Partial Trapeziectomy and Soft Tissue Interposition

Autor:	Tyson K. Cobb
Rok vydání:	2014
Předmět:	medicine.medical_specialty business.industry medicine.medical_treatment Arthritis Soft tissue Hand surgeons medicine.disease Arthroplasty Surgery Arthroscopic resection medicine Stage (cooking) Carpal tunnel syndrome business Staging system
Zdroj:	Wrist and Elbow Arthroscopy ISBN: 9781461415954 Wrist and Elbow Arthroscopy with Selected Open Procedures ISBN: 9783030788803
DOI:	10.1007/978-1-4614-1596-1_25
Popis:	Through smaller, improved equipment and refined surgical techniques, hand surgeons are now able to address the entire spectrum of basilar joint arthritis arthroscopically. Specifically, arthroscopic resection arthroplasty for isolated carpometacarpal (CMC), or pantrapezial arthritis with interposition, has been shown to provide excellent results and rapid recovery. Pantrapezial arthritis (Stage 4) disease no longer mandates open trapeziectomy. This chapter provides a detailed description of patient selection and surgical indications as well as step-by-step instructions of arthroscopic resection arthroplasty techniques and necessary equipment used by the author for isolated carpometacarpal or pantrapezial arthritis. A treatment algorithm is presented based on four important preoperative variables: (1) CMC cartilage status, (2) CMC stability, (3) scaphotrapeziotrapezoid (STT) cartilage status, and (4) metacarpophalangeal pathology. A modification of an arthroscopic staging system is proposed. A new technique for arthroscopic stabilization of the CMC is presented.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::7989471f5ba581c7a844316705729676 https://doi.org/10.1007/978-1-4614-1596-1_25 Zobrazit plný text záznamu