Cmc arthroplasty cpt

CMC arthroplasty with tendon graft Recently received denial from Humana stating 20924 is bundled with 25447. Please note below pasted information from Orthopedic Coder's Pink Sheet 2015 regarding tendon graft with CMC arthroplasty.

Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist) (25446) Interposition arthroplasty, intercarpal or carpometacarpal joints (25447) Revision of arthroplasty, including removal of implant, wrist joint (25449) Arthrodesis and resection of radioulnar joint (25830)Arthroplasty for the base of the thumb has gone through many refinements over the years. In the past, advanced disease at the carpometacarpal (CMC) joint of the thumb at presentation was the rule. Tackling this disease necessitated the development of techniques that allowed for the treatment of a wide array of problems. The treatment …Apr 7, 2023 · CMC arthroplasty is used to treat CMC joint arthritis. It may help you perform movements that are currently causing you pain, like grasping objects or making a pinching motion. To choose the correct PIP joint procedure, the degree of instability and deformity must be taken in account and include the bone and soft tissue conditions and any underlying chronic disease ... The authors’ recommendations for CMC I joint arthroplasty are shown in Table 2. Table 2. Authors’ recommendations for thumb carpometacarpal …CMC Joint Arthroplasty For the Carpometacarpal (CMC) Joint Arthroplasty procedure, codes 25447 for an Arthroplasty, interposition, intercarpal or carpometacarpal joints and code 25310 for a Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon OR code 26480 for a Transfer or transplant ofMy doctor states he did a CMC interpostion arthroplasty with trapezial excision and STT interpostion arthroplasty. The report reads: Dissection was carried out at the base of the 1st metacarpal as well as around the trapezium. Using an oscillating saw, a four-quadrant cut was made into the trapezium. using a rongeur, the trapezium was fully ...But a low elderly vaccination rate in China means a rocky path still lies ahead In an apparent surprise concession to protesters, the Chinese government announced a dramatic rollba...

The Ensemble CMC™ is manufactured from On-X ® Carbon (pyrocarbon) – a proven biocompatible, low modulus, and durable material that has been shown to cause less bone wear compared to metal or ceramic implants. The Ensemble CMC™ is available in three sizes. A simple instrument set is also available. The Ensemble CMC is an interpositional ...My friend and I are always bonding over our love for guys in plaid shirts. I don’t know what it is, but the My friend and I are always bonding over our love for guys in plaid shirt...My doctor states he did a CMC interpostion arthroplasty with trapezial excision and STT interpostion arthroplasty. The report reads: Dissection was carried out at the base of the 1st metacarpal as well as around the trapezium. Using an oscillating saw, a four-quadrant cut was made into the trapezium. using a rongeur, the trapezium was fully ...Oct 21, 2008 · The recommended code for these excisions is 64772. Anatomy: The basal joint of the thumb is also known as the carpometacarpal (CMC) joint. Located at the base of the thumb, the basal joint usually moves quite freely to help position the thumb. Coding: Arthritis of the basal joint is often treated with an arthroplasty. The mean age of subjects at time of follow-up exam was 65.7 years old (SD 8.6) with a mean time since surgery of 7.6 years (SD 4.4). Subjects were stratified into groups based on time since surgery. Group 1 was defined as 0–5 years since operation, group 2 was defined as 5.01–10 years since operation, and group 3 was defined as …Procedure for CMC Arthroplasty with TightRope. In general, CMC arthroplasty surgery with TightRope will involve the following steps: You will lie on your back on the operating table under regional or local anesthesia with your arm held in a specific position. Your surgeon cleans the treatment area with an antiseptic solution and an incision is ...SpeedSpiral CMC Allograft Implant. Anika’s SpeedSprial ® CMC Allograft System utilizes a pre-shaped, dense, strong, and flexible allograft implant to treat thumb CMC joint pain and/or instability caused by osteoarthritis (OA). The SpeedSpiral is sterile, decellularized and freeze-dried (no rehydration necessary) and is designed to augment ...

