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A D V E R T I S E M E N T
A D V E R T I S E M E N T
The approach that will be described is yet unpublished but was developed by Dr. Thomas Shepler of the Manus Center in Vienna, Virginia. The first case was done in 1979. Dr. Shepler has followed carefully over a period of 22 years 170 MC-T arthroplasties, in which the procedure described has been performed over 90 times. This procedure works extremely well and holds up over a long period of time.
The trapezium is approached radially through a longitudinal capsular incision between the tendons of the extensor pollicis brevis and abductor pollicis longus.
A D V E R T I S E M E N T
The radial branch of the superficial radial nerve splits in the distal third of the mid-forearm and the dorsal and volar branches to the thumb are preserved with the corresponding skin flaps.
Notes:
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A D V E R T I S E M E N T
The EPB and APL tendons over the trapezium are separated and retracted in order to visualize the radial artery.
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This page was last modified on 4/1/1999.
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