Failed Suture Button Suspensionplasty of the Thumb Carpometacarpal Joint Salvaged Using Pyrocarbon Arthroplasty

Laura A Sonoda; Neil F Jones

doi:10.1016/j.jhsa.2017.03.017

Failed Suture Button Suspensionplasty of the Thumb Carpometacarpal Joint Salvaged Using Pyrocarbon Arthroplasty

J Hand Surg Am. 2017 Aug;42(8):665.e1-665.e4. doi: 10.1016/j.jhsa.2017.03.017. Epub 2017 Apr 25.

Authors

Laura A Sonoda¹, Neil F Jones²

Affiliations

¹ Department of Orthopaedic Surgery, University of California, Irvine, Orange, CA.
² Department of Orthopaedic Surgery, University of California, Irvine, Orange, CA. Electronic address: [email protected].

PMID: 28450101
DOI: 10.1016/j.jhsa.2017.03.017

Abstract

Carpometacarpal joint arthritis of the thumb is a common problem. Mini suture suspensionplasty has been reported as a successful treatment option. We describe a case of a ruptured suture button suspensionplasty that caused pain and thumb metacarpal subluxation. To our knowledge, this is the first reported mechanical failure of a suture suspensionplasty. Surgeons should be aware of this potential complication when using this device to treat thumb carpometacarpal arthritis surgically.

Keywords: Carpometacarpal revision; TightRope suture button suspensionplasty; carpometacarpal arthroplasty; pyrocarbon implant.

Publication types

Case Reports

MeSH terms

Aged
Arthroplasty, Replacement / instrumentation*
Carbon*
Carpometacarpal Joints*
Female
Humans
Joint Prosthesis*
Osteoarthritis / surgery*
Prosthesis Design
Thumb*

Substances

pyrolytic carbon
Carbon