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Arthroscopic Trapeziectomy.

Rick Tosti1

  • 1Philadelphia Hand to Shoulder Center, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA.

Techniques in Hand & Upper Extremity Surgery
|June 14, 2022
PubMed
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This study presents an arthroscopic technique for complete trapezium bone removal in thumb basal joint surgery. This less invasive method allows for immediate mobilization, speeding up patient recovery and return to function.

Area of Science:

  • Orthopedic surgery
  • Hand surgery
  • Arthroscopy

Background:

  • Resection arthroplasty is a common treatment for thumb basal joint arthritis.
  • Current methods often involve extensive dissection and may require implants or grafts.
  • There is a need for less invasive techniques that facilitate faster recovery.

Purpose of the Study:

  • To describe a minimally invasive, step-by-step arthroscopic technique for total trapeziectomy.
  • To promote immediate postoperative mobilization following thumb basal joint surgery.
  • To expedite the return to function for patients undergoing trapeziectomy.

Main Methods:

  • Arthroscopic visualization and dissection of the thumb basal joint.
  • Complete removal of the trapezium bone using specialized arthroscopic instruments.

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  • No suspensionplasty or ligament reconstruction was performed.
  • Emphasis on immediate active and passive range of motion post-procedure.

    • Main Results:

    • Successful complete trapeziectomy was achieved arthroscopically.
    • The described technique allows for immediate mobilization.
    • Potential for reduced postoperative pain and swelling compared to open procedures.
    • Facilitates quicker return to daily activities and functional use of the thumb.

    Conclusions:

    • Arthroscopic total trapeziectomy is a viable and less invasive alternative for thumb basal joint arthritis.
    • Immediate mobilization following this technique can accelerate functional recovery.
    • This approach offers a promising option for patients seeking faster return to function without the need for suspensionplasty.