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Partial Trapeziectomy and Soft Tissue Interposition

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Wrist and Elbow Arthroscopy

Abstract

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.

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Authors and Affiliations

  1. Orthopaedic Specialists, 4096 Treeline Drive, Bettendorf, IA, 52722, USA

    Tyson K. Cobb M.D.

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  1. Tyson K. Cobb M.D.
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Correspondence to Tyson K. Cobb M.D. .

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Editors and Affiliations

  1. Department of Orthopedic Surgery, University of Mississippi, Jackson, Mississippi, USA

    William B. Geissler

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Cobb, T.K. (2015). Partial Trapeziectomy and Soft Tissue Interposition. In: Geissler, W. (eds) Wrist and Elbow Arthroscopy. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-1596-1_25

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  • DOI: https://doi.org/10.1007/978-1-4614-1596-1_25

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-1595-4

  • Online ISBN: 978-1-4614-1596-1

  • eBook Packages: MedicineMedicine (R0)

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