Arthroscopic Abrasion Arthroplasty Is Not Superior to Ligament Reconstruction and Tendon Interposition for Thumb Carpometacarpal Arthritis

Rog, Dominik; Özyürekoğlu, Tuna; Karuppiah, Kumar K

doi:10.1177/1558944718778405

Cited by 5 publications

(9 citation statements)

References 25 publications

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“…The outcomes analyzed across all included studies were grip strength, oppositional pinch strength, appositional pinch strength, VAS at rest, VAS during activity, and DASH. Preoperative 32 38 39 41 42 48 49 51 61 64 and postoperative 32 38 39 41 48 49 51 60 61 64 resting VAS were reported in 10 studies each. Four studies reported preoperative and postoperative active VAS.…”

Section: Resultsmentioning

confidence: 99%

“…Four studies reported preoperative and postoperative active VAS. 41 48 50 61 Nine studies reported preoperative DASH scores, 32 38 47 48 49 51 63 64 65 and 12 reported postoperative DASH scores. 29 32 38 39 43 47 48 49 50 51 63 64 Preoperative grip strength was measured in 12 studies.…”

Section: Resultsmentioning

confidence: 99%

“…41 48 50 61 Nine studies reported preoperative DASH scores, 32 38 47 48 49 51 63 64 65 and 12 reported postoperative DASH scores. 29 32 38 39 43 47 48 49 50 51 63 64 Preoperative grip strength was measured in 12 studies. 38 42 43 44 45 47 48 49 50 51 60 64 Postoperative grip strength was reported in 11 studies.…”

Section: Resultsmentioning

confidence: 99%

“…Compared with the arthroscopic group, the LRTI group had statistically significant better outcomes in VAS scores, DASH scores, and grip strength, while 8 of the 11 patients in the arthroscopic group required further surgery. 64 The arthroscopic group in this study included only debridement, without trapeziectomy alone or in combination with interposition or suspensionplasty techniques. As our systematic review demonstrates, there are a lot of considerations when deciding the optimal arthroscopic intervention to compare with any open procedure.…”

Section: Discussionmentioning

confidence: 99%

“…Twenty-two studies (with 23 sets of data) met the inclusion and exclusion criteria and thus were included in the analysis 28,29,32,38,39,[41][42][43][44][45][46][47][48][49][50][51][52][60][61][62][63][64] to compare postoperative outcomes between the different techniques (►Table 1). In the trapeziectomy versus debridement alone subgroup analysis, the trapeziectomy subgroup contained 16 studies, 28,29,38,39,[41][42][43][45][46][47][48][49]51,52,60,62 and the debridement subgroup contained six studies.…”

Section: Search Selectionmentioning

confidence: 99%

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Treatment of First Carpometacarpal Osteoarthritis with Arthroscopy: A Systematic Review

et al. 2022

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Background First carpometacarpal (CMC) osteoarthritis or trapeziometacarpal osteoarthritis is a common debilitating hand condition. No one surgical technique has demonstrated superiority in managing this disease. Purpose This study performed a systematic review of arthroscopic techniques for treating first CMC arthritis to assess the effectiveness of different arthroscopic techniques. Methods Grip strength, pinch strength, visual analog scale, the Disability of Arm, Shoulder, and Hand (DASH) score, range of motion (ROM), and complications were recorded. Two subgroup analyses were performed, comparing outcomes of (1) trapeziectomy of any type versus debridement alone and (2) trapeziectomy alone versus interposition versus suspension techniques. Results Preoperative and postoperative scores significantly improved for DASH scores and pain at rest and with activity with variable improvements in ROM. Complications occurred in 13% of cases in publications that reported complications. When comparing studies that utilized techniques with any type of trapeziectomy to debridement alone, only the trapeziectomy subgroup showed significant improvements in pain. When comparing trapeziectomy alone to interposition and suspension techniques, mean DASH scores and pain levels significantly improved in interposition and suspension subgroups. Conclusions The existing literature describes a predominantly female population with Eaton-Littler stage II and III disease. In the subgroup analysis, arthroscopic techniques involving a trapeziectomy seem to be more effective at lowering pain scores compared to techniques involving debridement alone. Likewise, interposition and suspension techniques may show improved outcomes compared to techniques involving trapeziectomy alone. Level of evidence This is a Level III study.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Search Selectionmentioning

confidence: 99%

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Treatment of First Carpometacarpal Osteoarthritis with Arthroscopy: A Systematic Review

et al. 2022

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Minimal-invasive Verfahren im Frühstadium der Daumensattelgelenksarthrose

et al. 2022

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Outcomes of Arthroscopic Debridement of the First Carpometacarpal Joint: A Systematic Review

SHEHOVYCH,

LAWSON,

GRAHAM

et al. 2024

J Hand Surg Asian-Pac Vol

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Background: Arthroscopic debridement is increasingly being utilised in patients with early-stage first carpometacarpal joint (FCMCJ) arthritis but has limited supportive evidence. This systematic review evaluates the literature, and reports on outcomes and adverse events following this procedure. Methods: An electronic literature search of PubMed, Embase, Medline and Cochrane Central, looking for studies describing outcomes following arthroscopic debridement in FCMCJ arthritis, was performed in November 2022. Studies where bony resection or interposition was performed as adjuncts were excluded. Reported outcomes included visual analogue scores (VAS) for pain; Disabilities of Arm, Shoulder and Hand (DASH) scores; pinch and grip strength; complications and re-operations. Results: Out of a total of 90 studies revealed from the search, only two studies were eligible for inclusion, with a cohort of 34 patients. Following arthroscopic debridement for FCMCJ osteoarthritis, the mean VAS improved by four units, mean DASH by 22 points, grip strength by 4.5 kg and pinch strength by 2 kg at mean follow-up of 18 months. The pooled complication and re-operation rates were 8.8% and 23.5%, respectively. Conclusions: There is a lack of evidence supporting the utility of FCMCJ arthroscopy and debridement in the management of patients with early arthritis. Although the limited evidence suggests that there may be some therapeutic benefit, further large-scale prospective studies need to be performed before making conclusive recommendations. Level of Evidence: Level III (Therapeutic)

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Arthroscopic Abrasion Arthroplasty Is Not Superior to Ligament Reconstruction and Tendon Interposition for Thumb Carpometacarpal Arthritis

Cited by 5 publications

References 25 publications

Treatment of First Carpometacarpal Osteoarthritis with Arthroscopy: A Systematic Review

Treatment of First Carpometacarpal Osteoarthritis with Arthroscopy: A Systematic Review

Minimal-invasive Verfahren im Frühstadium der Daumensattelgelenksarthrose

Outcomes of Arthroscopic Debridement of the First Carpometacarpal Joint: A Systematic Review

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