Poor results after interpositional arthroplasty with fascia lata allograft for arthritis of the trapezio-metacarpal joint

Silicone arthroplasty of the trapezio-metacarpal joint.

a procedure characterised by simple excision of the trapezium (Gervis 1949). This procedure does not restore the trapezio-metacarpal joint, but rather creates a gap between the articular surfaces of the metacarpal and the scaphoid bones. Recently Swanson described a new technique, in which the trapezium was replaced by a silicone implant. Reports of the early results ofhis method and some techn...

First Carpo-metacarpal Joint Arthritis: Interpositional Arthroplasty using Trapezium

Thumb pain secondary to arthritis at the basal joint of the thumb is a common condition, especially in women, and can be quite disabling. An accurate diagnosis can be readily made from the history and examination. Reconstructive procedures for each stage of the disease are aimed at relieving pain and restoring thumb motion and strength. There are a number of methods available to treat this cond...

Presentation and management of arthritis affecting the trapezio-metacarpal joint.

Arthritis affecting the trapezio-metacarpal joint (TMJ) of the thumb is a very common condition, and in the upper limb represents the site most often requiring surgery for symptomatic osteoarthritis. The condition predominantly affects women, especially those who are post menopausal. Management of the condition initially entails the use of conservative measures. Many of these are administered i...

Lateral thigh fascia lata as interpositional graft for temporomandibular joint ankylosis.

Successful management of temporomandibular joint (TMJ) ankylosis depends on adequate gap arthroplasty and interpositional graft; the objective is to produce a functioning pseudoarthrosis that prevents reankylosis and provides adequate mobility. Several interpositional grafts have been used for the treatment of temporomandibular joint ankylosis such as indigenous pterygomasseteric sling, tempora...

Reconstruction of the pectoralis major tendon with fascia lata allograft.