Non-S uspensionplasty by Abductor Pollicis Longus Tendon for First Carpometacarpal Osteoarthritis of the Thumb

Author(s):  
Vijay A. Malshikare

AbstractMany surgical procedures have been described for treating painful osteoarthritis at the carpometacarpal joint of the thumb. We describe the new nonsuspension abductor pollicis longus (APL) arthroplasty of base of the thumb after excision of trapezium. APL arthroplasty formed neojoint scapho-metacarpo-trapezoid joint. This technique is effective, technically straightforward, and appears to be robust.

Hand Surgery ◽  
2013 ◽  
Vol 18 (01) ◽  
pp. 99-102 ◽  
Author(s):  
Akio Minami ◽  
Kota Suda ◽  
Norimasa Iwasaki ◽  
Makoto Motomiya

Suspensionplasty was performed using the abductor pollicis longus tendon for osteoarthritis at the carpometacarpal joint of the thumb. The operated wrist had a full range of motion four months after operation; however, there was swelling on the dorsoradial aspect of the wrist and, upon terminal wrist extension, pain was present at the maximum dorsiflexion. Suddenly, one year after operation the patient could not extend the interphalangeal joint of the thumb. Surgical exploration revealed rupture of the extensor pollicis longus tendon. Tenosynovitis at the extensor carpi radialis brevis tendon, where the abductor pollicis longus tendon is sutured, might cause extensor pollicis longus tendon rupture. Late postoperative complications such as this extensor pollicis longus tendon rupture after suspensionplasty using the abductor pollicis longus tendon are extremely rare and this is the first case in the literature.


1993 ◽  
Vol 18 (2) ◽  
pp. 197-199 ◽  
Author(s):  
B. S. MODY ◽  
J. J. DIAS

Dislocation of the first carpometacarpal joint combined with a vertical intra-articular fracture of the trapezium is a rare injury. A case is described treated by open reduction of the trapezial fracture and reconstruction of the first intermetacarpal ligament using a slip of abductor pollicis longus tendon.


2006 ◽  
Vol 31 (3) ◽  
pp. 425-428 ◽  
Author(s):  
Osamu Soejima ◽  
Tatsuo Hanamura ◽  
Tomomi Kikuta ◽  
Hiroyuki Iida ◽  
Masatoshi Naito

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