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Closed reduction and casting
50%
224/447
Closed reduction and percutaneous pinning
28%
127/447
First carpometacarpal arthrodesis
1%
3/447
Dorsal capsulodesis
2%
7/447
Ligament reconstruction using tendon autograft
19%
85/447
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When comparing closed reduction and pinning to ligament reconstruction, the reconstruction group had slightly better abduction and pinch strength. The volar oblique ligament usually tears off the first metacarpal in a subperiosteal fashion. In this young patient, motion-sparing procedures are preferred.
1.0
(35)
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