PMID: 16628119Apr 22, 2006Paper

Thumb arthrodesis

Techniques in Hand & Upper Extremity Surgery
Marco Rizzo

Abstract

Arthrodesis of the thumb carpometacarpal, metacarpophalangeal, and interphalangeal joints are well-established options in the management of arthritis, instability, and/or deformity. This review includes a general review of the indications and technique of arthrodesis and recent review of the literature. New literature has focused on the role of arthrodesis in managing carpometacarpal arthritis and compared its results with ligament reconstruction and tendon interposition. However, no conclusive evidence demonstrates the superiority of arthrodesis. Several new articles have demonstrated good long-term results of carpometacarpal arthrodesis. A new report on complications associated with plate and screw fixation for carpometacarpal arthritis has been published, leading the authors to conclude that k-wire fixation was a better option. A technique of metacarpophalangeal joint arthrodesis using a cannulated screw has been recently published with good success. Moreover, a cup-in-cone technique of reaming surfaces of the thumb metacarpophalangeal joint to maximize bone contact surface area has been described. Other authors have reiterated and reinforced the success of some of the more standard techniques including Herbert screws for in...Continue Reading

References

Nov 1, 1983·The Journal of Hand Surgery·C S Wright, R Y McMurtry
Oct 6, 2000·Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery·O Ishida, Y Ikuta
Feb 15, 2001·The Journal of Hand Surgery·D B Fulton, P J Stern
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Jul 28, 2004·Plastic and Reconstructive Surgery·Glyka MartouAchilleas Thoma
Dec 4, 2004·The Journal of Hand Surgery·Christopher C SchmidtS David Boles

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Citations

May 20, 2014·Hand : Official Journal of the American Association for Hand Surgery·Jacqueline C VanderzandenJustin J Guan
Mar 3, 2010·The Journal of Hand Surgery·Barbara JemecFiona Sandford
Feb 25, 2011·Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand·Rebel Huffman, Ghazi M Rayan
Oct 22, 2008·The Journal of Hand Surgery, European Volume·R M Szabo, B Peterson
Jul 16, 2016·Hand : Official Journal of the American Association for Hand Surgery·Shane McGowanKristofer S Matullo
Jul 11, 2018·Hand : Official Journal of the American Association for Hand Surgery·Kevin F LutskyPedro K Beredjiklian
Feb 27, 2019·Operative Orthopädie und Traumatologie·M F LangerB Wieskötter
Jun 6, 2020·The Journal of Hand Surgery, European Volume·Laurence GruberSébastien Durand
Apr 6, 2019·The Journal of Hand Surgery, European Volume·Stephan SchindeleDaniel B Herren
Sep 21, 2021·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·Hans Christoph VonderlindMichael Millrose

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