I was at the end of my tolerance with both hands, chose the tightrope with trapeziectomy for both, and have had zero issues. I wrangle 2 little grandsons, garden, quilt, paint... without issue. There is maybe a 10-20% loss of strength, but since I was at an 80% loss before surgery it is great. I am at 80% grasp strength after 8 months on the second. For those things that require strength, I learned to use the base of the thumb. My friend had her anchovy procedure 3 months before my tightrope, and was still trying to recover 1 year later. I was at 80% at 5 months, full recovery at about 7-8 months.
I found rigorous adherence to my therapy was key.
Sue