Suture button suspensionplasty after arthroscopic hemitrapeziectomy for treatment of thumb carpometacarpal arthritis.
A myriad of techniques for reconstruction of the arthritic thumb carpometacarpal joint have been described. In the modern era, there has been a push, driven by both clinicians and patients, for more rapid rehabilitation after these procedures. A majority of the historically described techniques require pinning of the thumb ray for 4 weeks. Suture button placement between the thumb and index ray metacarpals has been shown in biomechanical studies to effectively resist subsidence of the thumb ray. We describe a novel technique of using a suture button for suspensionplasty of the thumb ray after arthroscopic partial trapeziectomy. This technique allows for early mobilization and may offer a potential improvement on current techniques. Early results of use of this technique are encouraging, but well-conducted follow-up studies are necessary.
Cox
Christopher A
CA
Department of Orthopaedic Surgery, Stanford University, Redwood City, CA 94063-6342, USA.
Zlotolow
Dan A
DA
Yao
Jeffrey
J
D001168:Arthritis / Q000601:surgery*; D054544:Arthroplasty, Subchondral / Q000379:methods*; D052737:Carpometacarpal Joints / Q000033:anatomy & histology / Q000601:surgery*; D005385:Fingers / Q000033:anatomy & histology; D007839:Functional Laterality; D018737:Hand Strength; D006801:Humans; D010003:Osteoarthritis / Q000601:surgery*; D013536:Suture Techniques; D013537:Sutures; D013933:Thumb / Q000033:anatomy & histology / Q000601:surgery*; D051222:Trapezium Bone / Q000601:surgery*; D016474:Weight-Bearing