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Hand Surgery · Prices & Quote

Thumb Arthritis Surgery Prices London · Harley Street

From splints and injections to trapeziectomy, joint replacement or fusion, your thumb arthritis quote from Ms Anna De Leo follows the stage of your joint and your goals.

Personalised written quote 64 Harley Street, W1G Ms Anna De Leo · GMC 6138534
No fixed price list — every quote is personal

How much does thumb arthritis surgery cost in London?

Thumb arthritis surgery in London is quoted individually because several quite different operations are used for rhizarthrosis. A trapeziectomy, with or without ligament reconstruction, differs from a thumb joint replacement with an implant or a fusion. X-rays, the regional block, splints and months of hand therapy also count. Many people begin with splints and injections. Ms Anna De Leo assesses your thumb at 64 Harley Street and then provides a written quote. Ask for your thumb quote using the form or WhatsApp.

What your Thumb Arthritis Surgery quote reflects

Typical figures for thumb arthritis surgery with Ms Anna De Leo — your own plan is confirmed at consultation.

Anaesthetic Regional block or general
Procedure time 45–90 minutes
Hospital stay Day case
Back to desk work 2–4 weeks
Full recovery 3–12 months

What a Thumb Arthritis Surgery quote includes

Your written quote from Harley Street is itemised, so you can see exactly what is covered.

  • Surgeon's feeMs De Leo's fee for the agreed operation at the base of the thumb, whether trapeziectomy, ligament reconstruction, joint replacement, fusion or a joint-sparing procedure.
  • AnaestheticUsually a regional nerve block that numbs the arm, or a general anaesthetic, given by an anaesthetist and stated in your written quote.
  • Theatre and day-case stayOperating theatre time, intraoperative X-ray where needed and recovery nursing, with most patients going home on the day of surgery.
  • Implant, when usedFor thumb joint replacement, the prosthetic components themselves; for fusion, the wires, screws or staples used to hold the joint while it heals solid.
  • Cast and thumb splintsA protective plaster or splint after surgery, followed by a custom thermoplastic thumb splint as healing progresses and movement is gradually introduced.
  • Hand therapy and reviewsA programme of hand therapy to restore movement and pinch strength, and follow-up appointments, often with X-rays, over the following months.

What affects Thumb Arthritis Surgery prices in London

These are the factors Ms De Leo considers when preparing your personalised quote.

Which operation suits your thumb

Trapeziectomy removes the worn trapezium bone and is the longest-established option. Joint replacement preserves length and can speed recovery in selected patients with good bone quality. Fusion creates a strong, stable thumb for heavy manual work at the expense of some movement. The procedure Ms De Leo recommends for your arthritis, age and activities has the greatest bearing on your quote.

Ligament reconstruction or suspension

A trapeziectomy may be combined with a ligament reconstruction or tendon suspension to support the base of the thumb, particularly where the joint is unstable. Adding this step extends the operation and may influence the period of immobilisation. Whether it is needed is decided from your examination and X-rays and explained before the quote is written.

Stage of arthritis and neighbouring joints

Early arthritis may respond to joint-sparing surgery such as arthroscopic debridement, ligament reconstruction, osteotomy or denervation. Advanced disease, or arthritis that also affects the joint between the scaphoid and trapezium, narrows the choice. Hyperextension of the thumb knuckle sometimes needs correcting at the same operation. X-rays are used to stage the joint and guide the plan.

Non-surgical treatment first

Many people with base-of-thumb arthritis manage well for years with a custom thumb splint, hand therapy, activity changes and, in some cases, a steroid injection. These options are offered before surgery wherever they are likely to help. They are quoted separately, so a surgical quote is prepared only when pain persists despite them.

Length of hand therapy and splinting

Recovery after thumb arthritis surgery is gradual. After trapeziectomy, strength continues to improve for many months, and a structured therapy programme with changing splints makes a real difference. Joint replacement may allow movement sooner. The expected number of therapy sessions and splints is one of the larger variables in your plan and is discussed openly.

Both thumbs, or previous surgery

Rhizarthrosis often affects both hands. Most people have one thumb treated at a time, as each needs weeks of protection. A thumb that has had earlier surgery, or a replacement that has loosened, needs revision planning, sometimes with further imaging. Such situations receive an individual assessment and a quote specific to them.

