mini-tightrope surgery for basal arthritis


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.
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Arthroplasty Thumb Local Tendon Arthritis Laparoscopic surgery Painful joints Surgery