Use of a Fascia Lata Interposition Graft to Manage Persistent Pain Following Trapeziectomy for Carpometacarpal Osteoarthritis of the Thumb.

Persistent pain after trapeziectomy is relatively common, frequently caused by coexisting scapho-trapezio-trapezoidal arthritis and/or impingement of bases of first and second metacarpals. A variety of treatment options have been described including revision ligament reconstruction tendon interposition and use of interposition material. This paper describes a simple technique using fascia lata autograft interposition, producing good outcome in a small series of patients, with minimal donor site morbidity and good pain relief.