Trapeziectomy with APL suspensionplasty
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Trapezometacarpal arthritis at the thumb base is a common degenerative condition that interferes with the normal function of the hand. It effects all pinch gripping with the thumb which makes many of the activities of daily living difficult. Severe and symptomatic changes may require surgical intervention.
This is a step-by-step guide to the technique of trapeziectomy along with suspensionplasty using the tendon of the Abductor Pollicis Longus (APL). This particular technique is simpler than other ligament reconstructions following trapeziectomy, as it obviates the need for creating cumbersome bone tunnels and can be done through a single incision
Author:Manish Gupta, Consultant Hand Surgeon.
Institution: University Hospital Birmingham, UK.