Treatment of arthritis of the trapeziometacarpal joint with trapeziectomy and hematoma arthroplasty

Surgical treatment of degenerative arthritis affecting the carpometacarpal joint of the thumb can be simplified by trapeziectomy alone and temporary p inning of the thumb metacarpal to the index finger metacarpal, without the need for ligament reconstruction or tendon interposition. This hematoma art hroplasty is extremely effective in relieving pain and allowing rapid retur n of thumb mobility, and allowing concomitant of any associated metacarpal adduction contracture or metacarpophalangeal joint hyperextension deformity .