Analyse de la douleur postopératoire et des résultats fonctionnels précoces dans le traitement de la rhizarthrose. Étude prospective comparative de 74 patientes trapézectomie-interposition vs prothèse MAIA®

Jäger, T.; Barbary, S.; Dap, F.; Dautel, G.

doi:10.1016/j.main.2013.02.004

Cited by 76 publications

(25 citation statements)

References 34 publications

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“…Trapeziectomy with or without ligament reconstruction and tendon interposition has a lower rate of revision surgery. 4,5 But the restoration of functional range of motion and strength, and pain relief were already demonstrated for the prosthesis and similar to other studies, 16,17 particularly in laborers. 8 These improvements are significantly quicker with TMC joint arthroplasty than trapeziectomy 6 months after surgery.…”

Section: Discussionsupporting

confidence: 83%

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Outcomes of Double-Mobility Prosthesis in Trapeziometacarpal Joint Arthritis With a Minimal 3 Years of Follow-Up: An Advantage for Implant Stability

Tchurukdichian

Gerenton

Moris

et al. 2019

Hand (New York, N,Y.)

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Background: New generation of total trapeziometacarpal joint prosthesis using double mobility concept has been used for several years. The aim of this study was to evaluate the dislocation rate with this implant after a minimal 3 years of follow-up. Methods: From September 2013 to August 2015, 200 trapeziometacarpal prostheses were implanted in 179 patients. Clinico-radiological follow-up was performed with an average of 48.2 months (36-60 months). Survival rate and dislocation rate were analyzed. Loosening of the implants and other intercurrent events were noticed. Results: Visual analog scale, Quick-DASH, strengths and range of motion improved significantly. We report a survival rate of 97% with only 0.5% of dislocation of prosthesis at 48 months of follow-up. Intercurrent events rate were similar to the ones found in literature or other studies. Conclusions: After a minimal of 3 years of follow-up, prosthesis with double mobility seemed to bring better stability in implant for thumb prosthetic replacement.

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Section: Discussionsupporting

confidence: 83%

“…8 These improvements are significantly quicker with TMC joint arthroplasty than trapeziectomy 6 months after surgery. 17 Ulrich-Vinther et al 18 obtained comparable results after 1 year of follow-up. After this period, the differences are not significant.…”

Section: Discussionmentioning

confidence: 86%

Outcomes of Double-Mobility Prosthesis in Trapeziometacarpal Joint Arthritis With a Minimal 3 Years of Follow-Up: An Advantage for Implant Stability

Tchurukdichian

Gerenton

Moris

et al. 2019

Hand (New York, N,Y.)

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“…After removal of duplicates and abstract screening, 27 articles were assessed for eligibility by the inclusion criteria. From these 27 studies, 13 were excluded, resulting in 14 eligible studies [20][21][22][23][24][25][26][27][28][29][30][31][32][33]. In accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a flow diagram for the results of the study selection procedure is shown in Fig.…”

Section: Study Selectionmentioning

confidence: 99%

“…Four studies adopted RA techniques, of which three [20,26,28] used RSA and one [27] used Lundsborg's RA. The studies utilising TI adopted flexor carpi radialis (FCR) TI [29] and abductor pollicis longus (APL) TI [30]. Of the three remaining studies, one [31] used simple trapeziectomy, one [32] used LRTI as per the Burton-Pellegrini technique or trapeziectomy, and one [33] used trapeziectomy with or without Sigfuson-Lundborg ligamentoplasty.…”

Section: Study Characteristicsmentioning

confidence: 99%

Trapeziectomy versus joint replacement for first carpometacarpal (CMC 1) joint osteoarthritis: a systematic review and meta-analysis

