Osteoarthritis – Hand and Wrist-Basal Joint Arthroplasty with Ligament Reconstruction. MasterTechniques in Hand Surgery

Basal Joint Arthroplasty with Ligament Reconstruction. MasterTechniques in Hand Surgery

Video Transcription

Video Summary

Dr. Henry Backe, immediate past president of the Eastern Orthopedic Association, presents a technique for basal joint orthoplasty. He discusses the anatomy of the basal joint and explains that the stabilizing ligament is the dorsal radial complex, not the palmar oblique ligament as previously believed. Dr. Backe describes the surgical objectives of basal joint arthroplasty, which include pain relief, metacarpal stability, thumb motion, and pinch strength. He explains the historical procedures for basal joint pain relief, including arthrodesis, trapezial excision, and interpositional arthroplasty. He shares his preferred technique, the Ligament Reconstruction Tendon Interposition (LRTI), which involves using the entire flexor carpi radialis tendon. He also demonstrates his surgical procedure for LRTI and highlights the advantages of a percutaneous flexor carpi radialis harvest. Dr. Backe concludes by discussing his 12 years of experience with the LRTI technique and its positive outcomes in terms of stability and pinch strength. The video is presented by Dr. Backe, but the credits for the information within the video were not mentioned.

Keywords

Dr. Henry Backe

basal joint orthoplasty

dorsal radial complex

basal joint arthroplasty

Ligament Reconstruction Tendon Interposition (LRTI)