PMID: 16628116Apr 22, 2006Paper

Extra-articular arthrodesis of the carpometacarpal joint of the thumb

Techniques in Hand & Upper Extremity Surgery
Ignacio Proubasta

Abstract

There are numerous surgical treatment options for instability and painful trapeziometacarpal arthrosis. The available surgical treatments are arthrodesis and trapeziectomy alone or with synthetic/biologic interpositions, osteotomy, and total joint replacement. However, there is no clear consensus regarding the appropriate surgical procedure, and a unique situation exists in which the surgeon can develop a successful hybrid technique based on his own philosophy and experience. Traditionally, ligament reconstruction and tendon interposition have been used for elderly patients with lower demands whereas arthrodesis has been reserved for the treatment of posttraumatic arthritis in high-demand, younger patients. Regarding the second case, when thumb carpometacarpal arthrodesis is indicated, the procedure provides a reliable and lasting treatment with satisfactory results. However, it is important to know the indications and contraindications, as well as benefits and risks of this procedure. Therefore, the surgical technique is straightforward, and fusion may be performed with either a plate-and-screw construct, power staples, tension band wiring with or without Kirschner wires, or alone with multiple Kirschner wires. However, in all...Continue Reading

References

Jul 1, 1992·The Journal of Hand Surgery·H B BambergerR M Cantor
Jan 1, 1991·Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery·M K Karlsson
Jun 1, 1989·Acta Orthopaedica Scandinavica·K A Alberts, O Engkvist
Jun 1, 1986·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·R M Cavallazzi, G Spreafico
Jan 1, 1969·Acta Orthopaedica Scandinavica·H S Mattsson
Jan 1, 1970·Scandinavian Journal of Plastic and Reconstructive Surgery·O Eiken, N Carstam
Oct 1, 1982·The Hand·A G PardiniK E Tavares
Sep 1, 1993·The Journal of Hand Surgery·R J Caputo, J B Bennett
Sep 30, 1998·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·M LisantiG Luppichini
Feb 15, 2001·The Journal of Hand Surgery·D B Fulton, P J Stern
Apr 3, 2003·The Journal of Hand Surgery·Michael J Forseth, Peter J Stern
Mar 7, 2006·Techniques in Hand & Upper Extremity Surgery·Michael A Tonkin
Mar 8, 2006·Techniques in Hand & Upper Extremity Surgery·Charles A Goldfarb, Peter J Stern

❮ Previous
Next ❯

Citations

Oct 1, 2014·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Adolfo GalánPablo Andrés-Cano
Jan 10, 2008·Plastic and Reconstructive Surgery·Geoffrey S Cook, Donald H Lalonde
Nov 28, 2013·Plastic and Reconstructive Surgery·Wendy L Parker
Oct 16, 2013·Annals of Plastic Surgery·Mohammed M El-Mahy

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Mikrochirurgie der Peripheren Nerven und Gefässe : Organ der Vereinigung der Deut
S Schibli-BeerM Canova
Techniques in Hand & Upper Extremity Surgery
Charles A Goldfarb, P J Stern
The American Journal of Orthopedics
S H Kuschner, C S Lane
The Journal of the American Academy of Orthopaedic Surgeons
Ann E Van Heest, Patricia Kallemeier
© 2022 Meta ULC. All rights reserved