Stabilized resection arthroplasty by an anterior approach in trapeziometacarpal arthritis: Results and surgical technique

Partial trapeziectomy with ligament reconstruction – tendon interposition in thumb carpo-metacarpal osteoarthritis. A study of 112 cases

“…Although the scapho-metacarpal space may progressively collapse between six months and five years [33], we agree with other authors [7,15,26,34] that after a postoperative period between 12 to 20 months, there was no relevant variation of height of the first metacarpal-scaphoid gap.…”

“…Preservation or restoration of the thumb height is significantly correlated with a better key pinch force [22,33,34] and skeletal shortening leads to relative extrinsic muscle lengthening and instability [10], although there is no relevant difference when comparing trapeziectomy and LRTI as a group [35]. Even though LRTI results in better mobility and cosmetic results than simple interposition with tendon, there is no difference in daily life activities and muscular power [15,36].…”

“…Ligamentoplasties and abductor pollicis longus insertion advancement decrease the incidence of dorsal subluxation of first metacarpal [5,33].…”

Basal joint arthroplasty and carpal tunnel release through a single incision: An in vitro study

“…5,9,12,13,[15][16][17] The ability to decompress the carpal tunnel during basal joint arthroplasty using a single incision allows shorter surgery time, better appearance, and potentially lower morbidity than a staged or 2-incision procedure. Although there have been reports of performing basal joint arthroplasty through a carpal tunnel incision 13 and performing an isolated carpal tunnel release through a radial flexor carpi radialis incision 16 this study combines decompression of the carpal tunnel and basal joint arthroplasty through a single radial incision. Our data show that in this in vitro model this is an effective method of decompressing the carpal tunnel.…”

“…6 -11 Carpal tunnel syndrome is also frequent in this demographic group and coexists with basal joint arthritis in 18% to 46% of patients. 5,9,12,13 The 2 conditions are treated traditionally surgically through separate incisions. Most surgeons use a radial incision for trapeziectomy and ligament reconstruction tendon interposition but use a standard midline volar carpal tunnel incision for decompression of the median nerve.…”