Key-Points about Trapezectomy and Suspensionplasty for Thumb Basal Joint Arthrosis after Twenty-years Experience and Four Hundred Patients Operated

摘要

We analyse our twenty-years of experience performing biological arthroplasty for trapezium-metacarpal joint arthrosis.Materials and Methods: From 1985 to 2006 we have treated 427 hands beginning with trapezectomy and anchovy of PL (one case), method of Pellegrini-Burton (3 cases), Weilby (3 cases) APL tendonplasty with several modifications of the original technique (420 cases).Results: During the years we have checked the operated patients (follow-up from 20 years to six months). The results we obtained (satisfaction of patients in recovery strongness and ability and pain disappearance ) are superior than our expectationsConclusions: some critical points:and performing surgery(the importance of a capsular triangular flap, the necessity of modelling the base of first metacarpal to avoid impingement); and post operation (splint for two weeks);and for rehabilitation (at two weeks).