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Arthroscopic Indications and Technique for Artelon Interposition Arthroplasty of the Thumb Trapeziometacarpal Joint

Badia, Alejandro MD, FACS

Techniques in Hand & Upper Extremity Surgery: December 2008 - Volume 12 - Issue 4 - p 236-241
doi: 10.1097/BTH.0b013e318190c1e7

Advanced basal joint arthritis that has failed conservative treatment has traditionally been treated with some type of procedure that encompasses complete trapezial excision. An arthroscopic technique entailing only minimal trapezial debridement coupled with insertion of a synthetic interposition material is described. This provides the implicit benefits of a minimally invasive procedure, with less pain and faster recovery, along with the great advantage of trapezium preservation. The surgical technique is described along with a preliminary clinical series supporting its use.

Miami Hand Center, Miami, FL

Address correspondence and reprint requests to Alejandro Badia, MD, FACS, Badia Hand to Shoulder Center, 3650 NW 82nd Ave, Suite 103 Doral, FL 33166. E-mail:

© 2008 Lippincott Williams & Wilkins, Inc.