VLR is the best way to stabilize the joint at this stage. LRTI is another ligament reconstruction technique. It was developed to overcome the tendency of the thumb to shift toward the hole left by the bone removal.
These operations have been shown to help improve grip strength and function. Pain relief isn't always as much as hoped for or as expected. Long-term results show that two-thirds of all patients have pain or discomfort five to 15 years later.
Surgery helps over four out of five people with this problem, but as many as one out of five will have a new problem after surgery, such as numbness on the back of the hand or tenderness of the scar. Surgery is generally helpful in relieving pain, but there may be problems not usually improved following surgery:
When the problem has caused the thumb to draw into the palm (thumb adduction contracture), surgery does not usually bring it back out.
Pinch strength may not improve adequately, although pain associated with pinch usually does.