Hematoma and distraction arthroplasty for thumb basal joint osteoarthritis: A prospective, single-surgeon study including outcomes measures

Kuhns, Craig A.; Emerson, Eric; Meals, Roy A.

doi:10.1053/jhsu.2003.50078

Cited by 143 publications

(116 citation statements)

References 17 publications

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“…Time for return to full unrestricted activity was only mentioned in five of the 19 studies (Table 5) [6,12,14,16,19]. The range for time to return to full activity was 5 to 12 weeks in these studies.…”

Section: Resultsmentioning

confidence: 96%

“…In studies in which patients underwent trapeziectomy followed by either tendon interposition or ligament reconstruction, the duration of splinting or casting ranged from 4 to 8 weeks. A common theme in studies in which a Kirschner wire was used after the surgical procedure [3,6,14,15] was that patients were casted or splinted at least until the wire was removed, which occurred 4 to 5 weeks after surgery. For the studies in which some sort of joint prosthesis was implanted [1,9,18,20,21,24], postoperative immobilization time ranged from 2 to 6 weeks.…”

Section: Resultsmentioning

confidence: 99%

“…Patients in other studies were referred to a therapist after the period of immobilization [1,3,4,7,9,24]. Finally, some patients were only referred to a therapist if it was felt they were not making satisfactory progress during followup visits [6,14,21,22]. In the studies comparing different surgical techniques, most authors did not vary postoperative immobilization and therapy protocols based on the type of surgery [2,4,5,9,13,18,20].…”

Section: Resultsmentioning

confidence: 99%

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A Systematic Review of Postoperative Hand Therapy Management of Basal Joint Arthritis

Wolfe

Chu

Woods

et al. 2014

Clinical Orthopaedics &Amp; Related Research

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Background There are a variety of postoperative immobilization and therapy options for patients with basal joint arthritis. Although prior systematic reviews have compared surgical procedures used to treat basal joint arthritis, none to our knowledge compares therapy protocols for this condition, which are considered an important part of the treatment.Questions/purposes (1) We sought to determine whether differences in the length and type of postoperative immobilization affect clinical results after basal joint arthritis surgery. (2) We also compared specific therapy protocols that were prescribed. (3) Finally, we evaluated published protocols to determine when patients were released to full activity to see whether these appeared to affect clinical results. Methods A systematic review of English-language studies in the PubMed and Cochrane databases was performed. Studies were then reviewed to determine what postoperative immobilization and therapy protocols the authors used and when patients were released to full activities. A total of 19 studies were identified using the search criteria.

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Section: Resultsmentioning

confidence: 96%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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A Systematic Review of Postoperative Hand Therapy Management of Basal Joint Arthritis

Wolfe

Chu

Woods

et al. 2014

Clinical Orthopaedics &Amp; Related Research

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“…Because of satisfactory results after open simple trapeziectomy without interposition or reconstruction of the ligaments [22,24], arthroscopic joint débridement with or without partial trapeziectomy, without interposition, has been proposed. A few series likewise provide data suggesting satisfactory results after surgery without interposition of any material after débridement and/or capsular shrinkage or partial trapeziectomy (Table 1).…”

Section: No Interpositionmentioning

confidence: 99%

“…Surgical options have included reconstruction of the ligaments about the thumb with or without removal of the joint surface, arthroscopic shrinkage of the ligaments or débridement, corrective osteotomy to redistribute contact forces in early stages of arthritis, arthroscopic and open procedures, thumb carpometacarpal (CMC) fusion, and excision of all or part of the trapezium with or without interposition of any materials [7,11,16,22,24,36,38,40].…”

Section: Introductionmentioning

confidence: 99%

Does Arthroscopic Débridement With or Without Interposition Material Address Carpometacarpal Arthritis?

Adams

2014

Clinical Orthopaedics &Amp; Related Research

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Background Thumb carpometacarpal (CMC) joint arthritis is a common problem in clinical practice with a variety of treatment options. Arthroscopic procedures can preserve all or part of the trapezium in the setting of treatment of basilar joint arthritis, and such procedures (even without stabilization or ligament reconstruction) have high reported success rates. However, little is documented about the limitations of these procedures in terms of patient selection, the optimal type of interposition, if any, and rehabilitation. Questions/purposes A systematic review was performed to determine the influence of (1) interposition material (manufactured, biological, or none); and (2) patient-related factors (including metacarpophalangeal joint hyperextension, ligamentous laxity, and severity of arthritis) on pain, functional scores, and postoperative complications unique to each approach.Methods A systematic review of the English language literature regarding thumb basilar joint arthritis and arthroscopic partial trapeziectomy or débridement was performed. Those procedures including ligament reconstruction or stabilization were excluded. Results Biological materials and no interposition were both associated with satisfactory improvement and low rates of complications; complication rates with synthetic materials were higher. Eaton Stages I to III were treated successfully with this technique. The effect of scaphotrapeziotrapezoid (STT) changes was variably described across series. In most series, metacarpophalangeal hyperextension did not seem to have an adverse effect on outcomes, although these patients were excluded in some series. Conclusions Arthroscopic débridement with or without interposition can be used for treatment of Eaton Stages I to III CMC osteoarthritis with satisfactory outcomes. Some series suggest satisfactory outcomes in the setting of STT changes and metacarpophalangeal hyperextension.

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Surgery for thumb (trapeziometacarpal joint) osteoarthritis

Wajon¹,

Ada²,

Edmunds³

et al. 2005

Cochrane Database of Systematic Reviews

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Hematoma and distraction arthroplasty for thumb basal joint osteoarthritis: A prospective, single-surgeon study including outcomes measures

Cited by 143 publications

References 17 publications

A Systematic Review of Postoperative Hand Therapy Management of Basal Joint Arthritis

A Systematic Review of Postoperative Hand Therapy Management of Basal Joint Arthritis

Does Arthroscopic Débridement With or Without Interposition Material Address Carpometacarpal Arthritis?

Surgery for thumb (trapeziometacarpal joint) osteoarthritis

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