Arthroscopic Trapeziectomy and Suture Button Suspensionplasty: A Review of the Literature and Description of the “Three-Step Arthroscopic Trapeziectomy Technique”

Abstract

In the last two decades, surgeons have rapidly developed arthroscopic techniques to treat basal joint osteoarthritis. Such techniques spare the joint capsule and ligaments, allow more accurate staging of cartilage degeneration to determine the most appropriate treatment, and decrease the risk of injury to the radial artery and superficial branch of the radial nerve. Arthroscopic resection arthroplasty of the trapezium can be performed as either partial or complete trapeziectomy. Many papers have described partial trapeziectomy but few have discussed complete trapeziectomy.Suture button implants avoid the drawbacks of temporary fixation using Kirschner wire, as well as the drawbacks of ligament reconstruction, which necessitates the sacrifice of a tendon and involves both wide exposure and scar tissue.This paper aimed to review the published data on the arthroscopic treatment of basal thumb osteoarthritis, with a special focus on stabilization using suture button suspensionplasty, and to present a technique that structures this procedure into three steps, allowing it to be performed in an easier, more organized, and faster way.

Arthroscopic Hemitrapezectomy and Suspension with Mini TightRope for the Treatment of Rhizarthrosis: Outcome in patients in stages Eaton-Littler 2 to 3

“…17 18 23 24 Nuestra serie describe resultados similares a los encontrados en la literatura, y la técnica usada es reproducible y efectiva en disminuir el dolor y recuperar la función de la mano. 17 18 23 24 Esta técnica disminuye la probabilidad de subsidencia, complicación frecuente en la evolución a largo plazo de la técnica de trapezectomía total, dado que mantiene el soporte ligamentario de los estabilizadores palmares y dorsales, junto con la conservación estructural de la cápsula anterior, a la cual se le realiza un acortamiento térmico (shrinkage). El sistema de botones mantiene la altura del primer metacarpiano.…”

“…8,21,22 In addition, arthroscopy enables an accurate evaluation of the STT joint, which is deemed essential. In patients with degenerative involvement of the STT joint, the technique proposed in the present study must be modified 17 because STT osteoarthritis may result in persistent postoperative pain, compromising the clinical outcomes. The most indicated procedure for these patients is total trapeziectomy, either in an open or arthroscopic procedure.…”

“…6,12,13 Arthroscopic assistance has emerged in recent years as a tool to treat this pathology. [14][15][16][17][18] The present study aims to evaluate the clinical and radiological outcomes of patients with Eaton-Littler stage-II and III rhizarthrosis submitted to arthroscopic hemitrapeziectomy and suspension with Mini TightRope (Arthrex, Naples, FL, US).…”

“…6,12,13 La asistencia artroscópica ha surgido en los últimos años como una herramienta para el tratamiento de esta patología. [14][15][16][17][18] El objetivo de este trabajo es evaluar los resultados clínicos y radiológicos de pacientes con diagnóstico de rizartrosis en estadios 2 a 3 de Eaton-Littler, operados con hemitrapezectomía artroscópica y suspensión con Mini TightRope (Arthrex, Naples, FL, EEUU).…”

Arthroscopic Complete Trapeziectomy and Suspension Arthroplasty: “Three-Steps Arthroscopic Trapeziectomy Technique”

“…So far, only two reports present data about this arthroscopic technique, but do not explain in detail how to perform it. The aim of this chapter is to present a technique called the "three-steps arthroscopic trapeziectomy technique" that structures this procedure into three steps, allow-ing it to be performed in an easier, more organized, and faster way [10].…”