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Journal of Hand Surgery (British and European Volume)
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Articles

Trapeziectomy and Ligament Reconstruction for Osteoarthrosis of the Base of the Thumb

A prospective study of 100 operations

S. NYLÉN
A. JOHNSON
A-M ROSENQUIST

From the Department of Hand Surgery, Sabbatsberg Hospital, Stockholm, Sweden

Correspondence: Sören Nylén, Department of Hand Surgery, Sabbatsberg Hospital, Box 6401, S-113 82 Stockholm, Sweden.

100 thumbs with primary osteoarthrosis of the joints of the trapezium were treated by trapeziectomy and a FCR sling arthroplasty to reconstruct a first intermetacarpal ligament by the method described by Burton and Pellegrini (1986). Pain at rest remained in five. Some pain at or after exertion persisted in 46, and 49 became completely pain-free. 88 were satisfied with the procedure and there was a significant increase in pinch strength and in the ability to perform activities of daily life. It has become our preferred procedure for treating osteoarthrosis of the basal joint of the thumb.

Journal of Hand Surgery (British and European Volume), Vol. 18, No. 5, 616-619 (1993)
DOI: 10.1016/0266-7681(93)90017-A
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