Osteoarthritis of the basal joint of the thumb causes disabling pain and swelling often associated with deformity, instability, crepitus and loss of motion.
While milder forms of the disorder can be treated conservatively, the severe form requires surgical treatment.
Numerous surgical procedures have been advocated for the treatment of this disease, including simple resection of the trapezium; resection of the trapezium combined with interposition; ligament reconstruction, and partial or total joint replacement.
We present a case of this disease and describe the method of tendon suspension sling arthroplasty (Modified Epping Method).
