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Arthroscopic Hemitrapeziectomy and Extensor Carpis Radialis Longus Suspensioplasty With Intermetacarpal Ligament Reconstruction for Thumb Carpometacarpal Joint Osteoarthritis: Surgical Technique.
Tech Hand Up Extrem Surg
September 2024
Hand Therapy Unit, Department of Physical Therapy and Rehabilitation, IIS-Fundación Jiménez Díaz, Madrid, Spain.
Level IV.
View Article and Find Full Text PDFArthroscopic Hemitrapeziectomy: Is an Internal Brace Worth It?
Hand (N Y)
February 2024
Badia Hand to Shoulder Center, Doral, FL, USA.
Background: This article's purpose was to analyze clinical results obtained with thumb carpometacarpal (CMC) arthroscopic hemitrapeziectomy with temporary suspension with a Kirschner wire (K-wire).
Methods: Seventy thumb CMC arthroscopic hemitrapeziectomies with a mean age of 59 and 18 months of follow-up were performed in our center during a 13-year period. All of them followed the same protocol.
Background: Distal hemitrapeziectomy is suggested as an alternative for total trapeziectomy for carpometacarpal thumb joint osteoarthritis, when the scaphotrapeziotrapezoidal joint is unaffected. This can be performed as an arthroscopic or open procedure, with suggested advantages for the less invasive arthroscopic technique. To determine which technique has better outcome on subjective and objective measures, the authors performed a prospective, randomized, controlled trial.
View Article and Find Full Text PDFArthroscopic Management of Thumb Carpometacarpal Joint Arthritis and Pathology.
Hand Clin
May 2022
Robert A. Chase Hand and Upper Limb Center, Department of Orthopaedic Surgery, Stanford Health Care, Stanford, CA, USA. Electronic address:
Basilar thumb arthritis is a debilitating condition characterized by pain, reduced joint stability, and reduced capacity for daily activities. Various arthroscopic approaches have been described based on patient factors, as well as radiographic and arthroscopic staging criteria. Here we provide an overview of arthroscopic management of basilar thumb arthritis, including patient evaluation, surgical techniques, outcomes, and new developments.
View Article and Find Full Text PDF[Hemitrapeziectomy of the carpometacarpal joint of the thumb].
Orthopade
January 2022
Handchirurgie, obere Extremitäten und Fußchirurgie, Zentrum für Orthopädie und Unfallchirurgie, Waldfriedekrankenhaus Berlin, Berlin, Deutschland.
Background: Hemiresection arthoplasty or partial trapeziectomy of the carpometacarpal joint of the thumb is a surgical option in stages 1-3 according to Eaton-Littler classification. Preservation of the intact scaphotrapeziotrapezoidal (STT) joint and maintenance of the length of the thumb is the advantage of this technique.
Technique: Technically, partial trapeziectomy is only slightly more complex compared to trapeziectomy with or without suspension.
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