M F Langer1, B Wieskötter2, K Herrmann2, S Oeckenpöhler2. 1. Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Sektion Handchirurgie und Mikrochirurgie, Universitätsklinikum Münster, Münster, Deutschland. langer.martin@ukmuenster.de. 2. Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Sektion Handchirurgie und Mikrochirurgie, Universitätsklinikum Münster, Münster, Deutschland.
Abstract
OBJECTIVE: Restoring stability and preventing subluxation/dislocation of the trapeziometacarpal (first carpometacarpal = CMC-I) joint while preserving mobility. INDICATIONS: Posttraumatic, acquired or congenital instability of the CMC-I joint. CONTRAINDICATIONS: Existence of osteoarthritis of the CMC-I joint. Neurogenic or muscular origin dysfunction of thenar muscles and other contractures the CMC-I area. Infections. SURGICAL TECHNIQUE: Radiopalmar approach to the CMC-I joint, reduction, and transosseous ligament reconstruction with a distally pedicled tendon strip from the abductor pollicis longus muscle. POSTOPERATIVE MANAGEMENT: Splint immobilization for 5 weeks. RESULTS: This procedure generally results in good or very good outcomes. Of 24 patients, only one patient experienced rupture of the ligament reconstruction. Ligament reconstruction for the carpometacarpal joint of the thumb relieves pain and restores stability while preserving functional range of motion in patients with chronic instability.
OBJECTIVE: Restoring stability and preventing subluxation/dislocation of the trapeziometacarpal (first carpometacarpal = CMC-I) joint while preserving mobility. INDICATIONS: Posttraumatic, acquired or congenital instability of the CMC-I joint. CONTRAINDICATIONS: Existence of osteoarthritis of the CMC-I joint. Neurogenic or muscular origin dysfunction of thenar muscles and other contractures the CMC-I area. Infections. SURGICAL TECHNIQUE: Radiopalmar approach to the CMC-I joint, reduction, and transosseous ligament reconstruction with a distally pedicled tendon strip from the abductor pollicis longus muscle. POSTOPERATIVE MANAGEMENT: Splint immobilization for 5 weeks. RESULTS: This procedure generally results in good or very good outcomes. Of 24 patients, only one patient experienced rupture of the ligament reconstruction. Ligament reconstruction for the carpometacarpal joint of the thumb relieves pain and restores stability while preserving functional range of motion in patients with chronic instability.
Authors: C K Spies; B Hohendorff; S Löw; L P Müller; J Oppermann; P Hahn; F Unglaub Journal: Oper Orthop Traumatol Date: 2017-06-14 Impact factor: 1.154
Authors: Martin Franz Langer; Jörg Gerhard Grünert; Frank Unglaub; Martin Richter; Jörg van Schoonhoven; Simon Oeckenpöhler Journal: Oper Orthop Traumatol Date: 2021-06-09 Impact factor: 1.154
Authors: Alexandra Stauffer; Yvonne Schwarz; Marion Uranyi; Florian Schachinger; Werner Girsch; Rudolf Ganger; Sebastian Farr Journal: Arch Orthop Trauma Surg Date: 2019-11-06 Impact factor: 3.067