Suture suspension arthroplasty technique for basal joint arthritis reconstruction.
Numerous techniques have been developed to address thumb basal joint arthritis. Many techniques include trapeziectomy with ligament reconstruction, most commonly performed by sacrificing a tendon that is used for ligament reconstruction and stabilization of the first metacarpal, with or without pin fixation. Harvesting a tendon for use in basal joint reconstruction is time-consuming and not without potential complications. Redirecting tendons via drill holes or anchoring tendons via suture anchors adds additional morbidity and time to the operative procedures. The authors introduce a novel technique of basal joint reconstruction, employing suture suspension for maintenance of joint arthroplasty space and stabilization of the base of the first metacarpal.
DelSignore
Jeanne L
JL
University of Rochester School of Medicine, Hand Surgery Associates, L.L.P., Rochester, NY 14625, USA. jdelsignore@handsurgeryassoc.org
Accardi
Kimberly Z
KZ
D001178:Arthroplasty / Q000379:methods*; D052737:Carpometacarpal Joints / Q000601:surgery*; D006801:Humans; D010003:Osteoarthritis / Q000601:surgery*; D011182:Postoperative Care; D011183:Postoperative Complications; D013933:Thumb / Q000601:surgery*