Extension osteotomy of the metacarpal I and ligamentoplasty of the trapeziometacarpal joint for the treatment of early-stage osteoarthritis and instability of the trapeziometacarpal joint.

Honigmann, Philipp; Keller, Marco; Devaux-Voumard, Noémie; Coppo, Enrico; Sutter, Damian (2023). Extension osteotomy of the metacarpal I and ligamentoplasty of the trapeziometacarpal joint for the treatment of early-stage osteoarthritis and instability of the trapeziometacarpal joint. Archives of orthopaedic and trauma surgery, 143(9), pp. 6011-6018. Springer 10.1007/s00402-023-04883-1

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Osteoarthritis (OA) is a common disease of the first carpo-metacarpal (CMC I) joint. Biomechanical factors promoting OA are the shape of the CMC I-joint, being a biconcave-convex saddle joint with high mobility and the increased instability caused by joint space narrowing, ligamentous laxity, and direction of force transmission of the abductor pollicis longus (APL) tendon during adduction. The closing wedge osteotomy of the base of the first metacarpal is joint preserving treatment option. We combine this closing wedge osteotomy with a ligamentoplasty to stabilize the joint. In this manuscript, we provide a detailed description of the indication, discuss biomechanical aspects and the surgical technique in detail.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Plastic and Hand Surgery > Plastic, Reconstructive and Aesthetic Surgery
04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Plastic and Hand Surgery > Hand Surgery
04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Plastic and Hand Surgery

UniBE Contributor:

Sutter, Damian

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1434-3916

Publisher:

Springer

Language:

English

Submitter:

Pubmed Import

Date Deposited:

22 May 2023 10:52

Last Modified:

26 Aug 2023 00:13

Publisher DOI:

10.1007/s00402-023-04883-1

Related URLs:

PubMed ID:

37204460

Uncontrolled Keywords:

(Wilson) extension osteotomy First carpometacarpal joint Ligamentoplasty Osteoarthritis Saddle joint Trapeziometacarpal joint

BORIS DOI:

10.48350/182700

URI:

https://boris.unibe.ch/id/eprint/182700

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