The two most frequently used techniques currently are implant arthroplasty and trapeziectomy with ligament reconstruction and tendon interposition (LRTI). Although a prospective study by Martinez-Martinez et al comparing LRTI with implant arthroplasty, demonstrated no significant differences in Visual Linear Analogue Scale (VAS), Disabilities of the Arm, Shoulder and Hand (DASH) and pinch grip strength at 12-moth follow up.(6)Many authors continued to recommend trapeziectomy with ligament reconstruction and tendon interposition (LRTI) as the gold standard for surgical treatment, since high complication rates of implant arthroplasty and the need for more long-term studies (7).