26

Basal joint arthritis treated with partial trapeziectomy and Mini TightRope® - case series

First carpometacarpal (CMC) joint osteoarthritis is common in the elderly population, particularly females. The first CMC joint accounts for profound hand function which includes flexion/extension, abduction/adduction, and opposition; thus it is important for patients' daily living and working. Traditionally, thumb CMC joint arthritis is treated with trapeziectomy; however, a novel surgical technique to address this problem is suture-button (SB) suspensionplasty with a mini-tightrope after full or partial trapeziectomy. Recent studies suggested good outcomes of this technique.

Retrospective study from 2018~2024, A total of 5 patients treated with Tight-Rope was included

Outcomes were measured using the QuickDASH questionnaire, Visual Analogue Scale (VAS) for pain, and pinch strength

Although previous study revealed that tightrope does not improve functional benefit in the short-term when compared to the traditional trapeziectomy alone, larger-scale with longer-term patient follow-up is needed for this novel procedure to see whether it is beneficial.