To choose the correct PIP joint procedure, the degree of instability and deformity must be taken in account and include the bone and soft tissue conditions and any underlying chronic disease ... The authors’ recommendations for CMC I joint arthroplasty are shown in Table 2. Table 2. Authors’ recommendations for thumb carpometacarpal …Procedure - CMC Arthroplasty; Procedure - Basal joint Thumb CMC Arthroplasty; Procedure - Ring / Small CMC Arthroplasty. Indications. Examples. Problems. Procedures Home Page; American Society for Surgery of the Hand assh.org The Best Resource For Your Hands, Period.My doctor states he did a CMC interpostion arthroplasty with trapezial excision and STT interpostion arthroplasty. The report reads: Dissection was carried out at the base of the 1st metacarpal as well as around the trapezium. Using an oscillating saw, a four-quadrant cut was made into the trapezium. using a rongeur, the trapezium was fully ...CPT Codes. Surgery. Surgical Procedures on the Musculoskeletal System. Surgical Procedures on the Hand and Fingers. Arthrodesis Procedures on the Hand and Fingers. 26841. 26820. 26841. 26842.

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The Current Procedural Terminology (CPT ®) code 25449 as maintained by American Medical Association, is a medical procedural code under the range - Repair, Revision, and/or Reconstruction Procedures on the Forearm and Wrist. Thumb CMC Joint Arthritis • 3rd most common joint with arthritis • Most common operation for arthritis in the arm/hand • More common in women than men (about 4 to 1) SpeedSpiral for Thumb CMC Arthroplasty • Tightly rolled acellular human collagen • Advantage: maintains height, instant, easy, pinch strength • 3 sizes – 13mm, 15mm, 17mm<p>Thumb arthroplasty is a surgical procedure to treat arthritis affecting the joint at the base of the thumb. This surgery helps restore mobility and function to the thumb. Thumb arthritis may be initially treated non-surgically with ice applications, anti-inflammatory medications, splints, and steroid injections. However, because arthritis is a progressive … One type of surgery, called CMC Arthroplasty, involves reconstructing the joint. The surgery may be done as an outpatient procedure or may require an overnight stay at the hospital. The individual may be sedated for surgery or remain alert with anesthesia that temporarily blocks the feeling in the hand. CMC arthroplasty is a type of joint replacement surgery for carpometacarpal (CMC) arthritis, which affects the base of your thumb. Learn …

CPT Codes. Surgery. Surgical Procedures on the Musculoskeletal System. Surgical Procedures on the Hand and Fingers. Arthrodesis Procedures on the Hand and Fingers. 26841. 26820. 26841. 26842.CMC arthroplasty with tendon graft Recently received denial from Humana stating 20924 is bundled with 25447. Please note below pasted information from Orthopedic Coder's Pink Sheet 2015 regarding tendon graft with CMC arthroplasty.In light of the success of the various arthroplasty techniques, arthrodesis has fallen out of favor and is generally reserved for post-traumatic or rheumatoid arthritis limited only to the first CMC joint of the hand. Arthroplasty techniques have ranged from simple partial or complete trapeziectomy to various implant and ligament interposition ...The non-implant arthroplasty failure rates per 100 procedure-years were: trapeziectomy (0.49), joint fusion (0.52), and trapeziectomy with ligament reconstruction ± tendon interposition (0.23). The authors concluded that several implant designs (arthroplasties) had high rates of failure due to aseptic loosening, dislocation, and persisting pain.We additionally collected prospective patient reported outcomes in 75% of our patients and had a lower proportion of patients undergo CMC arthroplasty at time of procedure (53% vs 70%). In a different study, Novoa-Parra et al 7 reviewed 9 patients who underwent MCP joint arthrodesis using the XMCP system at a fixed angle of 25° …Revision CMC arthroplasty surgery rates are estimated at 2.6% to 4.6% and have satisfactory out-comes in 50% to 85% of patients after revision surgery. Before performing revision CMC arthroplasty, surgeons must identify any missed pathology (eg, scaphotrapezoidal arthritis) or complication from the initial procedure (eg, neuroma).Inclusion criteria were subjects who underwent trapeziectomy with suture suspension thumb CMC joint arthroplasty who had adequate pre- and postoperative measures available for analysis. Factors recorded included gender, age, dominant handedness, operative side, grip strength in kilograms, key pinch in kilograms, palmar …Wrist joint replacement can be done as an outpatient procedure, meaning the patient can go home the day of surgery. Wrist replacement surgery can also be combined with other procedures to correct deformities or disorders in the tendons, nerves, and small joints of the fingers, and thumb. To perform the procedure:Feb 1, 2003 · Hand surgeons who document thumb carpometa-carpal stabilization" " "Eaton procedure" or "LRTI" in their notes often stump orthopedic coders who cannot locate any such descriptors in CPT. Although orthopedists may refer to the surgery differently 25447 ( Arthroplasty interposition intercarpal or carpometacarpal joints ) fits the bill for all of ...

