Carpometacarpal Arthrodesis: Indications and Techniques

Daniel A London; Peter J Stern

doi:10.1016/j.hcl.2021.11.003

Carpometacarpal Arthrodesis: Indications and Techniques

Hand Clin. 2022 May;38(2):231-240. doi: 10.1016/j.hcl.2021.11.003.

Authors

Daniel A London¹, Peter J Stern²

Affiliations

¹ Department of Orthopaedic Surgery, University of Missouri, 1100 Virginia Avenue, Columbia, MO 65212, USA. Electronic address: [email protected].
² Department of Orthopaedic Surgery, University of Cincinnati, 231 Albert Sabin Way, PO Box 670212, Cincinnati, OH 45267-0212, USA.

PMID: 35465940
DOI: 10.1016/j.hcl.2021.11.003

Abstract

Trapeziometacarpal arthrodesis is a beneficial surgery for young and higher-demand patients who have trapeziometacarpal arthritis. Surgical techniques can vary, but certain aspects of the surgery are critical, including bony preparation and positioning of the thumb in space. Reported outcomes are generally favorable, although the quality of evidence is poor. There are no comparison studies assessing different arthrodesis techniques, and only a few comparing arthrodesis to the trapeziometacarpal arthroplasty procedures. Most published results are case series with retrospectively collected data.

Keywords: Basal joint arthritis; CMC arthrodesis; CMC fusion; Trapeziometacarpal arthritis; Trapeziometacarpal arthrodesis; Trapeziometacarpal fusion.

Publication types

Review

MeSH terms

Arthrodesis / methods
Carpometacarpal Joints* / surgery
Humans
Osteoarthritis* / surgery
Retrospective Studies
Thumb / surgery
Trapezium Bone* / surgery