Rhizarthrosis is the most common degenerative joint disease of the hand, affecting about 10% of the population. We report our results with trapezium replacement using a pyrocarbon spacer. Between January 2005 and April 2010, 70 patients underwent trapeziectomy with interposition of a pyrocarbon spacer. Sixty patients were examined at an average follow-up of 23.6 (5-64) months after the operatio...

Pollicization remains one of the most useful surgeries in the field of hand surgery as it involves creation of a new thumb which contributes to 40 percent of hand function. It involves transfer of one of the fingers to create a new functioning thumb when it is absent. The surgery demands an intelligent use of skin flaps, osteotomy and muscle balancing to create an almost normal looking aestheti...

PURPOSE To evaluate the functional outcome of the hand following flexor tendon repair at 'no man's land' using 2 strands of a modified Kessler core suture and combined controlled motion rehabilitation protocol. METHODS Records of 31 zone-2 flexor tendon injuries in 21 digits of 16 patients between July 2000 and June 2005 were reviewed retrospectively. The injured tendons were repaired within ...

BACKGROUND Trapeziometacarpal joint osteoarthritis is a painful, disabling condition that primarily affects women who are postmenopausal. Arthroplasty has been performed to treat this condition; however, subluxation has been a problem with all previous implants. We report the results of hemiarthroplasty using a prosthesis designed to address the problems associated with previous implants. QUE...

Dear Sir, Pediatric flexor pollicis longus (FPL) injury is an uncommon entity with scarce literature pertinent to the results of repair. Although much has been inferred from the study of long flexor tendons of the other 4 digits, the FPL’s unique anatomy has been cited as justification for its independent study. The largest case series of 16 patients has reported outcome analysis using a modifi...

UNLABELLED Objective : There are few reports on outcome following flexor tendon repair of the hand in zone 5. We hypothesized that early mobilization of the fingers is possible if the suture site of repaired tendon is strong enough. The aim of this study was to assess the results of flexor tendon repair in this zone using modified Kessler method reinforced by peripheral running suture and a pos...

The purpose of this update is to report on a variety of topics related to trapezium implants that have been investigated during the past three years. The keyword trapezium implant was utilized to query the PubMed database of the U.S. National Library of Medicine. From the resulting list, papers published from the beginning of January 2012 through the beginning of April 2015 were reviewed. The t...