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Finite element analysis: study of better osteotomy angle of the first metacarpal for thumb carpometacarpal
Akitoshi Sakuma1, Yusuke Matsuura1, Seiji Ohtori1
1Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba city, Chiba, Japan.
Abstract:
This study examines the impact of metacarpal osteotomy at varying directions and angles. Using hand CT-DICOM data from fresh frozen cadavers, 3D models were created and analyzed with finite element analysis. Stress changes across various osteotomy directions and angles were compared. The findings indicate that a 30° extension and 30° abduction-opposition osteotomy significantly shift pressure distribution toward the volar side, which may reduce stress and enhance joint congruity.
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