Trapeziometacarpal Arthrodesis Using a Combination of Chevron Osteotomy, Longitudinal K-wire, and K-wire Compression Staples

Orthopedics. 2018 Nov 1;41(6):e894-e896. doi: 10.3928/01477447-20181023-09. Epub 2018 Oct 29.

Abstract

Among surgical methods for advanced trapeziometacarpal arthrosis, arthrodesis may benefit high-demand patients such as laborers because it preserves the osseous foundation of the thumb. The authors achieved successful trapeziometacarpal arthrodesis in 3 patients by a combination of chevron osteotomy, longitudinal K-wire, and K-wire compression staples without using bone graft. There were no complications specifically associated with the surgery other than asymptomatic slight pull-out of a staple. This combination is a good option for trapeziometacarpal arthrodesis, having the advantages of using a small incision and common devices and being low cost. [Orthopedics. 2018; 41(6):e894-e896.].

MeSH terms

  • Aged
  • Arthrodesis / instrumentation
  • Arthrodesis / methods*
  • Bone Wires
  • Carpometacarpal Joints / surgery*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Osteoarthritis / surgery
  • Osteotomy / methods*
  • Sutures
  • Thumb