Abductor pollicis longus tendon arthroplasty of the trapezio-metacarpal joint: surgical technique and results.
Tendon interposition resection arthroplasty of the trapezium is a valuable tool in treating osteoarthrosis of the first carpometacarpal joint. A previously unreported modification of such an operation is described in which a part of the abductor pollicis longus tendon is used as an interposition material. This technique was employed in a series of thirty-nine thumbs. After a minimal follow-up period of 2 years, the results of the operation are graded excellent in 48% of the patients, good in 35%, and average in the rest. Grip strength, as well as pinch strength, is about three quarters of the normal average. No patient needed a further operation.
Robinson
D
D
Department of Orthopedic Surgery "A", Assaf Harofeh Medical Center, Zerifin, Israel.
Aghasi
M
M
Halperin
N
N
D000368:Aged; D001178:Arthroplasty / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011182:Postoperative Care; D013709:Tendon Transfer / Q000379:methods*; D013933:Thumb / Q000601:surgery*; D014955:Wrist Joint / Q000601:surgery*