[Revision surgery after resection arthroplasty of the CMC-1 joint using the extensor carpi radialis longus muscle tendon].

Operative Orthopädie und Traumatologie
Thomas PillukatJörg van Schoonhoven

Abstract

Resuspension of the first metacarpal bone using the extensor carpi radialis longus muscle tendon. Prevention of contact between the first metacarpal bone and adjacent bones (scaphoid, trapezoideum, second metacarpal bone). Preservation of motion. Pain after preceeding resectional arthroplasty due to proximalisation of the first ray. Radiologically demonstrated contact between the base of the first metacarpal bone and adjacent bones (scaphoid, trapezoideum, second metacarpal bone). Instability of the first ray at the site of the suspension. Proven specific reasons: neuropathical complaints and dysaesthesia in the region supplied by the superficial branch of the radial nerve, tendinitis of the flexor carpi radialis tendon etc. SURGICAL TECHNIQUE: Distalisation of the first ray after mobilisation and debridement at the base of the first metacarpal bone with resection of scar tissue, Resection of the pre-existing tendon plasty and contouring the base of the first metacarpal bone with removal of osteophytes. Interposition of tendon material between the base of the first and second metacarpal bones. Immobilisation in a forearm cast including the thumb metacarpophalangeal joint for 6 weeks. Of 21 patients treated using this procedure,...Continue Reading

References

Aug 1, 1993·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·W B Conolly, S Rath
Mar 16, 2002·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·K J Renfree, P C Dell
Jun 19, 2010·Archives of Orthopaedic and Trauma Surgery·K MegerleS Hellmich
Sep 11, 2017·The Journal of Hand Surgery·Loukia K PapatheodorouDean G Sotereanos

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