Treatment of basal thumb arthritis is dependant on age, hand dominance and local condition including trapezium size and trapeziometacarpal instability.
The gold standard operation is the excision of the trapezium associated with a tendon interposition and ligamentoplasty. This operation preserves basal thumb mobility and provide long standing results.
Many new techniques are also possible:
Total arthroplasty
Pyrocarbon interposition
Trapezial or metacarpal osteotomy
My clinical research is focused on
- Choosing the appropriate tendon for trapezectomy with ligamentoplasty
- Improvement of total arthroplasties
Publications
– Total Trapeziometacarpal arthroplasty – Invited lecture
Dubert T
14th Congress of the Turkish Hand & Upper extremity Society, Bursa Turkey 15-18th May, 2014
– Use of the entire Flexor Carpi Radialis for Basal Thumb Ligament Reconstruction Interposition Arthroplasty – Invited lecture
Werthel JD, Dubert T
International Symposium Jouvenet Hand Institute– State of the art in upper limb arthroplasties
March 20-21st, 2013
– Cinématique in vivo de l’articulation trapézo-métacarpienne après trapézectomie-ligamentoplastie au fléchisseur radial du carpe.Goubier JN, Mitton D, Lavaste F, Dubert T, Teboul F, Dinh A, Osman N43 ème congrès de la Société française de Chirurgie de la Main. Paris 13-15 décembre 2007
– Trapézectomie par voie antérieure utilisant tout le FCRDubert T – Fernandez F – Goubier JNSymposium de l’institut de la main – L’arthrose de la main et des doigtsParis – 23-24 avril 2007
– Use of the entire flexor carpi radialis tendon for basal thumb ligament reconstruction interposition arthroplasty
Dubert T, Goubier JN, Fernandez Baca F, Akambi K
10th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH)
Sydney – Australie – 11-15 mars 2007