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metacarpal, the metacarpophalangeal (MCP) joint is flexed to 90°. A 3.0 mm longitudinal incision is made over the MCP joint. A guidewire is inserted along the metacarpal axis under fluoroscopy. The entry point should be on the dorsal part of the metacarpal
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was 85% ( 27 ). Surgical technique A standardized and meticulous surgical technique is essential to achieve a good outcome. The surgical goal of thumb CMC TJA is double. First, the implant components should be well-positioned and solidly fixed
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under the microscope. This includes the skin incisions. We have a projecting screen, so that not only the surgeon but also the nurses and the patient under regional anesthesia (plexus) can follow the procedure. A useful mounting is shown in Fig. 2
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application of the sutures fibrin glue is usually applied (shown in Fig. 3 ). Illustrations performed by Peregrin Frost. Before the nerve ends are prepared, a proper skin incision, preserving any flaps, is done making it easy to close the wound with
