Targeted Partial Arthroscopic Trapeziectomy and Distraction: Surgical Technique

• Published in: Arthroscopy techniques (Amsterdam) Vol. 11; no. 12; pp. e2303 - e2308
• Main Authors: de Villeneuve Bargemon, Jean-Baptiste, Niddam, Samuel, Tomczak, Sacha, Levadoux, Michel
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier Inc 01.12.2022; Elsevier
• Subjects: Orthopedics; Technical Note
• ISSN: 2212-6287; 2212-6287
• DOI: 10.1016/j.eats.2022.08.040

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 based on two goals: targeted resection of painful arthritic lesions and distraction of the joint to restore ligament tension and hopefully regrow fibrocartilage on resected lesions. [Display omitted]