Raj

Clay

Ramji

et al. 2021

Eur J Orthop Surg Traumatol

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Purpose This systematic review and meta-analysis directly compares joint replacement (JR) and trapeziectomy techniques to provide an update as to which surgical intervention is superior for first carpometacarpal (CMC-1) joint osteoarthritis. Methods In August 2020, MEDLINE, Embase and Web of Science were searched for eligible studies that compared these two techniques for the treatment of CMC-1 joint osteoarthritis (PROSPERO registration ID: CRD42020189728). Primary outcomes included the Disabilities of the Arm, Shoulder and Hand (DASH), QuickDASH (QDASH) and pain visual analogue scale (VAS) scores. Secondary outcomes, such as total complication, dislocation and revision surgery rates, were also measured. Results From 1909 studies identified, 14 studies (1005 patients) were eligible. Our meta-analysis found that post-operative QDASH scores were lower for patients in the JR group (five studies, p = 0.0004). Similarly, significantly better postoperative key pinch strength in favour of JR was noted (three studies, p = 0.001). However, pain (VAS) scores were similar between the two groups (five studies, p = 0.21). Moreover, JR techniques had significantly greater odds of overall complications (12 studies; OR 2.12; 95% CI 1.13–3.96, p = 0.02) and significantly greater odds of revision surgery (9 studies; OR 5.14; 95% CI 2.06–12.81, p = 0.0004). Conclusion Overall, based on very low- to moderate-quality evidence, JR treatments may result in better function with less disability with comparable pain (VAS) scores; however, JR has greater odds of complications and greater odds of requiring revision surgery. More robust RCTs that compare JR and TRAP with standardised outcome measures and long-term follow-up would add to the overall quality of evidence.

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“…Most prosthetic implants changed continuously over time, so that long-term outcomes mainly exist for models not being used anymore because of high complication rates. On the other hand, some studies report better postoperative pinch strength, greater reduction in metacarpophalangeal (MCP) joint hyperextension and faster recovery for patients treated with a prosthesis [63][64][65]. Non-cemented prostheses provide better results in mid-term follow-up [66,67], high rates of patient satisfaction and 71-92% survival rates in a 10-year follow-up [68,69].…”

Section: Joint Replacement Surgerymentioning

confidence: 99%

Trapeziometacarpal osteoarthritis – a stepwise therapeutic approach

Nuessle¹,

Vögelin²,

Hirsiger³

2021

Swiss Med Wkly

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Osteoarthritis of the trapeziometarcarpal joint, also called rhizarthrosis, is a common finding in the second half of life. It has a higher prevalence in females and is of growing importance in ageing societies. A variety of conservative and surgical treatment options are known, including conservative treatment up to joint replacement. Without treatment, rhizarthrosis can lead to disabling pain and loss of hand function. The goal of this overview of treatment options is to present a stepwise approach that can be initiated by any physician.Treatment of trapeziometacarpal osteoarthritis should be started early with conservative measures such as splinting and physical therapy, which can be supplemented by oral and topical analgesics and local infiltrations subsequently. If all of these interventions do not provide sufficient relief, referral to a hand surgeon should be considered.Surgical strategies vary from arthroscopic debridement over trapeziectomy, with or without tendon interposition and ligament reconstruction, to interposition implants and total joint replacements. The planned intervention should be based on clinical and subjective functional limitations and associated degenerative changes, as well as the patient's expectations and needs.The goal of this paper is to develop a treatment algorithm, leading to higher levels of patient functionality and satisfaction. Below we discuss the current literature and point out key treatment options used in our department. Additional imagingMultilayer imaging can help to evaluate the trapeziometacarpal joint and the neighbouring joints in more detail. To evaluate bone stock and cartilage surfaces, and especially if planning prosthetic implants, computed tomography (CT) enhanced by intra-articular contrast injection can be useful [18]. Magnetic resonance imaging (MRI) allows ligament and soft tissue evaluation. Recent

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Analyse de la douleur postopératoire et des résultats fonctionnels précoces dans le traitement de la rhizarthrose. Étude prospective comparative de 74 patientes trapézectomie-interposition vs prothèse MAIA®

Cited by 76 publications

References 34 publications

Outcomes of Double-Mobility Prosthesis in Trapeziometacarpal Joint Arthritis With a Minimal 3 Years of Follow-Up: An Advantage for Implant Stability

Outcomes of Double-Mobility Prosthesis in Trapeziometacarpal Joint Arthritis With a Minimal 3 Years of Follow-Up: An Advantage for Implant Stability

Trapeziectomy versus joint replacement for first carpometacarpal (CMC 1) joint osteoarthritis: a systematic review and meta-analysis

Trapeziometacarpal osteoarthritis – a stepwise therapeutic approach

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