Treatment of Advanced Carpometacarpal Joint Disease: Trapeziectomy and Hematoma Arthroplasty

Division of Hand and Microvascular Surgery, Department of Orthopaedic Surgery, Naval Medical Center San Diego, 34800 Bob Wilson Drive, Suite 112, San Diego, CA 92131, USA.
Hand Clinics (Impact Factor: 1.26). 09/2008; 24(3):271-6, vi. DOI: 10.1016/j.hcl.2008.03.003
Source: PubMed


Some surgical treatment options of painful basal joint arthritis do not require complex arthroplasty or suspensionplasty techniques. Simple trapeziectomy with temporary pinning of a slightly overdistracted thumb metacarpal can provide reliable pain relief, good motion, and functional stability. Recent literature supports alternative options when compared with formal ligament reconstruction or suspensionplasty procedures. Simple trapeziectomy is associated with less morbidity due to shorter operative times and the lack of need for graft harvest and ligament reconstruction.

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