Ligament Reconstruction - Tendon Interposition

After removal or resection of the trapezium the FCR tendon is routed through the base of the 1st metacarpal via a pre drilled and sized hole. The Arthrex QuickPass Tendon Shuttle is used to help facilitate passage of the tendon through the drill tunnel. Once passed the graft is tensioned to obtain appropriate suspension and a 4 x 10 or 4.75 x 15 tenodesis screw is advanced to lock the graft into position. The remaining tendon tails can be cut flush or interposed into the joint space if desired.