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Type: Journal article
Title: Arthrodesis of ring finger and little finger metacarpal bases for little finger carpometacarpal joint arthritis
Author: Bain, G.
Unni, P.
Mehta, J.
Eames, M.
Citation: Journal of Hand Surgery-british and European Volume, 2004; 29(5):449-452
Publisher: Churchill Livingstone
Issue Date: 2004
ISSN: 0266-7681
Statement of
Gregory I. Bain, P.M. Raghavan Unni, Janak A. Mehta and Michael H.A. Eames
Abstract: Five patients with localized little finger carpometacarpal arthritis were treated by excision of the little finger metacarpal base and arthrodesis of the little and ring metacarpals. A dorsal periosteal/capsular flap was used as an interposition graft. All patients achieved significant pain relief, good cosmesis and satisfactory grip strength. All returned to activities of daily living. This procedure, the Dubert procedure, is indicated for localized pathology of the hamate-little finger metacarpal joint. It has theoretical advantages over arthrodesis and resection or interposition arthroplasty as it preserves little finger length, rotation and alignment and maintains some mobility of the transverse carpal arch and the little finger ray.
Keywords: Metacarpus; Metacarpophalangeal Joint; Humans; Osteoarthritis; Hand Strength; Treatment Outcome; Activities of Daily Living; Arthrodesis; Bone Transplantation; Bone Screws; Esthetics; Adult; Aged; Middle Aged; Female; Male
RMID: 0020091940
DOI: 10.1016/j.jhsb.2004.03.010
Appears in Collections:Orthopaedics and Trauma publications

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