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Tech Hand Up Extrem Surg. 2014 Dec;18(4):194-8. doi: 10.1097/BTH.0000000000000066.

Minimally invasive procedure for the stabilization of the painful "prearthritic" carpometacarpal joint of the thumb.

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*Orthopedic Department of North Estonia Medical Centre Foundation, Tallinn, Estonia †Hand and Reconstructive Microsurgery Unit, San Pio X Clinic, Milan, Italy.


The painful thumb carpometacarpal joint without arthritic changes with joint laxity is a common condition mainly affecting the female population in their early decades. Despite this, there is a lack of literature on the available treatment options. In the existing literature ligament reconstruction and extension osteotomy have both been described. In these methods the surgical trauma is quite extensive. In this paper, the authors document and present a new minimally invasive procedure for the treatment of this condition. Patients with painful and lax thumb carpometacarpal joint who did not benefit from conservative treatment underwent surgical treatment. The integrity of the cartilage was checked arthroscopically and it was considered an absolute indication to perform the technique consisting of stabilizing the space between the first and second metacarpal base with a suture button device. A standard postoperative protocol followed. No major complications occurred. According to preliminary experience and short-term follow-up results this technique is a comparatively safer, less invasive, and less aggressive procedure.

[Indexed for MEDLINE]

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