J Wrist Surg 2021; 10(06): 551-557
DOI: 10.1055/s-0041-1731385
Emerging Technologies and New Technological Concepts

Arthroscopically Assisted Eaton–Littler Trapeziometacarpal Ligamentoplasty

1   Department of Orthopaedics and Traumatology, ULB Erasme University Hospital, Brussels, Belgium
2   Université Libre de Bruxelles, Brussels, Belgium
,
Antonia Gkotsi
1   Department of Orthopaedics and Traumatology, ULB Erasme University Hospital, Brussels, Belgium
2   Université Libre de Bruxelles, Brussels, Belgium
,
Emmanuel Camus
2   Université Libre de Bruxelles, Brussels, Belgium
3   Department of Orthopaedics and Traumatology, Polyclinique du Val de Sambre, Maubeuge, France
,
Luc Van Overstraeten
1   Department of Orthopaedics and Traumatology, ULB Erasme University Hospital, Brussels, Belgium
2   Université Libre de Bruxelles, Brussels, Belgium
4   Hand and Foot Surgery Unit, Tournai, Belgium
,
Frédéric A. Schuind
1   Department of Orthopaedics and Traumatology, ULB Erasme University Hospital, Brussels, Belgium
2   Université Libre de Bruxelles, Brussels, Belgium
› Institutsangaben

Abstract

Background Eaton–Littler ligamentoplasty has proven its efficacy in the treatment of trapeziometacarpal (TMC) instability.

Description of Technique In this article, we describe the arthroscopically assisted Eaton–Littler ligamentoplasty through two clinical cases.

Patients and Methods Arthroscopy is used to accurately place the metacarpal bone tunnel and pass the slip of flexor carpi radialis tendon in the latter. This procedure avoids soft-tissue dissection and could improve the outcome of this well-known surgery.

Results The two clinical cases showed good short-term outcome with a decrease of pain and good function.

Conclusions Arthroscopy to assist Eaton–Littler TMC ligamentoplasty is technically feasible, allowing a less invasive surgery. A larger prospective controlled study with a longer term outcome is mandatory to assess the real advantages of this modified procedure.

Note

The work was performed at the Department of Orthopaedics and Traumatology, ULB Erasme University Hospital, Brussels, Belgium.




Publikationsverlauf

Eingereicht: 05. August 2020

Angenommen: 16. Mai 2021

Artikel online veröffentlicht:
05. Juli 2021

© 2021. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA