PMID: 16520598Mar 8, 2006Paper

Indications and techniques for thumb carpometacarpal arthrodesis

Techniques in Hand & Upper Extremity Surgery
Charles A Goldfarb, P J Stern

Abstract

Thumb carpometacarpal arthritis is seen commonly in postmenopausal women after attenuation of the volar beak ligament. Less commonly, it may be seen in young men after an intraarticular fracture of the base of the thumb metacarpal. Although most patients respond well to nonoperative measures, two good surgical treatment options exist. Arthroplasty is performed typically in older, low-demand women, and arthrodesis is often recommended in younger patients. Recent studies have demonstrated similar outcomes with these two procedures. Thumb carpometacarpal arthrodesis is a reliable and durable treatment with very good results. It provides excellent strength, satisfactory thumb range of motion, and excellent patient satisfaction. The procedure is contraindicated in patients with arthritis in the scaphotrapeziotrapezoid joint. The surgical technique is straightforward, and fusion is usually performed with either a plate and screw construct or with multiple Kirschner wires. Although failure is rare, good salvage procedures exist. Complications are uncommon but include nonunion in approximately 13% of patients and pain related to prominent hardware.

References

Jan 1, 1970·Scandinavian Journal of Plastic and Reconstructive Surgery·O Eiken, N Carstam
Feb 15, 2001·The Journal of Hand Surgery·D B Fulton, P J Stern
Oct 27, 2001·The Journal of Bone and Joint Surgery. American Volume·B J HartiganT R Kiefhaber

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Citations

Oct 1, 2014·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Adolfo GalánPablo Andrés-Cano
Sep 8, 2007·Burns : Journal of the International Society for Burn Injuries·J GoushehP Mafi
Jun 10, 2016·The Journal of Hand Surgery, European Volume·J van AakenJ Y Beaulieu
Apr 22, 2006·Techniques in Hand & Upper Extremity Surgery·Ignacio Proubasta
Jan 10, 2008·Plastic and Reconstructive Surgery·Geoffrey S Cook, Donald H Lalonde
Apr 5, 2008·Techniques in Hand & Upper Extremity Surgery·Brandon E EarpBarry P Simmons
May 22, 2013·Techniques in Hand & Upper Extremity Surgery·Mohamed A A Yousef, Loris Pegoli
Nov 28, 2013·Plastic and Reconstructive Surgery·Wendy L Parker
Jul 23, 2020·Hand : Official Journal of the American Association for Hand Surgery·Lacey R PflibsenAnthony A Smith
Feb 9, 2017·HSS Journal : the Musculoskeletal Journal of Hospital for Special Surgery·Nikolas H KazmersDaniel A Osei

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