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In the world of medical billing and coding, accurate CPT code descriptions are essential for ensuring proper reimbursement and maintaining compliance. CPT codes, or Current Procedu... Revision CMC arthroplasty surgery rates are estimated at 2.6% to 4.6% and have satisfactory out-comes in 50% to 85% of patients after revision surgery. Before performing revision CMC arthroplasty, surgeons must identify any missed pathology (eg, scaphotrapezoidal arthritis) or complication from the initial procedure (eg, neuroma). I would like an expert opinion on which CPT code is most appropriate for what looks like a "suspension version" of a CMC arthroplasty. Per op report: "...A marked amount of arthritis at the trapezial carpometacarpal joint was identified. The trapezium was osteotomized in 3 places with an osteotome, and the bone was removed in fragments …We additionally collected prospective patient reported outcomes in 75% of our patients and had a lower proportion of patients undergo CMC arthroplasty at time of procedure (53% vs 70%). In a different study, Novoa-Parra et al 7 reviewed 9 patients who underwent MCP joint arthrodesis using the XMCP system at a fixed angle of 25° …Feb 19, 2014 · Given the strict requirement for procedure performed (trapeziectomy with FCR suspension arthroplasty of first CMC joint without tendinous interposition), the relatively advanced age of patients receiving the procedure (indicated for advanced osteoarthritis of CMC joint), and the length of follow-up (up to 16 years), we believe that the 21 ... CMC Joint Arthroplasty For the Carpometacarpal (CMC) Joint Arthroplasty procedure, codes 25447 for an Arthroplasty, interposition, intercarpal or carpometacarpal joints and code 25310 for a Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon OR code 26480 for a Transfer or transplant ofI would like an expert opinion on which CPT code is most appropriate for what looks like a "suspension version" of a CMC arthroplasty. Per op report: "...A marked amount of arthritis at the trapezial carpometacarpal joint was identified. The trapezium was osteotomized in 3 places with an osteotome, and the bone was removed in fragments completely.CMC joint arthroplasty is a surgery to remove the trapezium bone and replace it with an implant to relieve pain and improve function of the thumb joint. Learn about the purpose, risks, …Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist) (25446) Interposition arthroplasty, intercarpal or carpometacarpal joints (25447) Revision of arthroplasty, including removal of implant, wrist joint (25449) Arthrodesis and resection of radioulnar joint (25830)Surgery of the hand or wrist is proven and medically necessary in certain circumstances. For medical necessity clinical coverage criteria, refer to the InterQual® CP: Procedures: Arthroplasty, Carpometacarpal (CMC) Joint, Thumb. Arthroplasty, Metacarpophalangeal (MCP) Joint, Digits. Arthroplasty, Proximal Interphalangeal (PIP) Joint, Fingers.

