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The Camitz transfer and its modifications: a review.

B Rymer1, P B M Thomas2

  • 1Royal Stoke University Hospital, Newcastle Road, Stoke-on-Trent, Staffordshire, UK ben.rymer@doctors.org.uk.

The Journal of Hand Surgery, European Volume
|January 16, 2016
PubMed
Summary

The Camitz procedure effectively improves thumb opposition and hand function in patients with thenar muscle wasting. Further research is needed to compare this tendon transfer with other techniques.

Keywords:
Camitzcarpal tunnelopponensplastyoppositiontendon transfer

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Area of Science:

  • Hand surgery
  • Orthopedic surgery
  • Reconstructive surgery

Background:

  • The Camitz procedure is a tendon transfer used to restore thumb opposition.
  • It is indicated for severe carpal tunnel syndrome causing thenar muscle atrophy.

Purpose of the Study:

  • To systematically review the published literature on the Camitz procedure.
  • To evaluate the effectiveness of the original Camitz transfer and its modifications.

Main Methods:

  • Systematic review of published reports on the Camitz procedure.
  • Analysis of available outcome data regarding hand function.

Main Results:

  • The original Camitz procedure demonstrated improvement in overall hand function in 86-100% of patients.
  • Several modifications exist, often focusing on pulley systems.
  • All included studies had small sample sizes.

Conclusions:

  • The Camitz procedure is an effective treatment for improving thumb opposition and hand function.
  • There is a need for comparative studies with other opponensplasty techniques and evaluations of different modifications.