Bone-retinaculum-bone reconstruction for chronic posttraumatic instability of the metacarpophalangeal joint of the thumb

The ECRL bone-tendon ligamentoplasty for chronic ulnar instability of the metacarpophalangeal joint of the thumb

“…In addition, cortical bone in the metacarpal region is thin, so that bone bridges between holes may not withstand later joint mobilization or load. Only recently Guelmi et al [18] proposed a new static ligamentoplasty using a bone-retinaculumbone autograft, with encouraging early results.…”

“…Various surgical techniques have been described for the treatment of chronic ulnar ligament insufficiency of the metacarpophalangeal (MCP) joint of the thumb: simple suture of the remains of the ligament, static or dynamic ligamentoplasties [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] or, in cases of symptomatic degenerative arthritis, arthrodesis of the MCP joint. The results cannot be compared because of the small number of cases in several reports and the variability of objective criteria in the follow-ups.…”

Thumb collateral ligament injuries in the athlete

“…Common grafts choices include palmaris longus [10], split EPB [51], full thickness EPB [52], slip of the abductor pollicis longus [53], second extensor compartment retinaculum [54] and fourth toe extensor digitorum [55].…”

Bone–Periosteum–Bone Graft Reconstruction for Chronic Ulnar Instability of the Metacarpophalangeal Joint of the Thumb—Minimum 5-Year Follow-Up Evaluation

“…The idea of using a bone-soft tissue-bone autograft in treating thumb instability was reported by Guelmi et al, 7 who in turn cited the technique described by Weiss. 13 We found that Guelmi's method is similar to ours except that the material for reconstruction and the donor site are different.…”