Format

Send to

Choose Destination
J Hand Surg Am. 2014 Feb;39(2):362-7. doi: 10.1016/j.jhsa.2013.11.024.

Modified technique for basilar thumb osteoarthritis.

Author information

1
Institut Kaplan, Hand and Upper Extremity Surgery, Barcelona, Spain; and Clínica Las Américas, Department of Orthopedics, Medellín, Colombia. Electronic address: marc@garcia-elias.cat.
2
Institut Kaplan, Hand and Upper Extremity Surgery, Barcelona, Spain; and Clínica Las Américas, Department of Orthopedics, Medellín, Colombia.

Abstract

The arthroplasty described by Weilby is a reliable procedure for the treatment of stage 2 and 3 basal thumb osteoarthritis. Although the technique provides good pain relief, optimal thumb mobility, and acceptable levels of grip and pinch strength in most cases, it is common to see the thumb collapsing because the interposed knot has disassembled. We have found a more effective way to prepare and stabilize that interposition material. With this modification, we have had less thumb subsidence than with the original technique.

KEYWORDS:

Osteoarthritis; arthroplasty; suspension-plasty; thumb; trapeziometacarpal joint

PMID:
24480694
DOI:
10.1016/j.jhsa.2013.11.024
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center