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Collateral Ligament Reconstruction of the Chronic Thumb Injury With Bio-Tenodesis Screw Fixation

Gvozdenovic, Robert MD,; Boeckstyns, Michel MD

Techniques in Hand & Upper Extremity Surgery: December 2014 - Volume 18 - Issue 4 - p 160–164
doi: 10.1097/BTH.0000000000000058
Techniques

We describe a new technique for the reconstruction of chronic lesions of the collateral ligaments of the metacarpophalangeal ligaments of the thumb, using a Bio-Tenodesis screw for the fixation of a tendon graft in a triangular manner with proximal apex and allowing early mobilization, starting 2 weeks after operation. Short-term results after 12 to 43 months (mean, 26 mo), showed no significant differences in grip and pinch strength compared with the opposite thumb and restricted loss of motion in the metacarpophalangeal joints (10%) and the interphalangeal joints (4%). We conclude that this technique minimizes the rehabilitation and sick leave period and represents a good alternative to other methods.

Hand Surgery Unit, Orthopaedic Surgery Department, Gentofte Hospital, University of Copenhagen, Hellerup, Denmark

Conflicts of Interest and Source of Funding: The authors report no conflicts of interest and no source of funding.

Address correspondence and reprint requests to Robert Gvozdenovic, MD, Hand Surgery Unit, Orthopaedic Surgery Department, Gentofte Hospital, University of Copenhagen, Niels Andersens Vej 65, Hellerup 2900, Denmark. E-mails: robert.g@dadlnet.dk; robert.gvozdenovic@regionh.dk.

© 2014 by Lippincott Williams & Wilkins