Simplified and Strong

Julien, Terrill P.; Earp, Brandon E.; Blazar, Philip E.

doi:10.1097/bth.0b013e3182797bb3

Cited by 8 publications

(6 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Third, tendon harvest can be done from the same incision, whereas using FCR may require additional forearm incisions. Julien et al. (2013) described a modification of the APL suspensionplasty without interosseous drilling through the first metacarpal with tendon fixation using a biotenodesis screw into the base of the index metacarpal.…”

Section: Discussionmentioning

confidence: 99%

“…Third, tendon harvest can be done from the same incision, whereas using FCR may require additional forearm incisions. Julien et al (2013) described a modification of the APL suspensionplasty without interosseous drilling through the first metacarpal with tendon fixation using a biotenodesis screw into the base of the index metacarpal. This was performed on 50 patients, and follow-up at 17 months reported improved functional outcomes, decreased pain and fewer complications than the original APL suspensionplasty with interosseous drilling (Nanno et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Biomechanical analysis of three techniques of suspensionplasty after trapeziectomy: a cadaveric study

Vaquette

Galbraith

Meyers

et al. 2023

J Hand Surg Eur Vol

View full text Add to dashboard Cite

The aim of the present cadaveric study was to assess resistance to first metacarpal subsidence of three techniques of suspensionplasty after trapeziectomy. In total, 18 forearms (mean age 60 years [range 20–89]) were used with six specimens per surgical technique: palmar oblique ligament reconstruction with tendon interposition (LRTI), abductor pollicis longus (APL) suspensionplasty, or suture suspensionplasty. There was no significant difference in mean trapezial space height after trapeziectomy and suspensionplasty compared to the preoperative trapezial height. However, after simulation of physiological lateral pinch, there was a significant ( p < 0.05) difference in mean trapezial space height between the APL suspensionplasty and the suture suspensionplasty compared to the LRTI group. After axial loading, there was significantly greater metacarpal subsidence in the LRTI group compared to the APL and suture suspensionplasty groups but no statistically significant difference between the suture suspensionplasty and the APL suspensionplasty groups. Level of evidence: V

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Biomechanical analysis of three techniques of suspensionplasty after trapeziectomy: a cadaveric study

Vaquette

Galbraith

Meyers

et al. 2023

J Hand Surg Eur Vol

View full text Add to dashboard Cite

show abstract

“…Sufficient fixation force and clinical results have already been reported with tenodesis screw fixation to the second metacarpal of the APL. 23,24 Therefore, tenodesis screw fixation was performed from the second metacarpal entry of the APL tendon while maintaining maximum tension on the APL tendon with the thumb in full palmar and radial abduction (Figure 2). Subsequently, we moved on to fixation of the first and second metacarpals using suture button device, the Mini TightRope (Arthrex, Inc.).…”

Section: Methodsmentioning

confidence: 99%

Efficacy of Abductor Pollicis Longus Suspension Arthroplasty Combined With Mini TightRope for Osteoarthritis of Thumb Carpometacarpal Joint

Yamaura

Inui

Mifune

et al. 2022

Hand (New York, N,Y.)

View full text Add to dashboard Cite

Background: We aimed to evaluate the efficacy of abductor pollicis longus (APL) suspension arthroplasty with trapeziectomy combined with first and second metacarpal fixation using suture button device. Methods: Thirteen patients (14 thumbs) who underwent APL suspension arthroplasty combined with suture button device for osteoarthritis of the carpometacarpal joint of the thumb (Eaton grade III: 6 and IV: 8 thumbs) at our institution between 2015 and 2019 and were followed up for more than 24 months were included in the study. Preoperative and postoperative range of motion (ROM) of radial and palmar abduction, grip and key pinch strength, visual analog scale (VAS) scores for pain, and the trapezial space ratio (TSR) on radiographic images before and after surgery were statistically examined. Results: The mean age of the patients was 59.6 ± 8.1 years, and the mean follow-up period was 45.4 ± 12.2 months. While grip and pinch strength did not significantly change between preoperative and final follow-up measurements, the ROM of radial and palmar abduction and the VAS score at the latest follow-up were significantly better than the preoperative values ( P < .05). The mean TSR immediately after surgery and at the latest follow-up was 0.28 ± 0.089 and 0.22 ± 0.084, respectively, indicating a mean reduction rate of 23.3 ± 15.2%. Conclusions: This surgical technique showed significant improvement in the ROM of radial and palmar abduction and the VAS score for pain, and the combined fixation of the first and second metacarpals with suture button device suppressed the subsidence of the first metacarpal.

show abstract

“…3,4 The interference screw has been successfully utilized as a method of fixation in the upper and lower extremities. 5,6 The use of an interference screw eliminates the need for multiple assistants in the classic ligament reconstruction and tendon interposition (LRTI) procedure described by Burton and Pellegrini. 7 Previous descriptions of this operation have included a dorsal midline incision and dorsoradial incision with excellent outcomes; however, high failure rates have been reported in hand surgeons with <12 years' experience.…”

mentioning

confidence: 99%

“…The interference screw has been successfully utilized as a method of fixation in the upper and lower extremities 5,6. The use of an interference screw eliminates the need for multiple assistants in the classic ligament reconstruction and tendon interposition (LRTI) procedure described by Burton and Pellegrini 7.…”

mentioning

confidence: 99%

Thumb Carpometacarpal Suspension Arthroplasty With Flexor Carpi Radialis Ligament Reconstruction and Tendon Interposition Using An Absorbable Interference Screw: A Volar Approach Technique

Plancher

Stelma

Wong³

et al. 2020

Techniques in Hand &Amp; Upper Extremity Surgery

View full text Add to dashboard Cite

The goal of operative intervention for pantrapezial arthritis is to relieve pain, maintain or improve motion, stability, and strength, and restore function. The purpose of this article is to present a volar approach to thumb carpometacarpal suspension arthroplasty using an absorbable interference screw for flexor carpi radialis ligament reconstruction and tendon interposition in the treatment of pantrapezial arthritis. This technique allows for visualization of the volar beak and avoidance of the radial artery and the branches of the superficial radial nerve while allowing optimal surgical manipulation for suspensionplasty with interference screw fixation and tendon interposition at the carpometacarpal joint.

show abstract

Simplified and Strong

Cited by 8 publications

References 13 publications

Biomechanical analysis of three techniques of suspensionplasty after trapeziectomy: a cadaveric study

Biomechanical analysis of three techniques of suspensionplasty after trapeziectomy: a cadaveric study

Efficacy of Abductor Pollicis Longus Suspension Arthroplasty Combined With Mini TightRope for Osteoarthritis of Thumb Carpometacarpal Joint

Thumb Carpometacarpal Suspension Arthroplasty With Flexor Carpi Radialis Ligament Reconstruction and Tendon Interposition Using An Absorbable Interference Screw: A Volar Approach Technique

Contact Info

Product

Resources

About