title: Using a TightRope® to treat a complex fracture of the trapezium.
abstract: We present the case of a 23-year-old man with a combined scaphoid fracture and comminuted trapezium fracture, treated surgically with percutaneous fixation of the scaphoid fracture and concomitant Arthrex Mini TightRope(®) stabilisation of base of thumb metacarpal to base of index finger metacarpal. The patient made a good functional recovery, returning to usual activities within six weeks. We suggest that this technique could be used to treat complex trapezium fractures that cannot be reconstructed with surgery.
authors.affiliation: Ashford and St Peter's Hospitals NHS Foundation Trust, UK.
authors.forename: M E
authors.initials: ME
authors.lastname: Shenouda
authors.forename: A
authors.initials: A
authors.lastname: Mohan
authors.forename: T
authors.initials: T
authors.lastname: Sarkhel
mesh_terms: D000063:Accidents, Traffic; D001863:Bone Screws; D001864:Bone Wires; D052737:Carpometacarpal Joints; D005593:Fracture Fixation, Internal / Q000295:instrumentation* / Q000379:methods*; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000601:surgery; D018460:Fractures, Comminuted / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D009049:Motorcycles; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology; D020127:Recovery of Function; D021361:Scaphoid Bone / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D051222:Trapezium Bone / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D016896:Treatment Outcome; D055815:Young Adult