The LRTI for CMC Arthritis in 2025

Chuck and Chris discuss a listener submitted case and use the topic for a deep dive on thumb CMC/ basal joint arthritis and the gold standard of care, the LRTI. Hear Chuck and Chris' thoughts on the technical aspects of the operation and hear how they differ in their approaches.
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[@nancybeaman428]

First, gentlemen, from a New Englander--no salt--it's not needed. Salt is bad for the environment, your dog's feet and you don't want to track it into the house. Just shovel. If the storm brings a lot of snow, shovel in stages, before it gets too deep. If it is going to be followed by freezing rain, wait till the storm is done. Second, I am a hand therapist of 25 years, in my experience, mini tight rope CMC does very well in the early weeks post-op: little to no pain and great ROM. However, pain increases around the 6-week mark and patients struggle; where LRTI has pain in the beginning with improves with time. I have seen mini tight ropes used as revisions and those patients do quite well; perhaps best used for that purpose. BTW I never let my patients call their SF a "pinkie"! 😆

[@chiawu8641]

Is there a role for CMC denervation in your practice?

[@bstshohan297]

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