Beyond the price: choosing well

There is no single best operation for base-of-thumb arthritis, and the wrong choice can be hard to undo: an implant in an unsuitable joint risks loosening, while fusing a thumb that needed movement limits daily tasks. Good results depend on matching the procedure to your hand, then on gentle handling of the small sensory nerves and the radial artery near the joint, and finally on months of disciplined rehabilitation. Ms Anna De Leo, with her European Diploma in Hand Surgery and over twenty years' experience, discusses all options, including non-surgical ones. ADLSynergy can support your recovery with scar therapy and massage and lymphatic care to help with swelling.

How to get your Thumb Arthritis Surgery quote on Harley Street

Four simple steps, with no obligation at any stage.

Send your requestUse the form, WhatsApp or a phone call — tell us which procedure interests you.
Talk to the teamWe reply within 24 hours and arrange your consultation on Harley Street.
Meet Ms De LeoA thorough, private assessment of your goals, health and options.
Receive your quoteA written, itemised quote for your personal plan — take the time you need.
Personalised Quote · Harley Street, London

Request your Thumb Arthritis Surgery quote

Prices are never published as a fixed list: your written quote is prepared for you by Ms Anna De Leo, plastic surgeon of the ADLSynergy team, once your needs are clear.

  • A reply from the team within 24 hours
  • A private consultation at 64 Harley Street, London W1G
  • A clear written quote — no pressure, no time-limited offers
  • Your details handled confidentially, in line with UK GDPR

Prefer to talk? WhatsApp or call +44 (0) 7732 475 751.

Ms Anna De Leo's official website Thumb Arthritis Surgery on deleoanna.com

Read the full Thumb Arthritis Surgery guide

Request a Quote

Surgical prices are not shared publicly. Your request goes to the ADLSynergy team on Harley Street and is handled confidentially in line with UK GDPR.

Thumb Arthritis Surgery Prices · Harley Street, London

Prices & Quote: Your Questions

Is thumb arthritis surgery available on the NHS?
Surgery for base-of-thumb arthritis is available on the NHS when symptoms persist despite non-surgical treatment and local criteria are met; waiting times vary. Some patients choose to be treated privately. If you have health insurance, ask your insurer whether pre-authorisation or a GP referral is needed before your first appointment.
Is a thumb joint replacement quoted differently from a trapeziectomy?
Yes. A joint replacement involves an implant and a different surgical technique, while trapeziectomy removes the bone without a prosthesis but usually has a longer rehabilitation. Each has its own balance of recovery time, strength and long-term considerations. Ms De Leo will explain which is suitable for your thumb before preparing your quote.
Should I try splints and injections before considering surgery?
For most people, yes. A well-fitted thumb splint, hand therapy, joint protection techniques and sometimes a steroid injection can ease pain considerably, and surgery is usually reserved for those who still struggle. These treatments are planned and quoted separately, so you are not committed to an operation at your first visit.
Does the quote include hand therapy after surgery?
Therapy is an essential part of recovery after thumb arthritis surgery, and your written quote states how many sessions and splints are included or how they will be arranged. Because progress varies, Ms De Leo will also explain what happens if you need more therapy than first expected.
Can both thumbs be operated on at the same time?
This is rarely advisable, because each thumb needs a period of immobilisation and you would lose the use of both hands for everyday tasks. Most patients have the more painful thumb treated first and the second later if needed. Each operation is planned and quoted in its own right.
What if I need further surgery on the same thumb later?
Further surgery is uncommon but may be needed, for example if an implant loosens or symptoms persist. Ms De Leo would reassess your thumb, usually with new X-rays, and discuss the options. Any revision procedure is quoted on its own after that assessment, as it differs from the original operation.
64 Harley Street · London W1G

Your plan, your quote

Speak with the ADLSynergy team and arrange your consultation with Ms Anna De Leo — open every day, 9:00am – 6:30pm, by appointment.

Surgical prices are not published on this website. Quotes are personalised and confirmed in writing after consultation. All surgery carries risks; results vary from person to person.

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