“…CMCJ I arthrodesis with or without bone grafting provides a stable and powerful thumb. It is recommended for younger patients with high claims in occupational work and leisure, but it should not be done in the presence of concomitant OA at the metacarpophalangeal joint potentially leading to an arthrodesis as well [2,7,[21][22][23][24]. Noted that 80% of patients received a metacarpophalangeal joint arthrodesis in the presence of a well functioning CMCJ I reported difficulties such as slicing bread, using scissors, opening jars, handling small or heavy objects, writing, using a keyboard, or writing messages on a mobile phone [25].…”