Andrew J. Weiland, M.D.

Dr. Andrew Weiland demonstrates his approach to basal joint arthroplasty and ligament reconstruction. The trapezium is removed and a portion of the flexor carpi radialis is used to suspend the thumb metacarpal. The procedure eliminates chronic pain caused by basal joint arthritis. However, unlike arthrodesis, which also eliminates the pain but leaves the joint stiff, the ligament suspension used by Dr. Weiland preserves range of motion in the thumb with relatively little loss of pinch strength.

References
1. Lins RE, Gelberman RH, McKeown L, Katz JN, Kabiyala RK Basal joint arthritis: trapeziectomy with ligament reconstruction and tendon interposition J Hand Surg 1996;21(2):202-209
2. Tomaino MM, Pellegrini VD Jr Arthroplasty of the basal joint of the thumb. Long-term follow-up after ligament reconstruction with tendon interposition JBJS 1995;77(3):346-355
3. Nylen S, Johnson A, Rosenquist AM Trapeziectomy and ligament reconstruction for osteoarthritis of the base of the thumb: A prospective study of 100 operations. Br J Hand Surg 1993; 18(5):616-619
4. Glickel SZ, Kornstein AN, Eaton RG Long-term follow-up of trapeziometacarpal arthroplasty with coexisting scaphotrapezial disease J Hand Surg 1992;13(4):612-20

• Total Run Time: 13:45 minutes
• Catalog Number: 3012
• Publication Date: December 1997

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