Entire Flexor Carpi Radialis Tendon Harvest for Thumb Carpometacarpal Arthroplasty Alters Wrist Kinetics

Early outcomes of arthroplasty of the first carpometacarpal joint using pyrocarbon spherical implants

“…In our study, the mean DASH score at a mean of 18.5 months postoperatively was 11.79. Compared with the combined mean preoperative DASH score from five previous studies (DASH score 51.87, range 43 to 61), this was a mean decrease of 40.08 points (13)(14)(15)(16)(17). When compared with the normative value from an American population (n=1700) studied by the American Academy of Orthopedic Surgeons (18) (10.1±14.68), our average DASH score was only slightly higher.…”

“…When comparing our technique with the gold standard used by hand surgeons for arthroplasty of the first CMC, trapeziectomy with LRTI, our mean DASH score was less than those reported in the literature (19). In a study performed by Naidu et al (13), 39 patients underwent complete trapeziectomy and LRTI with a postoperative DASH score of 12, with a minimum follow-up period of 24 months. Davis and Pace (20) performed the procedure on 46 patients with an average DASH score of 37 at one year postoperatively.…”

Long-term follow-up of trapeziectomy with abductor pollicis longus tendon interposition arthroplasty for osteoarthritis of the thumb carpometacarpal joint

“…FCR tendon interposition has yielded good results however, Naidu has demonstrated a significantly lower average flexion-to-extension peak torque ratio and diminished wrist flexion fatigue resistance after use of the entire FCR tendon as an autograft. 23 Furthermore, studies have demonstrated that in direct comparison with APL, FCR tendon interposition arthroplasty is technically more difficult to perform with significantly longer surgery times and significantly lower values in force parameters including grip strength, key grip, and pinch grip. 24 A further potential advantage of the APL tendon is that it is generally comprised of multiple tendon slips (Fig.…”

CMC Arthroplasty of the Thumb: A Review

“…Complete harvest of the FCR tendon was reported by Naidu et al [27]. Thirty-nine patients were studied prospectively with disabilities of the arm, shoulder, and hand (DASH) scores, grip strength measurements, pinch strength measurements, and flexion/extension torque recordings.…”