Trapeziectomy: Internal Brace vs. Ligament Reconstruction (Prospective)

Inclusion Criteria: * Patients of Henry Ford Orthopedic Service Line * Symptomatic basilar thumb arthritis refractory to conservative management Exclusion Criteria: * Significant medical comorbidity precluding safe surgery, as determined by the operating surgeon. This may include cardiac disease, renal disease, liver disease, pulmonary disease, or heavy substance abuse. * Requirement for additional procedures at the 1st carpometacarpal joint, including trapezoid excision-whole or partial-or metacarpal osteotomy. Of note other existing conditions requiring intervention on a separate surgical site such as concomitant carpal tunnel syndrome or trigger fingers will NOT be used as exclusion criteria.