Arthroscopic Trapeziectomy With 4-mm Arthroscope and Without Traction Tower

Area of Science:

• Orthopedic Surgery
• Hand Surgery
• Arthroscopy

Background:

• First carpometacarpal joint osteoarthritis causes significant pain and impaired hand function.
• Surgical intervention, particularly trapeziectomy, is considered for conservative treatment-resistant cases.
• Arthroscopic trapeziectomy offers a minimally invasive alternative to traditional open surgery.

Purpose of the Study:

• To describe a refined technique for arthroscopic trapeziectomy without a traction tower.
• To detail the use of a 4-mm arthroscope for this procedure.
• To highlight the advantages of this modified technique for bone resection.

Main Methods:

• Arthroscopic trapeziectomy performed without a traditional traction tower.
• Utilized a 4-mm arthroscope for visualization and instrumentation.
• Focused on precise resection of the trapezium bone.

Main Results:

• The described technique facilitates arthroscopic trapeziectomy without reliance on a traction tower.
• This method allows for potentially more effective and thorough bone resection.
• The procedure aims to maintain or improve thumb motion and reduce pain.

Conclusions:

• Refined arthroscopic trapeziectomy without a traction tower is a viable and advantageous surgical option.
• This technique offers improved bone resection compared to classical methods.
• It addresses key treatment goals of pain reduction and functional restoration in thumb osteoarthritis.