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The Journal of Bone and Joint Surgery (American). 2004;86:2570-2571
© 2004 The Journal of Bone and Joint Surgery, Inc.

Letter to the Editor

Ligament Reconstruction Versus Trapezial Resection Alone for Thumb Carpometacarpal Osteoarthritis

Stuart H. Kuschner, MD and Charles S. Lane, MD

Corresponding author:
Stuart H. Kuschner, MD
9001 Wilshire Boulevard, Suite 200
Beverly Hills, CA 90211
shkuschner@yahoo.com

The first 20% of the full text of this article appears below.

To The Editor:

In their article "Ligament Reconstruction with or without Tendon Interposition to Treat Primary Thumb Carpometacarpal Osteoarthritis. A Prospective Randomized Study" (2004;86:209-18), Kriegs-Au et al. concluded that the degree of proximal migration of the thumb metacarpal may have no effect on postoperative thumb strength, function, and pain. At the time of final follow-up, there was proximal migration of the thumb metacarpal compared with the position seen at both the preoperative visit and the initial postoperative visit. Since this does not appear to affect ultimate outcome, we would be interested in learning the authors' opinion regarding the role and utility of ligament reconstruction. Why not perform trapezial resection alone (without ligament reconstruction or tendon interposition)?

 

G. Kriegs-Au, G. Petje, E. Fojtl, R. Ganger, and I. Zachs reply:

Gabriele Kriegs-Au, MD, Gert Petje, MD, Eva Fojtl, MD, Rudolf Ganger, MD and Ingrid Zachs, MD

Corresponding author:
Gabriele Kriegs-Au, MD
City Medical Center
Bauernmarkt 1/16
A-1010 Vienna, Austria
cmc@aon.at

We believe that the technique of ligament . . . [Full Text of this Article]


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Related articles in JBJS:

Ligament Reconstruction with or without Tendon Interposition to Treat Primary Thumb Carpometacarpal Osteoarthritis. A Prospective Randomized Study
Gabriele Kriegs-Au, Gert Petje, Eva Fojtl, Rudolf Ganger, and Ingrid Zachs
JBJS 2004 86: 209-218. [Abstract] [Full Text]