CC BY-NC-ND 4.0 · J Hand Microsurg 2021; 13(02): 114-118
DOI: 10.1055/s-0040-1713584
Point of Technique

Trapeziectomy and Abductor Pollicis Longus Suspensionplasty Combined with Extensor Pollicis Brevis Tenodesis for Management of Thumb Basal Joint Osteoarthritis and Metacarpophalangeal Hyperextension

1   Pulvertaft Hand Centre, Derby, United Kingdom
,
Ravi Mallina
1   Pulvertaft Hand Centre, Derby, United Kingdom
,
Tommy R. Lindau
1   Pulvertaft Hand Centre, Derby, United Kingdom
› Institutsangaben
Funding None.

Abstract

Metacarpal joint hyperextension is common cause of postoperative dissatisfaction after trapeziectomy in the management of basal thumb osteoarthritis. The senior author uses this technique to address this biomechanical problem at the time of trapeziectomy.



Publikationsverlauf

Artikel online veröffentlicht:
22. Juni 2020

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  • References

  • 1 Gervis WH. Excision of the trapezium for osteoarthritis of the trapezio-metacarpal joint. J Bone Joint Surg Br 1949; 31B (04) 537-539
  • 2 Conolly WB, Lanzetta M. Surgical management of arthritis of the carpo-metacarpal joint of the thumb. Aust N Z J Surg 1993; 63 (08) 596-603
  • 3 Brunelli G, Monini L, Brunelli F. Stabilisation of the trapezio-metacarpal joint. J Hand Surg [Br] 1989; 14 (02) 209-212
  • 4 Kaarela O, Raatikainen T. Abductor pollicis longus tendon interposition arthroplasty for carpometacarpal osteoarthritis of the thumb. J Hand Surg Am 1999; 24 (03) 469-475
  • 5 Sirotakova M, Figus A, Elliot D. A new abductor pollicis longus suspension arthroplasty. J Hand Surg Am 2007; 32 (01) 12-22
  • 6 Tonkin MA, Beard AJ, Kemp SJ, Eakins DF. Sesamoid arthrodesis for hyperextension of the thumb metacarpophalangeal joint. J Hand Surg Am 1995; 20 (02) 334-338
  • 7 Eaton RG, Floyd III WE. Thumb metacarpophalangeal capsulodesis: an adjunct procedure to basal joint arthroplasty for collapse deformity of the first ray. J Hand Surg Am 1988; 13 (03) 449-453
  • 8 Henry M. Extensor pollicis brevis spiral tenodesis for combined metacarpophalangeal instability and trapeziometacarpal arthritis. Hand (N Y) 2018; 13 (02) 190-193
  • 9 Goubau JF, Goubau L, Goorens CK. et al. De Quervain tenosynovitis following trapeziometacarpal ball-and-socket joint replacement. J Wrist Surg 2015; 4 (01) 35-42
  • 10 Robson AJ, See MS, Ellis H. Applied anatomy of the superficial branch of the radial nerve. Clin Anat 2008; 21 (01) 38-45
  • 11 Gonzalez MH, Sohlberg R, Brown A, Weinzweig N. The first dorsal extensor compartment: an anatomic study. J Hand Surg Am 1995; 20 (04) 657-660
  • 12 Opreanu RC, Wechter J, Tabbaa H. et al. Anatomic variations of the first extensor compartment and abductor pollicis longus tendon in trapeziometacarpal arthritis. Hand (N Y) 2010; 5 (02) 184-189