Fig. 1From: Surgical treatment of primary trapezio-metacarpal osteoarthritis by trapeziectomy and ligament reconstruction without tendon interposition. Long-term results of 50 casesa The flexor carpi radialis tendon is found on the bottom of the surgical approach after trapeziectomy. b A distally pedicled tendon graft is obtained by splitting the tendon lengthwise into two parts. c, d The tendon graft is inserted into the base of the first metacarpal to avoid its proximal migration, using a mini anchorBack to article page