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Suture button suspension following trapeziectomy in a cadaver model

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HAND

Abstract

Background

The safety and the effects of different trajectories on thumb motion of suture-button suspensionplasty post-trapeziectomy are not known.

Methods

In a cadaveric model, thumb range of motion, trapeziectomy space height, and distance between the device and nerve to the first dorsal interosseous muscle (first DI) were measured for proximal and distal trajectory groups. Proximal trajectory was defined as a suture button angle directed from the thumb metacarpal to the second metacarpal at a trajectory less than 60° from the horizontal; distal trajectory was defined as a suture button angle directed from the thumb metacarpal to the second metacarpal at a trajectory of greater than 60° from the horizontal (Fig. 1).

Results

There were no significant differences in range of motion and trapeziectomy space height between both groups. The device was significantly further away from the nerve to the first DI in the proximal trajectory group compared to the distal trajectory group, but was still safely away from the nerve in both groups (greater than 1 cm).

Conclusions

These results suggest that the device placement in either a proximal or distal location on the second metacarpal will yield similar results regarding safety and thumb range of motion.

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Conflict of interest

The authors declare that they have no conflicts of interest, commercial associations, or intent of financial gain regarding this research.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Stanford University Medical Center, 450 Broadway St, Pavilion C, Redwood City, CA, 94063, USA

    Yohan Song, Christopher A. Cox & Jeffrey Yao

  2. 450 Broadway Street, MC 6342 Pavilion A, 2nd floor, Department A26, Redwood City, CA, 94063, USA

    Jeffrey Yao

Authors
  1. Yohan Song
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  2. Christopher A. Cox
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  3. Jeffrey Yao
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Corresponding author

Correspondence to Jeffrey Yao.

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Song, Y., Cox, C.A. & Yao, J. Suture button suspension following trapeziectomy in a cadaver model. HAND 8, 195–200 (2013). https://doi.org/10.1007/s11552-012-9473-6

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  • DOI: https://doi.org/10.1007/s11552-012-9473-6

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