Evidence map›Paper›PMID 41817756›Full record

SynthesisArchives of orthopaedic and trauma surgery2026

Surgical therapy of conservatively exhausted rhizarthrosis - total joint replacement or resection arthroplasty? A systematic review.

Julie Boever, Frank Unglaub, Christian K Spies, Adrian Cavalcanti Kußmaul, Jan Wulf, Wolfgang Böcker, Ali Ayache

Abstract readSystematic Review
In one paragraph

Synthesis in Archives of orthopaedic and trauma surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Julie BoeverDepartment of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), University Hospital, LMU Munich, Ludwig-Maximilians-Universität München, Munich, Germany. Julie.Boever@med.uni-muenchen.de.
Frank UnglaubDepartment of Hand Surgery, Vulpius Clinic, Bad Rappenau, Germany.
Christian K SpiesDepartment of Hand Surgery, Langenthal Hospital, Spital Region Oberaargau SRO AG, Langenthal, Switzerland.
Adrian Cavalcanti KußmaulDepartment of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), University Hospital, LMU Munich, Ludwig-Maximilians-Universität München, Munich, Germany.
Jan WulfDepartment of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), University Hospital, LMU Munich, Ludwig-Maximilians-Universität München, Munich, Germany.
Wolfgang BöckerDepartment of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), University Hospital, LMU Munich, Ludwig-Maximilians-Universität München, Munich, Germany.
Ali AyacheDepartment of Hand Surgery, Vulpius Clinic, Bad Rappenau, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Rhizarthrosis is a common degenerative disorder of the carpometacarpal joint of the thumb, significantly impairing hand function due to pain and loss of mobility. While conservative and joint-preserving measures are the first-line treatment in early stages, advanced disease often requires surgical intervention. The aim of this study was to evaluate and compare the clinical outcomes, functional results, and complication profiles of resection arthroplasty versus latest generations of thumb carpometacarpal joint prostheses. Resection arthroplasty has proven to be a reliable therapy, providing effective pain relief and high patient satisfaction. Latest generations of thumb carpometacarpal joint prostheses demonstrate low rates of loosening and dislocation, along with advantages such as faster rehabilitation, preservation of thumb length, and good functional outcomes. The choice of procedure should be individualized, considering age, activity level, and functional requirements.

Indexed as

Arthroplasty, ReplacementCarpometacarpal JointsOsteoarthritisThumbConservative TreatmentHumansJoint ProsthesisArthroplastyCarpometacarpal jointProsthesisRhizarthrosisSurgeryThumb

Identifiers

PMID41817756
PMCPMC12982256

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.