The SCOOTT Trial: Getting to Grips with Thumb Base Arthritis
Posted: Wednesday, 21 January 2026
This week in the Research Room, we are joined by Consultant Hand Surgeons Emma Reay and Nick Johnson to get the full story on the SCOOTT project (Surgery versus Conservative Osteoarthritis Of Thumb Trial). This ambitious three-armed study explores a critical question: is the newer joint replacement, a traditional trapeziectomy (bone removal) or enhanced non-surgical care the best way to ease the pain of thumb arthritis.
We discuss why treatment varies so widely across the UK, the "mini hip replacement" for your hand, and the importance of gathering evidence for new surgical trends. Plus, find out how the SCOOTT acronym fared in our resident rating system!
Resources from this episode:
Find out more about the SCOOTT project here: https://www.scoott-trial.com/
Thumb replacement: 
Music by Matthew Bailey