TechniquesAPL Lasso Suspensionplasty for TrapeziectomySivakumar, Brahman S. MBBS, BSc (Med), MS, FRACS, FAOrthA; Graham, David J. BPhty, MBBS, FRACS, FAOrthAAuthor Information Department of Orthopaedic Surgery, Gold Coast University Hospital, Southport, Qld, Australia 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 Brahman S. Sivakumar, MBBS, BSc (Med), MS, FRACS, FAOrthA, 10/27, Bennelong Parkway, Wentworth Point 2127, NSW, Australia. E-mail: [email protected]. Techniques in Hand & Upper Extremity Surgery: September 2020 - Volume 24 - Issue 3 - p 108-113 doi: 10.1097/BTH.0000000000000276 Buy Metrics Abstract Base of thumb arthritis is a common pathology, with late-stage disease often treated by trapeziectomy and a form of ligament reconstruction or suspension. No therapeutic option for suspension or ligament reconstruction has proven to be superior to others, with risks inherent to all. Here, the authors describe a novel technique utilizing an accessory slip of abductor pollicis longus looped around the second metacarpal base to suspend the metacarpal and prevent subsidence after trapeziectomy. This technique aims to mitigate some of the risks seen in other methods, while providing similar biomechanical strength. Early clinical results are also presented. Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.