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Document Type

Original Article

Abstract

Background: When the thumb's metacarpophalangeal (M.C.P.) joint has a ligamentous lesion, the joint becomes noticeably unstable, which is common. Aim: to assess the functional and clinical outcomes of two different reconstruction methods of the metacarpophalangeal joint (ulnar side) of the thumb (pullout suture & anchor) in unstable injuries. Subject and Methods: This was a prospective study of 30 cases admitted to Al-Azhar University Hospitals (El Hussein Hospital and Sayed Galal Hospital) with ligamentous injuries of the MCP joint (ulnar side) from August 2018 until February 2022. Results: Regarding outcome distribution among the studied patients, we found that 19 (63.3%) were excellent and 8 (26.7%) were good. While only two patients were fair and one patient was poor. Conclusion: Regarding our findings and literature results, there are excellent results from using anchors or transosseous pull-out, but there is a substantial variance among the groups regarding operative, physiotherapy, and healing time for the anchors group. Treatment for injury of the metacarpophalangeal joint of the thumb with surgical & non-surgical methods was safe and effective as it allowed early recovery of range of motion and excellent initial results.

Keywords

Comparison Study. Transosseous Pull-Out and Anchors Gamekeeper’s Injury

Subject Area

Orthopedics

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