Targeted partial arthroscopic trapeziectomy and distraction (TPATD): Surgical technique

• Published in: Hand surgery and rehabilitation Vol. 42; no. 6; p. 626
• Main Authors: De Villeneuve Bargemon, Jean-Baptiste, Jaloux, Charlotte, Levadoux, Michel
• Format: Journal Article
• Language: English
• Published: 01.12.2023
• Subjects: Orthopedics; Physical Medicine and Rehabilitation; Surgery
• ISSN: 2468-1229
• DOI: 10.1016/j.hansur.2023.09.360

Basal joint osteoarthritis is a real public health problem, yet there is no consensus on its treatment. Although total trapeziectomy, as well as arthroplasty, provides long-lasting efficacy, it does not seem to be adapted to a young population with complications that are often very difficult to manage. In the era of minimally invasive surgery, there is a real interest in finding conservative therapeutic alternatives for young subjects that allow them to pass a painful milestone? and thus postpone the least conservative interventions. This article details the surgical technique of an arthroscopic and conservative technique: The Targeted Partial Arthroscopic Trapeziectomy and Distraction (TPATD) based on two points: targeted resection of painful arthritic lesions and distraction of the joint to restore ligament tension and hopefully regrow fibrocartilage on resected lesions.