[Abductor pollicis longus-repair in treating basal thumb joint arthrosis].
Between 1987 and 1990, we operated 32 hands of 30 patients for basal joint arthrosis. After extirpation of the trapezium, a part of the abductor pollicis longus is pulled through and wrapped around the flexor carpi radialis, similar to the Lundborg method. This creates a tendinous web, which supports the first metacarpal bone. Patient assessment revealed good to very good results with only one dissatisfied patient; the objective evaluation showed two thirds good and one third poor results, comparable to those of alternative methods of creation of a tendon web with the flexor carpi radialis (Weilby) or the extensor carpi radialis longus (Necking and Eiken). The essential point is a permanent distance between the base of the first metacarpal bone and both the scaphoid and the base of the second metacarpal bone under normal conditions as well as under loading.
Wulle
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Abteilung für Handchirurgie und Plastische Chirurgie, Kliniken Dr. Erler in Nürnberg.
D000328:Adult; D000368:Aged; D002348:Carpal Bones / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008023:Ligaments, Articular / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010003:Osteoarthritis / Q000000981:diagnostic imaging / Q000601:surgery*; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology; D013710:Tendons / Q000000981:diagnostic imaging / Q000601:surgery; D013933:Thumb / Q000000981:diagnostic imaging / Q000601:surgery*
Die Abductor pollicis longus-Plastik zur Behandlung der Daumensattelgelenkarthrose.