• Arch Orthop Trauma Surg · Sep 2023

    Extension osteotomy of the metacarpal I and ligamentoplasty of the trapeziometacarpal joint for the treatment of early-stage osteoarthritis and instability of the trapeziometacarpal joint.

    • Philipp Honigmann, Marco Keller, Noémie Devaux-Voumard, Enrico Coppo, and Damian Sutter.
    • Hand and Peripheral Nerve Surgery, Department of Orthopaedic Surgery and Traumatology, Kantonsspital Baselland (Bruderholz, Liestal, Laufen), Bruderholz, Switzerland. philipp.honigmann@ksbl.ch.
    • Arch Orthop Trauma Surg. 2023 Sep 1; 143 (9): 601160186011-6018.

    AbstractOsteoarthritis (OA) is a common disease of the first carpo-metacarpal (CMC I) joint. Biomechanical factors promoting OA are the shape of the CMC I-joint, being a biconcave-convex saddle joint with high mobility and the increased instability caused by joint space narrowing, ligamentous laxity, and direction of force transmission of the abductor pollicis longus (APL) tendon during adduction. The closing wedge osteotomy of the base of the first metacarpal is joint preserving treatment option. We combine this closing wedge osteotomy with a ligamentoplasty to stabilize the joint. In this manuscript, we provide a detailed description of the indication, discuss biomechanical aspects and the surgical technique in detail.© 2023. The Author(s).

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