1. [Resection arthoplasty of the trapezium with ligament reconstruction and tendon interposition and variations].
- Author
-
Langer MF, Grünert JG, Unglaub F, Richter M, van Schoonhoven J, and Oeckenpöhler S
- Subjects
- Arthroplasty, Humans, Ligaments, Tendons surgery, Thumb surgery, Treatment Outcome, Carpometacarpal Joints diagnostic imaging, Carpometacarpal Joints surgery, Trapezium Bone diagnostic imaging, Trapezium Bone surgery
- Abstract
Objective: Creation of a pain-free, flexible and stable (pseudo) joint between the carpus and the base of the 1st metacarpal bone., Indications: Painful carpometacarpal (CMC)‑I joint due to primary or secondary osteoarthritis, CMC‑I instability., Contraindications: Carpal instability, local infection, tumors., Surgical Technique: Resection of the trapezium (and of the arthritic joint surfaces in CMC‑I and STT [scaphoid-trapezium-trapezoid-joint]), stabilization of the base of the 1st metacarpal bone by suspension with a distally pedicled strip of the flexor carpi radialis tendon or variants thereof., Postoperative Management: Immobilization in a splint for 3-5 weeks, followed by hand therapy., Results: Worldwide for almost 40 years, regardless of the exact technique, almost always (90%) significant pain reduction, increased strength in the grip and slightly less in the pinch grip, very good mobility, 85-95% very satisfied patients and very good long-term results.
- Published
- 2021
- Full Text
- View/download PDF