8 doctors weighed in:
Mini-tightrope surgery for basal arthritis?
8 doctors weighed in

Dr. Hill Hastings
Orthopedic Surgery
7 doctors agree
In brief: Promising, untested
The essence of trapeziometacarpal arthroplasty depends upon excision of the trapezium. Simple excision without "suspension" has been shown to do as well as with suspension.
I favor a suspension which utilizes a local tendon slip, while the tightrope uses a devise to hold the thumb metacarpal out to length. It is not yet known how long it will hold up and is worth the added cost.

In brief: Promising, untested
The essence of trapeziometacarpal arthroplasty depends upon excision of the trapezium. Simple excision without "suspension" has been shown to do as well as with suspension.
I favor a suspension which utilizes a local tendon slip, while the tightrope uses a devise to hold the thumb metacarpal out to length. It is not yet known how long it will hold up and is worth the added cost.
Dr. Hill Hastings
Dr. Hill Hastings
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