A Comparative Study of Trapeziectomy with Tightrope – Are We Making A Difference?


  Tanaya Sarkhel, FRCS (Ortho), MBBS, Chertsey, Surrey, United Kingdom Arvind Mohan, MBBS, Michael Shenouda, Hiba Ismail, INTRODUCTION: There are various surgical procedures described for thumb carpometacarpal (CMC) arthritis. Various types of spacers and interposition arthroplasties performed show no significant difference in outcome of these patients. We propose the hypothesis that the tightrope is not better than traditional trapeziectomy. METHODS: To assess our hypothesis, we conducted a retrospective study with patients divided into two comparable groups. Group 1 included 28 patients with 30 trapeziectomies done with tightrope. Group 2 included 25 patients with 26 trapeziectomies done without any other procedure. […]

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Long-Term Survival of High Tibial Osteotomy for Medial Compartment Osteoarthritis of the Knee

Catherine Hui, MD, FRCS(C), Lucy J. Salmon, BAppSci (Physio), PhD, Alison Kok, BMedSci (Hons), BAppSci (Physio), Heidi A. Williams, MScMed, Niels Hockers*, Willem M. van der Tempel, MD, Leo A. Pinczewski, MBBS, FRACS Rishi Chana, FRCS (Tr & Orth) Abstract Background: The management of degenerative arthritis of the knee in the younger, active patient presents a challenge to the orthopaedic surgeon. Surgical treatment options include high tibial osteotomy (HTO), unicompartmental knee arthroplasty, and total knee arthroplasty. Purpose: To examine the long-term survival of closing wedge HTO in a large series of patients up to 19 years after surgery. Study Design: […]

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