Ligament augmentation with replacement arthroplasty of the carpo-metacarpal joint.
A method of ligament augmentation at the time of Swanson silicone replacement arthroplasty of the trapezium is presented. This has effectively solved the problem of prosthetic dislocation. One of the twenty-six patients had a prosthesis dislocate and this was felt to be due to improper positioning of the thumb post-operatively. A successful closed reduction and subsequent prosthetic stability was achieved. All twenty-six patients had stable and pain free thumbs with good range of motion.
D005384:Finger Joint / Q000601:surgery*; D006801:Humans; D007595:Joint Prosthesis / Q000379:methods*; D008023:Ligaments, Articular / Q000601:surgery*; D008662:Metacarpophalangeal Joint / Q000601:surgery*