Trapezio-metacarpal arthritis - Trapezium excision and ligament reconstruction not including the LRTI arthroplasty

Authors
Citation
E. Diao, Trapezio-metacarpal arthritis - Trapezium excision and ligament reconstruction not including the LRTI arthroplasty, HAND CLIN, 17(2), 2001, pp. 223
Citations number
16
Categorie Soggetti
Ortopedics, Rehabilitation & Sport Medicine
Journal title
HAND CLINICS
ISSN journal
07490712 → ACNP
Volume
17
Issue
2
Year of publication
2001
Database
ISI
SICI code
0749-0712(200105)17:2<223:TA-TEA>2.0.ZU;2-S
Abstract
For trapeziometacarpal arthritis, trapezium excision and ligament reconstru ction that is distinct from the ligament reconstruction tendon interpositio n (LRTI) arthroplasty has a distinct role. Emphasis is placed on the use of the abductor pollicis longus for tendon interposition and "suspensionplast y" for the arthritic thumb carpal metacarpal joint. The advantages of the a bductor pollicis longus techniques as originally advocated by Thompson, and modified by Diao, are reviewed. The surgical technique for this procedure, clinical results and biomechanical cadaver analysis comparing abductor pol licis longus suspensionplasty done with two techniques, as they compare to the LRTI procedure, are included. The abductor pollicis longus suspensionpl asty is an excellent treatment choice both for index procedures for carpome tacarpal (CMC) thumb arthritis, and for salvage of the failed thumb CMC art hroplasty.