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The modified suture suspension sling arthroplasty technique developed by Arnold Peter C Weiss was performed on three patients with CMC joint arthritis. In this procedure, after trapeziectomy, a nonabsorbable suture is performed to create a hammock between the abductor pollicis longus and flexor carpi radialis tendon to rest the thumb …The primary indication for arthroplasty of the. metacarpophalangeal (MCP) joints is advanced painful destruction of the. joint by rheumatoid arthritis. The systemic effects of rheumatoid. arthritis on the metacarpophalangeal joints are mediated by the. formation of a pannus that is destructive to both the soft tissue and.The FiberLock™ suspension system is a single-incision suture suspensionplasty using the latest in anchor and suture technology. A FiberTak® all-suture anchor provides cortical fixation on the far cortex of the 2nd metacarpal. The 1st metacarpal is suspended from the 2nd using the FiberTak anchor SutureTape, which is then secured into a knotless DX …Sep 12, 2011 · Answer: This is a fairly new procedure being performed in lieu of CMC trapeziectomy with ligament reconstruction and tendon interpositon (LRTI) arthroplasty. In this procedure, the surgeon resects the trapezium, and rather than harvesting a tendon for interposition and ligament reconstruction, he suspends the metacarpal using a tightrope device. Purpose: To investigate the clinical outcome of thumb carpometacarpal arthroplasty with entire-thickness flexor carpi radialis (FCR) ligament reconstruction and tendon interposition and to investigate the isokinetic wrist flexion/extension torque and flexion fatigue strength of the surgically treated wrist compared with the nonsurgically treated wrist.The OrthoIllustrated® animation for thumb CMC suspensionplasty is an educational tool to help patients better understand the diagnosis and treatment of this ...But a low elderly vaccination rate in China means a rocky path still lies ahead In an apparent surprise concession to protesters, the Chinese government announced a dramatic rollba...Cons: The procedure stabilizes the joint but does not repair damaged cartilage or bone. Ligament Reconstruction and Tendon Interposition (LRTI) In use for more than 40 years, LRTI is the most commonly performed surgery for thumb arthritis. The damaged joint surfaces are removed and replaced with a cushion of tissue that keeps the bones ...The CPT code 25447 (arthroplasty, interposition, intercarpal or carpometacarpal) was the most common billing code for treatment of CMC arthritis. This procedural code included all interposition procedures, whether with tendon, allograft, or artificial material. ….

This video demonstrates a surgical procedure: total joint replacement for basal joint thumb arthritis. An excellent treatment option for this problem. Contac... A simple reconstructive method for treating advanced arthritis of the thumb carpometacarpal (CMC) joint with suture suspension arthroplasty (SSA) is a reliable, low morbidity procedure, providing a simpler alternative with similar long-term outcomes, compared to trapeziectomy procedures, with or without ligament reconstruction. The senior author (A.P.C.W.) performed all surgical procedures between 2008 and 2015, and a minimum of 2-year follow-up was required for inclusion into the study. In our practice, all patients who have undergone a thumb CMC arthroplasty for symptomatic CMC arthritis are routinely followed at 6-month to 12-month intervals.Procedure - CMC Arthroplasty; Procedure - Basal joint Thumb CMC Arthroplasty; Procedure - Ring / Small CMC Arthroplasty. Indications. Examples. Problems. Procedures Home Page; American Society for Surgery of the Hand assh.org The Best Resource For Your Hands, Period.Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist) 25449 : Revision of arthroplasty, including removal of implant, wrist joint . 26530 : Arthroplasty, metacarpophalangeal joint; each joint . 26531 : Arthroplasty, metacarpophalangeal joint; with prosthetic implant, each joint . 26535Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist) (25446) Interposition arthroplasty, intercarpal or carpometacarpal joints (25447) Revision of arthroplasty, including removal of implant, wrist joint (25449) Arthrodesis and resection of radioulnar joint (25830)Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist) (25446) Interposition arthroplasty, intercarpal or carpometacarpal joints (25447) Revision of arthroplasty, including removal of implant, wrist joint (25449) Arthrodesis and resection of radioulnar joint (25830)Feb 19, 2014 · Given the strict requirement for procedure performed (trapeziectomy with FCR suspension arthroplasty of first CMC joint without tendinous interposition), the relatively advanced age of patients receiving the procedure (indicated for advanced osteoarthritis of CMC joint), and the length of follow-up (up to 16 years), we believe that the 21 ... in English, German. Background: Hemiresection arthoplasty or partial trapeziectomy of the carpometacarpal joint of the thumb is a surgical option in stages 1-3 according to Eaton-Littler classification. Preservation of the intact scaphotrapeziotrapezoidal (STT) joint and maintenance of the length of the thumb is the advantage of this technique.Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist) 25449 : Revision of arthroplasty, including removal of implant, wrist joint . 26530 : Arthroplasty, metacarpophalangeal joint; each joint . 26531 : Arthroplasty, metacarpophalangeal joint; with prosthetic implant, each joint . 26535 Cmc arthroplasty cpt, Get ratings and reviews for the top 12 lawn companies in Ham Lake, MN. Helping you find the best lawn companies for the job. Expert Advice On Improving Your Home All Projects Featu..., The CPT code 25447 (arthroplasty, interposition, intercarpal or carpometacarpal) was the most common billing code for treatment of CMC arthritis. This procedural code included all interposition procedures, whether with tendon, allograft, or artificial material., Sep 17, 2020 · The ligament reconstruction tendon interposition (LRTI) procedure, originally described by Burton and Pellegrini, 11 is usually reserved for mild-to-moderate CMC OA. This procedure, which usually utilizes the radial portion of the flexor carpi radialis (FCR) tendon, has three main principles described by Tomaino et al 12 including removal of ... , A systematic review of failed thumb CMC arthroplasty by Ganhewa and colleagues in 2019 found failure rates per 100 procedure-years to be between 2.4 and 4.5 for implant groups (eg, total joint arthroplasty or interposition implants) and 0.23 and 0.52 for nonimplant groups (eg, trapeziectomy). 47., In summary, fifth-CMC joint arthroplasty with fusion of the fourth and fifth metacarpals can alleviate and eliminate pain, maintain fifth-metacarpal height, and preserve motion of the fifth CMC joint. Therefore, this procedure is a reliable method for treating fifth-CMC-joint traumatic arthritis. Go to: , The recommended code for these excisions is 64772. Anatomy: The basal joint of the thumb is also known as the carpometacarpal (CMC) joint. Located at the base of the thumb, the basal joint usually moves quite freely to help position the thumb. Coding: Arthritis of the basal joint is often treated with an arthroplasty., <p>Thumb arthroplasty is a surgical procedure to treat arthritis affecting the joint at the base of the thumb. This surgery helps restore mobility and function to the thumb. Thumb arthritis may be initially treated non-surgically with ice applications, anti-inflammatory medications, splints, and steroid injections. However, because arthritis is a progressive …, The only company currently fracking in the UK has been forced to pause its operations. Cuadrilla, the only company currently attempting to frack for shale gas in the UK, was forced..., Thumb carpometacarpal implant arthroplasty aims to preserve thumb length and motion and to provide pain relief and functional recovery after a short postoperative time. For several decades, implant arthroplasty has been performed with total trapeziometacarpal joint prosthesis using the concept of “ball-and-socket” joint. More recently, pyrocarbon implants used as hemiarthroplasty or ... , Wrist joint replacement can be done as an outpatient procedure, meaning the patient can go home the day of surgery. Wrist replacement surgery can also be combined with other procedures to correct deformities or disorders in the tendons, nerves, and small joints of the fingers, and thumb. To perform the procedure:, Introduction. Thumb arthritis may be surgically treated with a procedure called resection arthroplasty or sometimes called excision arthroplasty. The term excision means to take out. In this surgery, the surgeon takes out a small bone at the base of the thumb and fills in the space with a rolled up section of tendon., The Ensemble CMC™ is manufactured from On-X ® Carbon (pyrocarbon) – a proven biocompatible, low modulus, and durable material that has been shown to cause less bone wear compared to metal or ceramic implants. The Ensemble CMC™ is available in three sizes. A simple instrument set is also available. The Ensemble CMC is an interpositional ..., Read the "tci Part B Insider" newsletter article titled: "ORTHOPEDIC: See Your Way Through CMC Anthroplasty Transplant Coding" - subscription required, The carpometacarpal joint is where the metacarpal bone of the thumb attaches to the trapezium bone of the wrist. This joint has a very unique shape that permits the thumb to move in multiple directions. Arthritis at the CMC joint may cause changes in the shape of the joint and weakening of its ligamentous supports as well as the formation of ..., Wrong way: You might be tempted to code the procedure with 25447 ( Arthroplasty, interposition, intercarpal or carpometacarpal joints ), and leave it at that. But don't stop there, unless you want to miss out on more than $800 in reimbursement., Aug 4, 2008. #3. The August 2005 Orthopaedic Coding Alert describes using 25310 with 25447 when the physician detaches one end of the FCR using the cut end of the FCR to repair the CMC while the other end of the FCR remains in its original place. CPT Assistant has a similar description of the procedure. This is a free graft in my op report …, We would like to show you a description here but the site won’t allow us., suspension arthroplasty for CMC arthritis. The senior author (A.P.C.W.) performed all surgical procedures between 2008 and 2015, and a minimum of 2-year follow-up was required for inclusion into the study. In our practice, all patients who have undergone a thumb CMC arthroplasty for symptomatic CMC arthritis are routinely followed at 6 …, 25109= excision of tendon in forearm, flexor or ext ensor. 24910= nerve repair with conduit 64911= neurorrhaphy w/veingraft. 69990 is inclusive to above nerve repairs, not allowable. Other newer CPT codes. 24910= nerve repair with conduit. 69990 is inclusive to above nerve repairs, not allowable., Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist) 25449 : Revision of arthroplasty, including removal of implant, wrist joint . 26530 : Arthroplasty, metacarpophalangeal joint; each joint . 26531 : Arthroplasty, metacarpophalangeal joint; with prosthetic implant, each joint . 26535, The recommended code for these excisions is 64772. Anatomy: The basal joint of the thumb is also known as the carpometacarpal (CMC) joint. Located at the base of the thumb, the basal joint usually moves quite freely to help position the thumb. Coding: Arthritis of the basal joint is often treated with an arthroplasty., Chase's World of Hyatt card provides an easy way to earn points for hotel award stays and comes with lots of perks to make your stays better. We may be compensated when you click o..., Jun 18, 2012 · 114. Best answers. 0. Jun 18, 2012. #2. A trapeziectomy is the removal of a small bone at the base of the thumb so I'd look at either code 25445 or 25447 (depending on the actual op note from the doc). A. , Stiffness or loss of joint motion. Tumor, Mass may reappear, though this is uncommon. Stiffness can be addressed post-surgery with rehabilitation. Procedure Cost: $4,995.00. CPT 25447. Suspensionplasty is an elective procedure to relieve pain and restore function in the hand after arthritis damage or some other type of trauma. Learn more!, procedure performed: revision arthroplasty of cmc joint, rt thumb, with removal of interpositional implant at the base of the thumb metacarpal. revision cmc arthroplasty using the flexor carpi radialis tendon and a slip of the abductor pollicis longus tendon. not sure if i should code 25447,25310,20680 or 25449,25310!!, We used CPT code 25447 (arthroplasty, interposition, inter-carpal, or CMC joints) to search the database for patients who underwent thumb CMC interposition arthroplasty. Although this code does not specify thumb, we are unaware of any pro-cedure (other than thumb CMC interposition arthroplasty) typically given this code., Nov 23, 2012 · OBJECTIVE. The purpose of this article is to provide a radiologic guide to surgical treatment of first carpometacarpal osteoarthritis, a common problem especially in older women. CONCLUSION. Knowledge of the indications, surgical technique, component design, normal postoperative imaging assessment, and imaging findings of complications is important to providing a meaningful radiologic ... , In this video, Dr. James Lyions explains your entire burton's arthroplasty procedure, including what to expect from surgery, a detailed explanation of your surgical procedure, pre-op care instructions, and post-op care instructions. If you have any questions or to schedule a consult, please call our office at 419.893.2663., Fashion influencer Camila Coelho opens up with followers about epilepsy and pregnancy. Trusted Health Information from the National Institutes of Health Fashion icon Camila Coelho ..., Best answers. 0. Jan 25, 2017. #1. Good morning! We've had a little back and forth going on in my office regarding a patient's surgery. The doctor wants us to bill 25447 along with 20650 for insertion of the k-wire. Based on the documentation/abstract (below) he had gone in intending to do a LRTI procedure (25447) but after excising the ..., Introduction. Thumb carpometacarpal joint (CMCJ) arthritis is a painful and debilitating condition with a preponderance for women and clinically affecting around 1.4% of the population. 1 Surgical treatment options include trapeziectomy, interposition arthroplasty, arthrodesis, or total joint replacement. Despite the use of total joint …, The ligament reconstruction tendon interposition (LRTI) procedure, originally described by Burton and Pellegrini, 11 is usually reserved for mild-to-moderate CMC OA. This procedure, which usually utilizes the radial portion of the flexor carpi radialis (FCR) tendon, has three main principles described by Tomaino et al 12 including removal of ...,