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Journal of Hand Surgery (British and European Volume)
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Treatment of Chronic Injuries of the Ulnar Collateral Ligament of the Thumb Using a Free Tendon Graft and Bone Suture Anchors

G. I. MITSIONIS, S. E. VARITIMIDIS and G. G. SOTEREANOS

From the Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA

Correspondence: D. G. Sotereanos MD, Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Kaufmann Building, Suite 1010, 3471 Fifth Avenue, Pittsburgh, PA 15213, USA. E-mail: dsoterea{at}uoi.upmc.edu

We report the results of a simple technique, using bone suture anchors and free tendon graft, for the reconstruction of chronic injuries of the ulnar collateral ligament complex at the thumb metacarpophalangeal (MP) joint. Our series includes 20 patients, with a mean age of 29 years. The mean follow-up period was 42 months. Using the Glickel grading system, 14 patients had excellent results and six had good results. Seventeen patients had no pain and three complained of mild pain with weather changes. Fourteen patients regained full stability of the MP joint and six had mild laxity. The mean loss of pinch strength was 18% compared with the contralateral thumb. The mean loss of motion at the metacarpophalangeal joint was 21%.

Journal of Hand Surgery (British and European Volume), Vol. 25, No. 2, 208-211 (2000)
DOI: 10.1054/jhsb.1999.0353
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