Ligament reconstruction and tendon interposition (LRTI)

Tuan Anh Tran, Robert M Szabo

Research output: Chapter in Book/Report/Conference proceedingChapter

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 languageEnglish (US)
Title of host publicationOperative Dictations in Plastic and Reconstructive Surgery
PublisherSpringer International Publishing
Pages481-483
Number of pages3
ISBN (Electronic)9783319406312
ISBN (Print)9783319406299
DOIs
StatePublished - Jan 1 2016

Fingerprint

Ligaments
Tendons
Metacarpal Bones
Bone and Bones
Postoperative Care
Thumb
Arthroplasty
Joints

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

Tran, T. A., & Szabo, R. M. (2016). Ligament reconstruction and tendon interposition (LRTI). In Operative Dictations in Plastic and Reconstructive Surgery (pp. 481-483). Springer International Publishing. https://doi.org/10.1007/978-3-319-40631-2_120

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 proceedingChapter

Tran, TA & Szabo, RM 2016, Ligament reconstruction and tendon interposition (LRTI). in Operative Dictations in Plastic and Reconstructive Surgery. Springer International Publishing, pp. 481-483. https://doi.org/10.1007/978-3-319-40631-2_120
Tran TA, Szabo RM. Ligament reconstruction and tendon interposition (LRTI). In Operative Dictations in Plastic and Reconstructive Surgery. Springer International Publishing. 2016. p. 481-483 https://doi.org/10.1007/978-3-319-40631-2_120
Tran, Tuan Anh ; Szabo, Robert M. / Ligament reconstruction and tendon interposition (LRTI). Operative Dictations in Plastic and Reconstructive Surgery. Springer International Publishing, 2016. pp. 481-483
@inbook{6f0f5d3190364d968d0997d9850c502d,
title = "Ligament reconstruction and tendon interposition (LRTI)",
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.",
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",
author = "Tran, {Tuan Anh} and Szabo, {Robert M}",
year = "2016",
month = "1",
day = "1",
doi = "10.1007/978-3-319-40631-2_120",
language = "English (US)",
isbn = "9783319406299",
pages = "481--483",
booktitle = "Operative Dictations in Plastic and Reconstructive Surgery",
publisher = "Springer International Publishing",

}

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 -