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How a Gauze Sponge Roll Enhances Surgical Exposure in Thumb Carpometacarpal Arthroplasty: A Technical Note

Year: 2024

Type: article

Abstract: Thumb carpometacarpal arthroplasty has become a widely used standard technique in the surgical treatment of thumb carpometacarpal osteoarthritis. One of the most critical steps during this procedure is proper surgical exposure of the trapezium and the base of the first metacarpal to allow for prosthesis implantation. This article introduces a surgical technique in which a roll constructed from gauze sponges tightly wrapped with medical tape facilitates several steps in thumb carpometacarpal arthroplasty. While performing a dorsoradial approach to the thumb carpometacarpal joint, this cost-effective tool is perfectly tailored to the joint's unique anatomy. It aids in precise hand positioning and ensures optimal exposure of the trapezium and base of the first metacarpal, which is crucial for accurate cup and stem preparation as well as for unimpeded prosthesis implantation.

Source: Journal of Clinical Medicine

DOI: 10.3390/jcm13206179

Authors: Matthias Holzbauer, Julian Alexander Mihalic, Tobias Gotterbarm, Stefan Mathias Froschauer

Institutions: Johannes Kepler University of Linz, Kepler Universitätsklinikum

Language: English

Topic: Orthopedic Surgery and Rehabilitation

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,772