Resection-suspension arthroplasty according to Epping for thumb carpometacarpal osteoarthritis

Anatomy Perioperative management Technique Complications Evidence Total Video

Content

Planning/Incision
Representation of the trapezium bone from the palmar side
Resection of the trapezium bone (trapeziectomy)
Checking the stability of the first metacarpal
Preparation of the FCR tendon
Suspension plastic surgery
Irrigation and wound closure

Authors

Dr. med. Kirsten Beyermann

Fachärztin für Chirurgie, Unfallchirurgie, Handchirurgie

Dr. med. Bernhard Rozée

Hessing Stiftung Klinik für Handchirurgie

Planning/Incision
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Anatomical orientation by palpation and marking of anatomical landmarks:
- 1. SSF = Extensor tendon compartment
- 1. CMC joint (saddle joint) = Carpometacarpal joint
- STT joint = Scapho-trapezo-trapezoidal joint
Longitudinal skin incision dorsally over the saddle joint with an arched extension proximally over the 1st SSF. Sharp transection of the subcutis under bipolar coagulation of individual veins.

Representation of the trapezium bone from the palmar side

Sequential presentation of the trapezium bone with the adjacent joints (1st CMC, ST joint). The rad

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After activation, you can expect the following content:

Planning/Incision
Representation of the trapezium bone from the palmar side
Resection of the trapezium bone (trapeziectomy)
Checking the stability of the first metacarpal
Preparation of the FCR tendon
Suspension plastic surgery
Irrigation and wound closure

Resection-suspension arthroplasty according to Epping for thumb carpometacarpal osteoarthritis

Planning/Incision

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Single Access

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hand surgery