Merendi G, Fulchignoni C, Pietramala S, Rocchi L. Trapeziectomy and suspension ligamentoplasty for surgical revision of trapeziometacarpal joint arthrodesis failure: two cases.
HAND SURGERY & REHABILITATION 2022;
41:400-403. [PMID:
35476953 DOI:
10.1016/j.hansur.2022.02.013]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/29/2021] [Revised: 02/20/2022] [Accepted: 02/27/2022] [Indexed: 11/19/2022]
Abstract
Trapeziometacarpal joint osteoarthritis is a common degenerative disease. Arthrodesis is a widespread historical surgical technique to treat this pathology, providing pain relief and stability and strength of the thumb. Nevertheless, pantrapezial arthritis and non-union are not uncommon complications, leading in some cases to revision surgery. No gold-standard procedure has been described for revision of trapeziometacarpal arthrodesis failure. We describe two cases of failed arthrodesis treated with trapeziectomy and suspension ligamentoplasty, a well-known, biological, low-cost, successful, and easy-to-perform procedure.
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