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Journal of Hand Surgery (British and European Volume)
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Tendon Interposition Arthroplasty of the First Carpo-Metacarpal Joint

A. WEILBY

From the Handsurgical Unit, Rigshospitalet, Copenhagen

After removal of the trapezium, imbrication of abductor pollicis longus and fixing it with a strip of flexor carpi radialis tendon, we obtained a stable arthroplasty having three quarters of normal mobility and half to full power. Of the first 100 operated thumbs, 15 patients had slight pain on heavy use; the rest were painfree. Three patients had radial nerve lesions with minor complaints. Seven patients developed de Quervain’s syndrome and two had rupture of abductor pollicis longus; these complications have since been avoided by routinely splitting the first extensor compartment. Four cases with unstable joints required further surgery, and one joint became stiff due to extra-articular conditions.

Journal of Hand Surgery (British and European Volume), Vol. 13, No. 4, 421-425 (1988)
DOI: 10.1016/0266-7681(88)90171-4
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This article has been cited by other articles:


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L. S. VADSTRUP, L. SCHOU, and M. E. H. BOECKSTYNS
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 J Hand Surg Eur VolHome page
T. R. C. DAVIS and A. PACE
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[Abstract] [Full Text] [PDF]