Ligament reconstruction.
Volar ligament reconstruction is an effective technique for treating symptomatic laxity of the CMC joint of the thumb. The laxity may bea manifestation of generalized ligament laxity,post-traumatic, or metabolic (Ehler-Danlos). There construction reduces the shear forces on the joint that contribute to the development and persistence of inflammation. Although there have been only a few reports of the results of volar ligament reconstruction, the use of the procedure to treat Stage I and Stage II disease gives good to excellent results consistently. More advanced stages of disease are best treated by trapeziectomy, with or without ligament reconstruction.
Glickel
Steven Z
SZ
Department of Orthopedic Surgery, Columbia University College of Physicians and Surgeons, 622 West 168 Street, New York, NY 10032, USA. sglickel@MSN.com
Gupta
Salil
S
D001178:Arthroplasty / Q000379:methods*; D050824:Carpal Joints / Q000601:surgery*; D018737:Hand Strength; D006801:Humans; D007593:Joint Instability / Q000209:etiology / Q000534:rehabilitation / Q000601:surgery*; D008023:Ligaments, Articular / Q000601:surgery*; D050279:Metacarpal Bones / Q000601:surgery*; D013933:Thumb