Abstract
Traditional techniques for surgical treatment of thumb carpometacarpal arthritis require sacrifice either the flexor carpi radialis or abductor pollicis longus tendons. Although loss of these tendons appears to be well tolerated, maintenance of normal anatomy would be preferable. In addition, these techniques require 6-8 weeks of immobilization to allow or healing of the autograft reconstructions to occur. These factors led to the application of a suture button technique to facilitate suspension of the thumb metacarpal while allowing early range of motion. This article describes trapeziectomy with endobutton suspensionplasty, outcomes, and complications of this technique.
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