Suture button suspensionplasty after arthroscopic hemitrapeziectomy for treatment of thumb carpometacarpal arthritis

Arthroscopy. 2010 Oct;26(10):1395-403. doi: 10.1016/j.arthro.2010.07.006.

Abstract

A myriad of techniques for reconstruction of the arthritic thumb carpometacarpal joint have been described. In the modern era, there has been a push, driven by both clinicians and patients, for more rapid rehabilitation after these procedures. A majority of the historically described techniques require pinning of the thumb ray for 4 weeks. Suture button placement between the thumb and index ray metacarpals has been shown in biomechanical studies to effectively resist subsidence of the thumb ray. We describe a novel technique of using a suture button for suspensionplasty of the thumb ray after arthroscopic partial trapeziectomy. This technique allows for early mobilization and may offer a potential improvement on current techniques. Early results of use of this technique are encouraging, but well-conducted follow-up studies are necessary.

MeSH terms

  • Arthritis / surgery*
  • Arthroplasty, Subchondral / methods*
  • Carpometacarpal Joints / anatomy & histology
  • Carpometacarpal Joints / surgery*
  • Fingers / anatomy & histology
  • Functional Laterality
  • Hand Strength
  • Humans
  • Osteoarthritis / surgery*
  • Suture Techniques
  • Sutures
  • Thumb / anatomy & histology
  • Thumb / surgery*
  • Trapezium Bone / surgery*
  • Weight-Bearing