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Complications - Resection-Suspension Arthroplasty according to Epping for Rhizarthrosis

  1. Intraoperative Complications

    • Lesion of radial artery
    • Lesion/Severing of FCR
    • Lesion of the branches of the superficial branch of the radial nerve as well as the medial antebrachial cutaneous nerve
    • Incomplete removal of the trapezium
    • Fracturing of the bone during drilling

    Management 

    • Primary microsurgical nerve or artery suture 
    • Careful exposure of the bone and its osteophytes. Control of the resection by palpation of the surgical area, if necessary, fluoroscopy control
    • If possible, reconstruction of the FCR tendon and change of procedure (trapeziectomy alone, if necessary with fixation of the 1st metacarpal bone using K-wires to the 2nd and 3rd metacarpals)
    • In case of fracturing, change of procedure with suspension by partial transfer of the APL (Abductor pollicis longus tendon)
Postoperative Complications

Acute ComplicationsBleeding/HematomaInfection/Wound Healing DisorderManagementfor relevant hematoma

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