Abductor Pollicis Longus “Hammock” Ligamentoplasty for Treatment of First Carpometacarpal Arthritis

The association of trapeziectomy with ligamentoplasty is a simple treatment for osteoarthritis at the base of the thumb. Here we present the long-term results of a technique that creates a “hammock” under the first metacarpal bone using the Abductor Pollicis Longus tendon. This paper reports the res...

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Bibliographic Details
Published in:The Journal of hand surgery, European volume European volume, 2008-06, Vol.33 (3), p.292-297
Main Authors: MATHOULIN, C., MOREEL, P., COSTA, R., WILSON, S. M.
Format: Article
Language:English
Subjects:
Aged
Biological and medical sciences
Carpometacarpal Joints - surgery
Diseases of the osteoarticular system
Female
Humans
Ligaments, Articular - surgery
Male
Medical sciences
Middle Aged
Miscellaneous. Osteoarticular involvement in other diseases
Orthopedic Procedures - methods
Osteoarthritis
Osteoarthritis - surgery
Pain Measurement
Tendon Transfer
Thumb - surgery
Traumas. Diseases due to physical agents
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Summary:The association of trapeziectomy with ligamentoplasty is a simple treatment for osteoarthritis at the base of the thumb. Here we present the long-term results of a technique that creates a “hammock” under the first metacarpal bone using the Abductor Pollicis Longus tendon. This paper reports the results of treatment by this operation of 60 thumbs in 50 patients, including 13 men and 37 women of average age 60 (46–75) years. Thirty thumbs presented with severe pain and 30 with moderate pain. At final follow-up, 47 thumbs (78%) had experienced dramatic relief of pain following the procedure, 12 (20%) thumbs still had mild pain and one (2%) thumb had severe pain. No patients needed revision.
ISSN:1753-1934
2043-6289
DOI:10.1177/1753193408087073