The metacarpo-phalangeal arthrodesis of the thumb according to the tension-band principle: indications and technique.
Arthrodesis of the thumb MP I remains a good procedure with numerous and various indications. It is especially valuable in heavy workers. The osteosynthesis, according to the tension-band principle, is stable and enables normal function of the hand after wound healing. The return to heavy work, however, requires at least 4 weeks and a pain free thumb.
Sennwald
G
G
Klinik für orthopädische Chirurgie, Kantonsspital, St-Gallen, Suisse.
Segmüller
G
G
D001168:Arthritis / Q000601:surgery; D001174:Arthrodesis / Q000295:instrumentation / Q000379:methods*; D001178:Arthroplasty / Q000009:adverse effects; D001864:Bone Wires; D005593:Fracture Fixation, Internal / Q000295:instrumentation; D018460:Fractures, Comminuted / Q000601:surgery; D005597:Fractures, Open / Q000601:surgery; D006225:Hand / Q000502:physiology; D006801:Humans; D007593:Joint Instability / Q000601:surgery; D008023:Ligaments, Articular / Q000293:injuries / Q000601:surgery; D008662:Metacarpophalangeal Joint / Q000293:injuries / Q000503:physiopathology / Q000601:surgery*; D009784:Occupational Diseases / Q000601:surgery; D016059:Range of Motion, Articular; D013933:Thumb / Q000293:injuries / Q000503:physiopathology / Q000601:surgery*; D014945:Wound Healing