J Wrist Surg 2020; 09(05): 366-381
DOI: 10.1055/s-0040-1710560
Special Review: Three-Step Arthroscopic Trapeziectomy

Arthroscopic Trapeziectomy and Suture Button Suspensionplasty: A Review of the Literature and Description of the “Three-Step Arthroscopic Trapeziectomy Technique”

1  Department of Orthopedic and Trauma, Hospital Universitario Infanta Leonor, Madrid, Spain
2  Hand Surgery Unit, Hospital Universitario Quironsalud Madrid, Madrid, Spain
3  Department of Surgery, School of Medicine, Universidad Complutense de Madrid, Madrid, Spain
,
Montserrat Ocampos
1  Department of Orthopedic and Trauma, Hospital Universitario Infanta Leonor, Madrid, Spain
2  Hand Surgery Unit, Hospital Universitario Quironsalud Madrid, Madrid, Spain
,
Rafael Laredo
2  Hand Surgery Unit, Hospital Universitario Quironsalud Madrid, Madrid, Spain
4  Hand Surgery Unit, Department of Orthopedic and Trauma, Virgen de la Salud University Hospital, Madrid, Spain
5  Department of Orthopedic and Trauma, Quironsalud Toledo, Toledo, Spain
,
José Tabuenca
6  Department of Orthopedic and Trauma, Hospital Universitario Quironsalud Madrid, Madrid, Spain
,
Maribel Carnicer
1  Department of Orthopedic and Trauma, Hospital Universitario Infanta Leonor, Madrid, Spain
,
Ricardo Larrainzar-Garijo
1  Department of Orthopedic and Trauma, Hospital Universitario Infanta Leonor, Madrid, Spain
3  Department of Surgery, School of Medicine, Universidad Complutense de Madrid, Madrid, Spain
› Author Affiliations

Abstract

In the last two decades, surgeons have rapidly developed arthroscopic techniques to treat basal joint osteoarthritis. Such techniques spare the joint capsule and ligaments, allow more accurate staging of cartilage degeneration to determine the most appropriate treatment, and decrease the risk of injury to the radial artery and superficial branch of the radial nerve. Arthroscopic resection arthroplasty of the trapezium can be performed as either partial or complete trapeziectomy. Many papers have described partial trapeziectomy but few have discussed complete trapeziectomy.

Suture button implants avoid the drawbacks of temporary fixation using Kirschner wire, as well as the drawbacks of ligament reconstruction, which necessitates the sacrifice of a tendon and involves both wide exposure and scar tissue.

This paper aimed to review the published data on the arthroscopic treatment of basal thumb osteoarthritis, with a special focus on stabilization using suture button suspensionplasty, and to present a technique that structures this procedure into three steps, allowing it to be performed in an easier, more organized, and faster way.



Publication History

Received: 15 February 2020

Accepted: 13 April 2020

Publication Date:
30 July 2020 (online)

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