Surgeon preferences in the treatment of thumb carpometacarpal osteoarthritis

Table 1 Preferred technique by practice setting (percent)

	Academic	Private practice	Hospital employed	Kaiser permanente	Gov
Trapeziectomy + LRTI	34.0	43.5	40.7	35.0	42.1
Trapeziectomy + suspensionplasty	30.8	26.1	35.2	35.0	26.3
Trapeziectomy + TI	5.3	4.8	1.1	0.0	0.0
Trapeziectomy + LR	6.1	5.5	3.3	10.0	0.0
Trapeziectomy (alone)	5.3	3.7	5.5	5.0	5.3
Suture button suspension	5.7	5.3	8.8	10.0	10.5
Prosthetic arthroplasty	3.2	3.6	2.2	0.0	0.0
Arthrodesis	0.8	1.1	2.2	0.0	0.0
Other	8.9	6.4	1.1	5.0	15.8

LRTI: Ligament reconstruction tendon interposition; TI: Tendon interposition; LR: Ligament replacement; Gov: Government.

Table 2 Preferred technique by specialty (percent)

	Orthopaedic surgery	Plastic surgery	General surgery
Trapeziectomy + LRTI	41.0	37.8	38.2
Trapeziectomy + suspensionplasty	28.6	30.3	17.6
Trapeziectomy + TI	3.6	6.7	14.7
Trapeziectomy + LR	5.3	5.9	5.9
Trapeziectomy (alone)	3.7	6.7	11.8
Suture button suspension	6.5	3.4	2.9
Prosthetic arthroplasty	3.0	3.4	5.9
Arthrodesis	1.0	1.7	0.0
Other	7.2	4.2	2.9

LRTI: Ligament reconstruction tendon interposition; TI: Tendon interposition; LR: Ligament replacement.

Table 3 Preferred technique by years in practice (percent)

	0-10 yr	11-20 yr	21-30 yr	> 30 yr
Trapeziectomy + LRTI	39.3	38.4	47.1	35.4
Trapeziectomy + suspensionplasty	42.1	27.3	17.9	23.3
Trapeziectomy + TI	3.1	3.0	3.8	8.5
Trapeziectomy + LR	2.8	5.1	7.2	7.4
Trapeziectomy (alone)	2.1	7.1	3.8	5.8
Suture button suspension	5.2	8.1	6.8	3.7
Prosthetic arthroplasty	1.7	5.1	3.0	3.7
Arthrodesis	0.3	0.5	0.8	3.2
Other	3.4	5.6	9.5	9.0

LRTI: Ligament reconstruction tendon interposition; TI: Tendon interposition; LR: Ligament replacement.

Table 4 Preferred technique by number of primary thumb carpometacarpal arthroplasties performed annually (percent)

	0-10 cases	11-20 cases	21-30 cases	31-50 cases	> 50 cases
Trapeziectomy + LRTI	34.3	31.3	41.2	47.2	49.3
Trapeziectomy + suspensionplasty	30.0	31.3	28.5	28.7	21.8
Trapeziectomy + TI	5.7	4.2	4.4	3.7	4.2
Trapeziectomy + LR	5.0	6.5	5.3	4.2	6.3
Trapeziectomy (alone)	10.0	6.5	2.6	1.9	2.1
Suture button suspension	5.0	4.7	9.2	4.2	6.3
Prosthetic arthroplasty	2.1	4.7	2.6	3.7	2.1
Arthrodesis	2.1	2.3	0.4	0.0	0.7
Other	5.7	8.4	5.7	6.5	7.0

LRTI: Ligament reconstruction tendon interposition; TI: Tendon interposition; LR: Ligament replacement.