Fracture of the index metacarpal after TightRope suspension for carpometacarpal instability of the thumb

Mufty, S.; Peters, S. J.

doi:10.1177/1753193416670529

Cited by 7 publications

(3 citation statements)

References 3 publications

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“…11 Other complications with the use of the suture-button suspension have been described, including fracture of the index metacarpal and rupture of the extensor pollicis longus tendon; however, these complications were typically noted with earlier generations of the implant and were not encountered in the present study. 25,26…”

Section: Discussionmentioning

confidence: 99%

Basilar Thumb Arthritis: The Utility of Suture-Button Suspensionplasty

DeGeorge

Chawla

Elhassan

2018

Hand (New York, N,Y.)

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Section: Discussionmentioning

confidence: 99%

Basilar Thumb Arthritis: The Utility of Suture-Button Suspensionplasty

DeGeorge

Chawla

Elhassan

2018

Hand (New York, N,Y.)

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“…There were no fractures or reoperations in either group. Specifically, although there are recent case reports of this complication, [27][28][29] there were no index metacarpal fractures in the TightRope group.…”

Section: Complicationsmentioning

confidence: 83%

Thumb-Basal Joint Arthroplasty Outcomes and Metacarpal Subsidence: A Prospective Cohort Analysis of Trapeziectomy With Suture Button Suspensionplasty Versus Ligament Reconstruction With Tendon Interposition

Shonuga

Nicholson

Abboudi

et al. 2021

Hand (New York, N,Y.)

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Background Thumb carpometacarpal (CMC) joint arthroplasty is a common procedure in the surgical management of symptomatic thumb basal joint arthritis. Following trapeziectomy, a number of suspensionplasty techniques are often used, but limited comparative evidence exists between these techniques. The central aim of this study was to prospectively compare the outcomes of 2 suspensionplasty techniques following trapeziectomy: suture button (TightRope) versus ligament reconstruction and tendon interposition (LRTI). Methods Prospective data were collected on 112 consecutive patients with Eaton stage III-IV thumb CMC arthritis who underwent open trapeziectomy and suspensionplasty. There were 53 LRTI and 59 TightRope suspensionplasty procedures. Outcomes were measured using the Quick Disabilities of the Arm, Shoulder, and Hand ( QuickDASH) questionnaire, Visual Analogue Scale (VAS) for pain, radiographic analysis, and lateral pinch strength. Patient demographic data and complications were also recorded. Results Patients undergoing TightRope suspensionplasty had significantly higher trapeziometacarpal index and thus less subsidence than the LRTI group at 2 weeks (0.22 vs 0.17 [ P < .0001]) and 3 months (0.17 vs 0.15 [ P < .05]) postoperatively. TightRope suspensionplasty also had a significantly lower QuickDASH score at 2 weeks (64.7 vs 74.6 [ P < .05]), 3 months (20.7 vs 32.5 [ P < .05]), and 1 year postoperatively (7.57 vs 21.5 [ P < .05]) compared with the LRTI group. However, there was no difference in VAS pain, lateral pinch strength, reoperation, or complications at any time point between groups. Conclusions Thumb CMC joint arthroplasty performed with a TightRope suspensionplasty versus LRTI yielded short-term improved resistance to subsidence, long-term greater improvement in clinical outcome by QuickDASH, and no difference in pain or complication rates.

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“…Second, in order to prevent clavicle fractures at the suture hole, it is essential to avoid excessive drilling of the suture hole during ACJ reconstruction and pay attention to the widening of suture holes at radiography images. Over-tensioning of the sutures [14, 16], osteolysis from a soft tissue reaction [15], technical factors due to the operator such as multiple entry-point drilling or suture holes that are not located in the center of the bone [1, 9], and poor adherence of the patients [7] are considered to be the mechanisms that can cause fractures near the suture hole. In the present case, multiple drilling holes were observed near the suture-button entry-point during the present surgery.…”

Section: Discussionmentioning

confidence: 99%

Clavicle fracture at the suture hole after acromioclavicular joint reconstruction using a suture-button: a case report

Inoue

Furuhata

Kaneda

et al. 2019

BMC Musculoskelet Disord

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Background Intraosseous suture-button devices have been used for acromioclavicular joint reconstruction due to its relative simplicity compared with other procedures. However, the complications of acromioclavicular joint reconstruction using a suture-button are not fully understood. Here, we describe a case of a clavicle fracture at the suture hole following acromioclavicular joint reconstruction using a suture-button and hook plate. Case presentation A 28-year-old man presented at our hospital after a fall from his bicycle. The patient had a history of acromioclavicular joint reconstruction with a suture-button and a hook plate for right acromioclavicular joint dislocation, seven months ago at another hospital. The hook plate had been removed four months ago, while X-ray radiography before removal had shown the widening of a suture hole. In the current fall from the bicycle, X-ray radiography revealed a clavicle fracture through the previous drill hole for suture-button. We removed the suture-button and performed an open reduction and internal fixation for the clavicle fracture. Conclusion The present case indicated that a clavicle fracture at the suture hole, although rare, is one of the complications after an acromioclavicular joint reconstruction using a suture-button. This case suggested that drilling to the necessary minimum when making suture holes and paying attention to the widening of suture holes are important to prevent a postoperative clavicle fracture.

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Fracture of the index metacarpal after TightRope suspension for carpometacarpal instability of the thumb

Cited by 7 publications

References 3 publications

Basilar Thumb Arthritis: The Utility of Suture-Button Suspensionplasty

Basilar Thumb Arthritis: The Utility of Suture-Button Suspensionplasty

Thumb-Basal Joint Arthroplasty Outcomes and Metacarpal Subsidence: A Prospective Cohort Analysis of Trapeziectomy With Suture Button Suspensionplasty Versus Ligament Reconstruction With Tendon Interposition

Clavicle fracture at the suture hole after acromioclavicular joint reconstruction using a suture-button: a case report

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