Suture button suspension following trapeziectomy in a cadaver model.

Hand (N Y) 2013 Jun;8(2):195-200

Department of Orthopaedic Surgery, Stanford University Medical Center, 450 Broadway St, Pavilion C, Redwood City, CA 94063 USA ; 450 Broadway Street, MC 6342 Pavilion A, 2nd floor, Department A26, Redwood City, CA 94063 USA.

Background: The safety and the effects of different trajectories on thumb motion of suture-button suspensionplasty post-trapeziectomy are not known.

Methods: In a cadaveric model, thumb range of motion, trapeziectomy space height, and distance between the device and nerve to the first dorsal interosseous muscle (first DI) were measured for proximal and distal trajectory groups. Proximal trajectory was defined as a suture button angle directed from the thumb metacarpal to the second metacarpal at a trajectory less than 60° from the horizontal; distal trajectory was defined as a suture button angle directed from the thumb metacarpal to the second metacarpal at a trajectory of greater than 60° from the horizontal (Fig. 1).

Results: There were no significant differences in range of motion and trapeziectomy space height between both groups. The device was significantly further away from the nerve to the first DI in the proximal trajectory group compared to the distal trajectory group, but was still safely away from the nerve in both groups (greater than 1 cm).

Conclusions: These results suggest that the device placement in either a proximal or distal location on the second metacarpal will yield similar results regarding safety and thumb range of motion.

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11552-012-9473-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3652989PMC
June 2013
3 Reads

Publication Analysis

Top Keywords

distal trajectory
12
range motion
12
second metacarpal
12
suture button
12
proximal distal
8
proximal trajectory
8
device nerve
8
space height
8
trapeziectomy space
8
trajectory defined
8
motion trapeziectomy
8
button angle
8
metacarpal trajectory
8
60° horizontal
8
trajectory group
8
metacarpal second
8
thumb metacarpal
8
thumb range
8
angle directed
8
directed thumb
8

References

(Supplied by CrossRef)

Badia A et al.
Am J Orthop. 2008

Similar Publications