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Purpose
Evaluation of our primary results from the use of a mini ex-fix system for the treatment of the first carpometacarpal joint arthritis1-3 (Figure1).
Figure 1 Mini ex-fix system for the treatment of the first carpometacarpal joint arthritis.
Method
We admitted in our clinic 10 patients the last 2 years. 7 females, 3 males, all of them were agriculture workers. The main age 62 was years old (55-72y).
All the patients complained for pain and tenderness to the base of the thumb more than 3 years and presented decrease grip strength.4
In all the patients the anaesthesia was axillary block.
After an open debridement of the first carpometacarpal joint (Figure 2) we apply, under x-ray control, a mini ex-fix system3,5 (Figure 3).
Figure 2 After an open debridement of the first carpometacarpal joint.
Figure 3 Under x-ray control, a mini ex-fix system.
It’s very important the application of the first needle of the system to cause compression between the base of the first metacarpal and the trapezium (Figure 4 & 5).6-10
Figure 4 Under x-ray control, a mini ex-fix system.
Figure 5 Under x-ray control, a mini ex-fix system.
Results
In all the patients the system was removed after six weeks in outpatient clinic.
One patient had a pin track infection which was treated by oral antibiotics.
The post-op evaluation of the patients includes clinical examination and x-ray control.
All the patients had a short course of physical therapy post-op.11-16
All the patients had complete pain relief and most of them returned to their previous activity after 3 months postoperative.17-18
Conclusion
Even that the number of the patients and the follow up is short we believe that the above method is a safe and rigid method with satisfactory results (Figure 6).19,20
Figure 6 After treatment.
Acknowledgment
None.
Conflict of interest
None.
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