Eaton-Littler Procedure for the Arthritis of Carpometacarpal Joint of Thumb

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Journal of the Korean Society for Surgery of the Hand 1997;2(2):219-226.
Published online January 1, 1997.

Dong Bae Shin,Sung Do Cho,Yong Sun Cho,Bum Soo Kim,Tae Woo Park,Kyung Ho Jin,Jae Yong Byun

모수지수근 관절염에 이용한 Eaton-Littler 술식의 치료 효과

신동배,조성도,조용선,김범수,박태우,진경호,변재용

Abstract

Extraarticular ligament reconstruction by a portion of the flexor carpi radialis (Eaton-Littler Procedure) to stabilize the thumb carpometacarpal (CMC) joint has been used for the treatment of arthritis of thumb CMC joint. Authors performed this procedure for three cases of arthritis of thumb CMC joint. Thoese cases were regarded as stage two and stage three according to Eatons radiologic stage. One case was post-traumatic arthritis and the others(both hands of a patient) were rheumatoid arthritis. Follow up periods were twelve months, twenty months, and four yeras each. Clinical analysis was performed on the basis of pain, range of motion, pinch power, radiologic study and instability on stress X-ray view. The pain was nearly abolished in all cases. The pinch power was 88%, 94% and 89% of those of average performance of normal persons with use of calibrated dynamometer. The range of motion of thumb CMC joint was similar to normal side. The Eaton-Littler procedure for thumb joint arthritis experienced by authors was reliable even in the presence of advanced arthritic changes.

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