title: The ECRL bone-tendon ligamentoplasty for chronic ulnar instability of the metacarpophalangeal joint of the thumb.
abstract: We report the results of a new bone-tendon ligamentoplasty for the reconstruction of chronic injuries of the ulnar collateral ligament at the metacarpophalangeal joint of the thumb. The mean follow-up period was 36 months. Using the Glickel grading system, seven patients had excellent results and one patient had good results. The mean loss of pinch strength was 10% compared with the contralateral thumb. The mean loss of motion at the MP joint was 8%. This technique successfully restores the desired long lasting stability while maintaining mobility of the thumb's metacarpophalangeal joint.
authors.affiliation: Hand Surgery Unit, Departement of Reconstructive Surgery, University Hospital Geneva, Geneva, Switzerland. cfusetti@yahoo.com
authors.forename: C
authors.initials: C
authors.lastname: Fusetti
authors.forename: M
authors.initials: M
authors.lastname: Papaloizos
authors.forename: H
authors.initials: H
authors.lastname: Meyer
authors.forename: N
authors.initials: N
authors.lastname: Borisch
authors.forename: D
authors.initials: D
authors.lastname: Della Santa
mesh_terms: D000328:Adult; D016025:Bone Transplantation; D017885:Collateral Ligaments / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007593:Joint Instability / Q000601:surgery*; D008297:Male; D008662:Metacarpophalangeal Joint; D008875:Middle Aged; D013710:Tendons / Q000637:transplantation*; D013933:Thumb; D013997:Time Factors; D016896:Treatment Outcome; D014457:Ulna