Transosseous Cannula Suture Suspensionplasty for Thumb Basal Joint Arthritis: A Novel Technique

Author:

Carozzo Mattia1,Pajardi Giorgio1,Basso Morena A.2,Cirillo Dario2,Balato Giovanni2,Smeraglia Francesco2

Affiliation:

1. IRCCS Multimedica, Milan

2. Department of Orthopaedic Surgery, “Federico II” University, Naples, Italy

Abstract

The suture button (SB) suspension technique has become popular in the treatment of thumb basal joint arthritis, as it works as an internal mean for metacarpal stabilization, demonstrating good results with improvement in function and strength. The aim of our study is to describe a new transosseous suture suspensionplasty technique using a simple Ethibond #2 suture as a substitute for the suture button and to report the postoperative clinical outcomes. In this study, we included a total of 14 patients with 2 years follow-up. We evaluated patients with the use of the Disabilities of the Arm, Shoulder and Hand questionnaire, the Visual Analog Scale, the Kapandji test, and the key pinch strength. Patients treated with transosseous suture suspensionplasty demonstrated clinical improvement at an average follow-up of 24 months. No complications were noted immediately after the procedure or during the 2-year follow-up period.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

General Medicine

Reference27 articles.

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2. Surgery for thumb (trapeziometacarpal joint) osteoarthritis;Wajon;Cochrane Database Syst Rev,2015

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4. To suspend or not to suspend: a randomised single blind trial of simple trapeziectomy versus trapeziectomy and flexor carpi radialis suspension;Field;J Hand Surg Eur Vol,2007

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