. J Hand Surg Eur Vol. 2013;38(8):860-865. DOI: 10.1177/1753193413487685Thillemann JK, Thillemann TM, Munk B, Krøner K. High revision rates with the metal-on-metal Motec carpometacarpal joint prosthesis. J Hand Surg Eur Vol. 2016;41(3):322-327. DOI: 10.1177/1753193415595527Toffoli A, Teissier J. MAÏA Trapeziometacarpal Joint Arthroplasty: Clinical and Radiological Outcomes of 80 Patients With More than 6 Years of Follow-Up. J Hand Surg Am. 2017;42(10):838.e1-838.e8. DOI: 10.1016/j.jhsa.2017.06.008Robles-Molina MJ, López-Caba F, Gómez-Sánchez RC, et al. Trapeziectomy With Ligament Reconstruction and Tendon Interposition Versus a Trapeziometacarpal Prosthesis for the Treatment of Thumb Basal Joint Osteoarthritis. Orthopedics. 2017;40(4):e681-e686. DOI: 10.3928/01477447-20170503-03Duché R, Trabelsi A. The concept of first metacarpal M1-M2 arch. New interest in trapeziometacarpal prostheses. Hand Surg Rehabil. 2022;41(2):163-170. DOI: 10.1016/j.hansur.2021.12.011Dreant N, Poumellec MA. Total Thumb Carpometacarpal Joint Arthroplasty: A Retrospective Functional Study of 28 MOOVIS Prostheses. Hand (N Y). 2019;14(1):59-65. DOI: 10.1177/1558944718797341Goubau JF, Goorens CK, Van Hoonacker P, et al. Clinical and radiological outcomes of the Ivory arthroplasty for trapeziometacarpal joint osteoarthritis with a minimum of 5 years of follow-up: a prospective single-centre cohort study. J Hand Surg Eur Vol. 2013;38(8):866-874. DOI: 10.1177/1753193413488494Martins A, Charbonnel S, Lecomte F, Athlani L. The Moovis® implant for trapeziometacarpal osteoarthritis: results after 2 to 6 years. J Hand Surg Eur Vol. 2020;45(5):477-482. DOI: 10.1177/1753193420901435Tchurukdichian A, Guillier D, Moris V, et al. Results of 110 IVORY® prostheses for trapeziometacarpal osteoarthritis with a minimum follow-up of 10 years. J Hand Surg Eur Vol. 2020;45(5):458-464. DOI: 10.1177/1753193419899843Martin-Ferrero M, Simón-Pérez C, Coco-Martín MB, et al. Trapeziometacarpal total joint arthroplasty for osteoarthritis: 199 patients with a minimum of 10 years follow-up. J Hand Surg Eur Vol. 2020;45(5):443-451. DOI: 10.1177/1753193419871660Farizon F, de Lavison R, Azoulai JJ, Bousquet G. Results with a cementless alumina-coated cup with dual mobility. A twelve-year follow-up study. Int Orthop. 1998;22(4):219-224. DOI: 10.1007/s002640050246Lussiez B, Falaise C, Ledoux P. Dual mobility trapeziometacarpal prosthesis: a prospective study of 107 cases with a follow-up of more than 3 years. J Hand Surg Eur Vol. 2021;46(9):961-967. DOI: 10.1177/17531934211024500Froschauer SM, Holzbauer M, Mihalic JA, Kwasny O. TOUCH® Prosthesis for Thumb Carpometacarpal Joint Osteoarthritis: A Prospective Case Series. J Clin Med. 2021;10(18):4090. DOI: 10.3390/jcm10184090Glaser J, Aman M, Krohn T, et al. Scapho-metacarpal dual mobility prosthesis for TMC-1 joint salvage: technical insights. Arch Orthop Trauma Surg. 2025;145(1):128. DOI: 10.1007/s00402-025-05751-w