Abstract
This chapter details the steps in performing a ligament reconstruction and tendon interposition. A subperiosteal longitudinal capsulotomy between the extensor pollicis brevis (EPB) and abductor pollicis longus (APL) tendons is made over the carpometarcarpal and scaphotrapezial joint. The trapezium is dissected and osteophytic bone between base of thumb and index metacarpal is removed. A bone tunnel is created through the first metacarpal. The ulnar half of the flexor carpi radialis (FCR) tendon is transected at the musculotendinous junction and is then passed through the bone tunnel. The tendon is tied and sutured onto itself using Krackow style technique. Remaining tendon is rolled and secured into the arthroplasty space. Indications, essential steps, postoperative care, and sample operative dictation are included.
| Original language | English (US) |
|---|---|
| Title of host publication | Operative Dictations in Plastic and Reconstructive Surgery |
| Publisher | Springer International Publishing |
| Pages | 481-483 |
| Number of pages | 3 |
| ISBN (Electronic) | 9783319406312 |
| ISBN (Print) | 9783319406299 |
| DOIs | |
| State | Published - Jan 1 2016 |
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Keywords
- Abductor pollicis longus (APL) tendon
- Basal joint arthritis
- Capsulotomy
- Carpometacarpal (CMC) joint pain and instability
- Extensor pollicis brevis (EPB) tendon
- Flexor carpi radialis (FCR) tendon
- Musculotendinous junction
- Radial artery
- Radial sensory nerve
- Scaphotrapezial joint
- Trapezium
ASJC Scopus subject areas
- Medicine(all)
Cite this
Ligament reconstruction and tendon interposition (LRTI). / Tran, Tuan Anh; Szabo, Robert M.
Operative Dictations in Plastic and Reconstructive Surgery. Springer International Publishing, 2016. p. 481-483.Research output: Chapter in Book/Report/Conference proceeding › Chapter
}
TY - CHAP
T1 - Ligament reconstruction and tendon interposition (LRTI)
AU - Tran, Tuan Anh
AU - Szabo, Robert M
PY - 2016/1/1
Y1 - 2016/1/1
N2 - This chapter details the steps in performing a ligament reconstruction and tendon interposition. A subperiosteal longitudinal capsulotomy between the extensor pollicis brevis (EPB) and abductor pollicis longus (APL) tendons is made over the carpometarcarpal and scaphotrapezial joint. The trapezium is dissected and osteophytic bone between base of thumb and index metacarpal is removed. A bone tunnel is created through the first metacarpal. The ulnar half of the flexor carpi radialis (FCR) tendon is transected at the musculotendinous junction and is then passed through the bone tunnel. The tendon is tied and sutured onto itself using Krackow style technique. Remaining tendon is rolled and secured into the arthroplasty space. Indications, essential steps, postoperative care, and sample operative dictation are included.
AB - This chapter details the steps in performing a ligament reconstruction and tendon interposition. A subperiosteal longitudinal capsulotomy between the extensor pollicis brevis (EPB) and abductor pollicis longus (APL) tendons is made over the carpometarcarpal and scaphotrapezial joint. The trapezium is dissected and osteophytic bone between base of thumb and index metacarpal is removed. A bone tunnel is created through the first metacarpal. The ulnar half of the flexor carpi radialis (FCR) tendon is transected at the musculotendinous junction and is then passed through the bone tunnel. The tendon is tied and sutured onto itself using Krackow style technique. Remaining tendon is rolled and secured into the arthroplasty space. Indications, essential steps, postoperative care, and sample operative dictation are included.
KW - Abductor pollicis longus (APL) tendon
KW - Basal joint arthritis
KW - Capsulotomy
KW - Carpometacarpal (CMC) joint pain and instability
KW - Extensor pollicis brevis (EPB) tendon
KW - Flexor carpi radialis (FCR) tendon
KW - Musculotendinous junction
KW - Radial artery
KW - Radial sensory nerve
KW - Scaphotrapezial joint
KW - Trapezium
UR - http://www.scopus.com/inward/record.url?scp=85029040052&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85029040052&partnerID=8YFLogxK
U2 - 10.1007/978-3-319-40631-2_120
DO - 10.1007/978-3-319-40631-2_120
M3 - Chapter
AN - SCOPUS:85029040052
SN - 9783319406299
SP - 481
EP - 483
BT - Operative Dictations in Plastic and Reconstructive Surgery
PB - Springer International Publishing
ER -