Arthroscopic-assisted reduction and fixation of Bennett-type fractures of the thumb
metacarpal allow for the confirmation of reduction as well as the assessment of the
degree of chondral damage. With use of a 1.9-mm arthroscope and a traction tower,
direct visualization and reduction is possible. Traditional methods of fixation are
used to secure the fracture fragment. Postoperative rehabilitation follows the usual
protocol used in both open and percutaneous techniques. However, the potential to
obtain and confirm a more accurate articular reduction may reduce the incidence of
late arthritis of the thumb carpometacarpal articulation.
Key words
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References
- Injuries of the skeleton: value of the accumulation of specimens.BMJ. 1885; : 199
- Percutaneous leverage pinning in the treatment of Bennett's fracture.J Orthop Sci. 2005; 10: 27-31
- A technique for arthroscopic evaluation of the first carpometacarpal joint.J Hand Surg. 1997; 22A: 1077-1080
- Thumb carpometacarpal arthroscopy: a topographic, anatomic study of the thenar portal.J Hand Surg. 2005; 30A: 373-379
- Thumb carpal metacarpal arthritis.J Am Acad Orthop Surg. 2008; 16: 140-151
Article info
Publication history
Accepted:
October 19,
2009
Received:
April 21,
2009
Footnotes
No benefits in any form have been received or will be received related directly or indirectly to the subject of this article.
Identification
Copyright
© 2010 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.
