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 The sellar joint plays a key role in wrist function ensuring thumb contraposition when gripping. Lesions of sellar joint are accompanied by pain syndrome and deformity of the first metacarpal which substantially affects life quality of the patients. The authors carried the analysis of literature dedicated to surgical treatment of degenerative lesions of trapeziometacarpal joint. The present review describes features of joint anatomy and biomechanics, reports the key factors contributing to disease progression, covers various approaches and criteria for selection of surgical options for reconstruction of sellar joint.


About the authors

L. A. Rodomanova

Vreden Russian Research Institute of Traumatology and Orthopedics ; Pavlov First Saint Petersburg State Medical University.

Author for correspondence.

Lyubov’ A. Rodomanova — Dr. Sci. (Med.), professor, head of Hand Surgery and Microsurgery Scientific Department; professor of Department of Traumatology and Orthopedics.

8, ul. Akad. Baykova, 195427, St. Petersburg; 6-8,ul. L. Tolstoy, 197022, St. Petersburg.

Russian Federation

I. V. Orlova

Vreden Russian Research Institute of Traumatology and Orthopedics.


Irina V. Orlova — clinical intern.

8, ul. Akad. Baykova, 195427, St. Petersburg.

Russian Federation


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