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. 2021 Jan 27;12(4):8514.
doi: 10.4081/or.2020.8514. eCollection 2020 Dec 31.

Suspension arthroplasty in the treatment of thumb carpometacarpal osteoarthritis

Gianfilippo Caggiari  1 , Fabrizio Polese  2 , Cristiano Rosetti  2 , Emanuele Ciurlia  2 , Matteo Brusoni  2 , Andrea Leone  3 , Francesco Pisanu  3 , Andrea Fabio Manunta  1 , Carlo Doria  3 , Mario Manca  2
Affiliations

Suspension arthroplasty in the treatment of thumb carpometacarpal osteoarthritis

Gianfilippo Caggiari et al. Orthop Rev (Pavia). .

Abstract

Literature presents several examples of surgical techniques for the treatment of carpometacarpal osteoarthritis. In our study we used a modified Ceruso's suspended arthroplasty technique. In this study, 53 patients from 2011 to 2017 underwent arthroplasty with trapezius excision and suture suspension between abductor pollicis longus and flexor carpi radialis. The average age at surgery was 69, the participants were 43 women and 10 men. The average total operation time was 59 minutes. The modified CMC suspension arthroplasty technique provides excellent results compared with those in the literature.

Keywords: Arthroplasty; abduttor pollicis longus; flexor carpi radialis; osteoarthritis; thumb.

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Conflict of interest statement

Conflict of interest: The authors declare no conflicts of interest.

Figures

Figure 1.
Figure 1.
Cutaneous incision at the trapezium- metacarpal joint, slightly curved in a longitudinal direction, radial approach.
Figure 2.
Figure 2.
Section of the abductor pollicis longus.
Figure 3.
Figure 3.
Abductor pollicis longus looped and twisted around flexor carpi radialis.
Figure 4.
Figure 4.
Joint is covered by capsuloplasty with the residual tendon tissue.
Figure 5.
Figure 5.
Hand X-ray pre-op; hand X-ray post op showed that height of the trapezial space at 2 years follow-up.
See this image and copyright information in PMC

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