The Upper Hand: Chuck & Chris Talk Hand Surgery The LRTI in 2025
Jan 19, 2025
Chuck and Chris dive into the complexities of thumb arthritis and the gold standard care, LRTI. They compare their techniques and discuss innovations in hand surgery. Personal stories about travel, productivity, and amusing notes on winter antics add a light touch. The duo evaluates post-surgical pain management challenges and explores the latest approaches to trapezium excision. Insights from clinical trials pave the way for future surgical practices, making it an engaging blend of humor and expertise.
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Successful yet Mysterious CMC Surgery
- Chuck discusses a patient with successful, pain-free thumb CMC surgery but unsure about the procedure.
- X-rays revealed proximal migration and bone-on-bone contact, but the patient remained asymptomatic.
LRTI vs. Suture Tape
- LRTI remains the gold standard for thumb CMC arthritis, but suture tape suspensionplasty offers faster recovery.
- Suture tape allows quicker return to activity, though overall recovery time is similar.
Teaching LRTI
- Preserve the LRTI technique by teaching it to residents and fellows, even if it's not your preferred method.
- It's crucial for trainees to learn this gold standard procedure for educational purposes and potential future use.