Estudio clínico comparativo de 2 técnicas quirúrgicas de rizartrosis del pulgar

Martínez‐Martínez, Francisco J.; García-Hortelano, S.; García-Paños, Juan Pedro; Moreno-Fernández, José M.; Martín-Ferrero, Miguel Ángel

doi:10.1016/j.recot.2015.05.005

Cited by 4 publications

(19 citation statements)

References 22 publications

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“… 4 , 6 , 7 , 9 , 10 , 12 , 14 , 16 , 19 – 27 , 29 , 32 – 34 , 36 – 38 , 40 – 42 , 44 , 46 , 48 – 50 , 53 – 56 Comparable pre and post-operative values were reported in 16 studies. 7 , 9 , 10 , 14 , 20 , 23 , 27 , 29 , 33 , 40 , 41 , 44 , 48 , 49 , 53 , 56 Strength measurements of grip, key pinch and tip pinch were included. Modest improvements in strength were seen, particularly for grip and key pinch strength in most studies reporting pre and post-operative scores.…”

Section: Resultsmentioning

confidence: 92%

“… 4 , 5 , 9 , 10 , 12 – 17 , 19 , 21 , 23 – 27 , 30 , 32 – 34 , 36 – 40 , 42 – 53 Comparable pre and post-operative values were reported in 13 studies. 10 , 13 , 19 , 23 , 24 , 27 , 33 , 34 , 36 , 39 , 48 , 50 , 53 Objective range of motion assessment included the Kapandji Opposition score, degrees of thumb abduction (either radial or palmar), and the Buck-Gramcko score, which is a measure of various movements. Small improvements in range of motion were seen in most studies reporting pre and post-operative scores/ranges.…”

Section: Resultsmentioning

confidence: 96%

“… 5 – 38 Comparable pre and post-operative values were reported in 12 studies. 7 , 9 , 10 , 13 , 16 , 17 , 19 , 23 , 27 , 29 , 32 , 33 The most commonly used patient-reported outcome measures (PROMs) were the Disabilities of the Arm Shoulder and Hand measure (DASH) or quick DASH which are general upper extremity scoring systems. Other measures included the Michigan Hand Questionnaire (MHQ) which is more specific to hand complaints, the Nelson score, which is specific to thumb outcomes, the Patient Related Wrist Evaluation (PRWE) score which is a wrist-specific measure, and the Sollerman score which is a measure of hand function.…”

Section: Resultsmentioning

confidence: 99%

“… 4 – 7 , 9 – 11 , 13 , 15 – 17 , 19 – 24 , 26 , 27 , 29 – 35 , 38 – 41 Comparable pre and post-operative values were reported in two studies for satisfaction, 16 , 39 and 16 studies for pain. 7 , 9 , 10 , 13 , 16 , 17 , 19 , 20 , 23 , 27 , 29 , 32 – 34 , 39 , 41 Subjective satisfaction and pain scores using the visual analogue scale (VAS) system were collected to provide a comparative outcome measure. A number of studies reported pain and satisfaction as a percentage of patients ‘satisfied’ or ‘pain free’, but these measures were not felt to be reliable and useful for comparative analysis.…”

Section: Resultsmentioning

confidence: 99%

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Thumb CMCJ prosthetic total joint replacement: a systematic review

et al. 2021

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Thumb carpometacarpal joint (CMCJ) arthritis is a common and painful condition. Thumb CMCJ prosthetic replacement aims to restore thumb biomechanics and improve pain and function. Early reviews demonstrated a lack of high-quality studies, but more recently a significant number of higher-quality studies have been published. This review provides a concise and systematic overview of the evidence to date. A systematic review of several databases was conducted according to PRISMA guidelines. Studies evaluating the outcomes of thumb CMCJ prosthetic total joint replacement were included. Data extracted included patient-reported outcome measures (PROMs), pain scores, range of motion, strength, survival rates and complications. A total of 56 studies met all inclusion criteria and were analysed. There was one randomized controlled trial, three prospective comparative cohort studies, five retrospective comparative cohort studies, and 47 descriptive cohort studies. The reported studies included 2731 patients with 3048 thumb total CMCJ prosthetic joint replacements. Follow up ranged from 12 months to 13.1 years. In general, good results were demonstrated, with improvements in PROMs, pain scores and strength. Failure rates ranged from 2.6% to 19.9% depending upon implant studied. Comparative studies demonstrated promising results for replacement when compared to resection arthroplasty, with modest improvements in PROMs but at a cost of increased rates of complications. Studies reporting outcomes in thumb CMCJ prosthetic total joint replacement are increasing in both number and quality. Failure, in terms of loosening and dislocation, remains a concern, although in the medium-term follow up for modern implants this issue appears to be lower when compared to their predecessors. Functional outcomes also look promising compared to resection arthroplasty, but further high-quality studies utilizing a standardized resection arthroplasty technique and modern implants, together with standardized core outcome sets, will be of value. Cite this article: EFORT Open Rev 2021;6:316-330. DOI: 10.1302/2058-5241.6.200152

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Section: Resultsmentioning

confidence: 92%

Section: Resultsmentioning

confidence: 96%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Thumb CMCJ prosthetic total joint replacement: a systematic review

et al. 2021

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“…comparing LRTI with implant arthroplasty, the two most frequently used techniques currently, demonstrated no significant differences in VAS, DASH, and pinch grip strength at 12-month followup. 36 Although new prostheses and implant arthroplasties have not shown better outcomes over simple resection arthroplasty, they may provide theoretical benefits and merit further investigation. Chug et al .…”

Section: Prostheses and Implant Arthroplastymentioning

confidence: 99%

Current trends in the management of trapeziometacarpal arthritis

Eltorai¹,

Han²

2017

Orthop Rev (Pavia)

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The purpose of this update is to report on a variety of topics related to trapeziometacarpal arthritis that have been recently investigated. The keyword trapeziometacarpal arthritis was utilized to query the PubMed database of the U.S. National Library of Medicine. From the resulting list, papers published from the beginning of April 2014 through the beginning of April 2017 were reviewed. The forty-five studies identified are reviewed here and referenced.

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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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Estudio clínico comparativo de 2 técnicas quirúrgicas de rizartrosis del pulgar

Cited by 4 publications

References 22 publications

Thumb CMCJ prosthetic total joint replacement: a systematic review

Thumb CMCJ prosthetic total joint replacement: a systematic review

Current trends in the management of trapeziometacarpal arthritis

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

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