Thumb Carpometacarpal Arthroplasty with Ligament Reconstruction and Tendon Interposition Using Flexor Carpi Radialis Tendon and a Tenodesis Screw
This video shows the surgical technique for thumb carpometacarpal arthroplasty with ligament reconstruction and tendon interposition using flexor radialis tendon. A tenodesis screw is used to improve fixation of FCR tendon into the first metacarpal bone.
Dr. Victor Hoang is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means including the patients with musculoskeletal problems which include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. Patients with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system are also concerned.
Hand Fellows from Philadelphia Hand Center, University of Colorado, Mayo Clinic, and Hospital for Special Surgery debate methods for SL reconstruction. 3 Ligament tenodesis, Reduction and Association of SL, Scapholunate internal brace 360, Swivelock SL IL Reconstruction and ANAFAB are also discussed and compared with pearls for each procedure
Thumb carpal metacarpal joint (CMCJ) arthritis is common. Surgical
denervation is an option for symptomatic CMCJ arthritis. Articular branches of
denervation can be performed using a single volar incision. Synovectomy at the CMCJ
can also be performed at the same time. Short recovery period is noted.
