{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T17:45:23Z","timestamp":1755798323210,"version":"3.44.0"},"reference-count":20,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:p>Trapeziometacarpal (TMC) arthrodesis is a reliable procedure to treat individuals with trapeziometacarpal osteoarthritis (TMC OA) who have failed conservative treatment. Arthrodesis has classically been deemed as a \ufeffsuitable treatment for young, active males, particularly in the post-traumatic setting, who desire maximum strength. There are numerous arthrodesis techniques described in the literature, however, reported high nonunion rates\ufeff may \ufeff deter \ufeff surgeons from \ufeff treating TMC OA with arthrodesis. A technique for TMC arthrodesis using the Speed\u2122 Continuous Compression Nitinol Fixation System (BioMedical Enterprises, Inc., San Antonio, TX) and autogenous bone graft is presented here, along with outcomes of 60 consecutive patients (72 thumbs) who underwent the procedure. Subjective, clinical, and radiographic outcomes were collected and analyzed. Average patient age was 54.2\u00a0years (range, 30 to 69), and 51.7% were male. Fusion rate was 95.8% (69\/72). Two of the three\ufeff nonunions required revision fusion surgery. Key pinch strength increased from an average of 6.7 to 9.3\u00a0kg (<jats:italic toggle=\"yes\">P<\/jats:italic>&lt;0.05) and grip strength increased from an average of 33.7 to 41.1\u00a0kg (<jats:italic toggle=\"yes\">P<\/jats:italic>&lt;0.05) at an average follow-up of 23.4\u00a0months (median, 16.5). Patient satisfaction was 94%. Ninety percent\ufeff of patients would repeat the procedure. Average postoperative Quick Disability of the Arm, Shoulder, and Hand (<jats:italic toggle=\"yes\">Quick<\/jats:italic>DASH) score was 11.7 (median, 4.5) \ufeffat an average follow-up of 54.2\u00a0months. Trapeziometacarpal arthrodesis using Nitinol Compression staples is a reliable \ufeff treatment option for TMC OA, with a low nonunion rate. This technique leads to excellent patient satisfaction and improved key pinch and grip strength.<\/jats:p>","DOI":"10.1097\/bth.0000000000000519","type":"journal-article","created":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T08:00:43Z","timestamp":1747123243000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Trapeziometacarpal Arthrodesis Technique and Outcomes using a Nitinol Compression Staple"],"prefix":"10.1097","volume":"29","author":[{"given":"Alec J.","family":"Talsania","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Temple University Hospital, Philadelphia, PA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nathan F.","family":"Miller","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery and Division of Orthopedic Surgery, Lehigh Valley Health Network"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jay 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