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ARTHRODESIS OF THE CARPO-METACARPAL JOINT OF THE THUMB

Robert E. Carroll 1; and Norman A. Hill 1

1 Columbia Presbyterian Medical Centre and St Luke's Hospital Centre, New York; United States of America

1. A technique of arthrodesis of the trapezio-metacarpal joint of the thumb is described. Primary fusion was achieved in thirty-six of thirty-nine cases.

2. Compensatory movement at the adjacent joints permits a good range of thumb movement.

3. Trapezio-metacarpal arthrodesis is the operation of choice for patients under fifty with isolated osteoarthritis of this joint. It is also useful for stabilising the thumb in patients with paralysis of the thumb when adequate muscles for transfer are not available.
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Registered charity no: 209299     Print ISSN: 0301-620X
Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General