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Orthopedics & Rheumatology

Mini Review Volume 3 Issue 4

Surgical Treatment of the First Carpometacarpal Joint Arthritis Using a Mini External Fixation System

Athanasios Alexandris, Georgios Varsanis, Nikolaos Tassios, Maria Sfakiotaki, Vaios Goulas

Department of Orthopedics, General Hospital of Trikala, Greece

Correspondence: Athanasios Alexandris, Department of Orthopedics, General Hospital of Trikala, Karditsis 51 Trikala 42100, Greece, Tel 00306947445950

Received: October 14, 2015 | Published: October 27, 2015

Citation: Alexandris A, Varsanis G, Tassios N, Sfakiotaki M, Goulas V (2015) Surgical Treatment of the First Carpometacarpal Joint Arthritis Using a Mini External Fixation System. MOJ Orthop Rheumatol 3(4): 00101. DOI: 10.15406/mojor.2015.03.00101

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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.

References

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