Skip to main content
SpringerLink
Log in

The Mitek mini anchor in the treatment of the gamekeeper's thumb

  • Originals
  • Published:
European Journal of Plastic Surgery Aims and scope Submit manuscript

Abstract

The fixation of a distally ruptured ulnar collateral ligament of the MP 1 (Metacarpophalangeal) joint without a portion of ligament which can be sutured or a small bony fragment can be accomplished with a variety of methods, most of which require drillholes through borth cortices and a counter incision as well as the removal of the material at a second stage [1, 11, 13, 15]. The Mitek bone mini anchor (Ethicon-Mitek®) proved to be a reliable and quick alternative [10, 12, 16, 18, 19]. It was successfully used in eleven patients with excellent stability of the reconstructed joint.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Bovard R, Derkash R, Freemann J (1994) Garde III avulsion fracture repair on the UCL of the proximal joint of the thumb. Orthop Rev 23:167–169

    Google Scholar 

  2. Bowers WH, Hurst LC (1977) Gamekeeper's thumb: evaluation by arthrography and stress roentgenography. J Bone Joint Surg [Am] 59:519–524

    Google Scholar 

  3. Browne EZ, Dunn HK, Snyder CC (1976) Ski pole thumb injury. Plast Reconstr Surg 58:19–23

    Google Scholar 

  4. Buch BD, Innis P, McClinton MA, Kotani Y (1995) The Mitek mini G2 suture anchor: biomechanical analysis of use in the hand. J Hand Surg 20A:877–881

    Google Scholar 

  5. Campbell CC (1955) Gamekeeper's thumb. J Bone Joint Surg [Br] 27:148–149

    Google Scholar 

  6. Cawley P, Howard M, Lane J, Robertson D, Zaretsky S (1993) Comparative evaluation of bone suture anchor systems in human cadaveric shoulders: a biomechanical investigation. Don Joy Biomechanics Research Laboratory, San Diego

    Google Scholar 

  7. Dray GJ, Eaton RG (1993) Dislocations and ligament injuries in the digits. In: Green DP (ed) Operative hand surgery, 3rd ed. Churchill Livingstone, New York, pp 767–798

    Google Scholar 

  8. Derkash RS, Matyas JR, Weaver JK et al. (1987) Acute surgical repair of the skier's thumb. Clin Orthop 216:29–33

    Google Scholar 

  9. Gerber C, Senn E, Matter P (1981) Skier's thumb. Am J Sports Med 9:171–179

    Google Scholar 

  10. Hallock GG (1994) The Mitek mini GII anchor introduced for tendon reinsertion in the hand. Ann Plast Surg 33:211–213

    Google Scholar 

  11. Ketchum LD (1985) Suture materials and suture techniques used in tendon repair. Hand Clin 1:43–45

    Google Scholar 

  12. Kozin SH, Bishop AT (1995) Treatment of thumb ulnar collateral ligament ruptures with the Mitek bone anchor. Ann Plast Surg 35:1–4

    Google Scholar 

  13. Louis DS, Huebner JJ, Hankin FM (1986) Rupture and displacement of the ulnar collateral ligament of the metacarpophalangeal joint of the thumb. J Bone Joint Surg [Am] 68:1320–1326

    Google Scholar 

  14. Moberg E, Stener B (1954) Injuries to the ligaments of the thumb and fingers - diagnosis treatment and prognosis. Acta Chir Scand 106:166–168

    Google Scholar 

  15. Neviaser RJ, Wilson JN, Lievano A (1971) Rupture of the ulnar collateral ligament of the thumb (gamekeeper's thumb). Correction by dynamic repair. J Bone Joint Surg [Am] 53:1357–1364

    Google Scholar 

  16. Obrist J, Genelin F, Neureiter H (1991) Bankart Operation mit dem Mitek-Anker-System. Unfallchirurgie 17:208–212

    Google Scholar 

  17. Palmer AK, Louis DS (1978) Assessing ulnar instability of the metacarpo-phalangeal joint of the thumb. J Hand Surg 3:542–546

    Google Scholar 

  18. Pederson B, Tesoro D, Wertheimer SJ, Coraci M (1991) Mitek anchor system: a new technique for tenodesis and ligamentous repair of the foot and ankle. J Foot Surg 30:48–51

    Google Scholar 

  19. Rehak DC, Softereanos DG, Bowman MW, Herndon JH (1994) The Mitek bone anchor, application to the hand, wrist and elbow. J Hand Surg 19A:853–860

    Google Scholar 

  20. Ryu J, Morgantown WV, Fagan R (1995) Arthroscopic treatment of acute complete thumb metacarpophalangeal ulnar collateral ligament tears. J Hand Surg 20A:1037–1042

    Google Scholar 

  21. Skoff HD, Hecker AT, Hayes WC, Sebell-Sklar R, Straughn N (1994) Bone suture anchors in hand surgery. J Hand Surg 20B:245–248

    Google Scholar 

  22. Stener B (1962) Displacement of the ruptured ulnar collateral ligament of the metacarpophalangeal joint of the thumb. A clinical and anatomical study. J Bone Joint Surg [Br] 44:869–879

    Google Scholar 

  23. Uhl RL, Williamson C (1993) A comparison study of suture anchoring techniques for scapholunate ligament reconstruction. Mitek Anchor System, Surgical Products, Norwood, MA

    Google Scholar 

  24. Weller S (1961) Die Distorsion im Daumengrundgelenk als Skitrauma. Dtsch Med Wochenschr 86:521

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Plastic and Hand Surgery, KKH-Nürtingen, Nürtingen, Germany

    J. Huber

  2. Department of Hand-, Plastic and Reconstructive Surgery, BG-Trauma Center, Ludwigshafen, Germany

    B. Bickert & G. Germann

Authors
  1. J. Huber
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. B. Bickert
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. G. Germann
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Huber, J., Bickert, B. & Germann, G. The Mitek mini anchor in the treatment of the gamekeeper's thumb. Eur J Plast Surg 20, 251–255 (1997). https://doi.org/10.1007/BF01159486

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01159486

Key words

Search

Navigation