Intraoperative Load Tolerance of the Thumb Carpometacarpal Joint After Resection-Suspension-Interposition Arthroplasty

Behm, Pascal; Marks, Miriam; Ferguson, Stephen J.; Brodbeck, Michael; Herren, Daniel

doi:10.1016/j.jhsg.2021.10.005

Cited by 2 publications

(1 citation statement)

References 28 publications

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“…None of these interposition materials have proven superiority over each other (Hoogendam et al., 2022), and there is also no clear evidence that suspension and/or interposition is needed to achieve a good treatment outcome, either in the rate of revision or in the pinch strength (Hamasaki et al., 2021; Wajon et al., 2015). While there is some evidence to suggest the suspension technique increases the primary stability of the trapezium resection (Behm et al., 2022), its use must be justified by better clinical outcomes to outweigh the potential morbidity of harvesting and using a tendon or part of a tendon. The addition of a suspension/interposition procedure may be associated with additional complications compared to that of simple trapeziectomy.…”

Section: Surgeries Performed For Advanced Osteoarthritis Of the Thumb...mentioning

confidence: 99%

Basal thumb arthritis surgery: complications and its management

Herren

2024

J Hand Surg Eur Vol

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The management of complications after surgery for basal thumb arthritis is sometimes challenging, and there are no clear recommendations on how to evaluate and manage patients with residual symptoms. The aim of the present article was to review the most common complications after surgery for basal thumb arthritis, with an emphasis on resection arthroplasty, joint replacement and joint fusion. In addition, possible management strategies for the different types of complications will be highlighted.

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Section: Surgeries Performed For Advanced Osteoarthritis Of the Thumb...mentioning

confidence: 99%

Basal thumb arthritis surgery: complications and its management

Herren

2024

J Hand Surg Eur Vol

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Mid-Term Results of Surgical Treatment for Rhizarthrosis Using Interposition and Suspension-Interposition Arthroplasty

Egiazaryan,

Parsadanyan,

Ershov

et al. 2023

Traumatology and Orthopedics of Russia

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Background. Rhizarthrosis is most commonly observed in individuals whose work and activities involve heavy use of the wrist. Conservative treatment methods are effective in the early stages of the disease, but in advanced stages, surgical intervention becomes the primary treatment approach. In recent years, resection interposition and resection suspension-interposition arthroplasty techniques for the first carpometacarpal joint have gained popularity. However, there is a lack of comparative studies on the effectiveness of these techniques based on key indicators. The aim of this study was to compare the results of surgical treatment for stages II–IV rhizarthrosis using resection suspension-interposition arthroplasty and resection interposition arthroplasty of the first carpometacarpal joint. Methods. This prospective cohort study included 85 patients with stages II–IV rhizarthrosis who underwent surgery between 2017 and 2022. Patients were divided into two groups. In the first group (52 patients), resection suspension-interposition arthroplasty of the first carpometacarpal joint was performed using an original technique. In the second group (33 patients), resection interposition arthroplasty was performed. The effectiveness of surgical treatment was assessed based on the intensity of pain using the Visual Analog Scale for Pain (VAS), upper limb function recovery assessed with the Disabilities of the Arm, Shoulder, and Hand (DASH) scale, measurement of the distance between the base of the first metacarpal bone and the distal pole of the trapezium bone on anteroposterior X-rays, and an increase in grip strength of the affected hand at 12 months postoperatively. Results. At the 12-month follow-up, the first group showed superior results compared to the second group: a 73% improvement in DASH score (p0.01); a 76% improvement in VAS (p = 0.000); a 60% increase in cylindrical grip strength (p = 0.010); and a 30% improvement in the measurement of the distance between the base of the first metacarpal bone and the distal pole of the trapezium bone (p0.01). Conclusion. Resection suspension-interposition arthroplasty of the first carpometacarpal joint is more effective than resection interposition arthroplasty in terms of pain relief, improvement in function and grip strength of the affected hand, and preservation of the distance between the base of the first metacarpal bone and the distal pole of the trapezium bone.

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Intraoperative Load Tolerance of the Thumb Carpometacarpal Joint After Resection-Suspension-Interposition Arthroplasty

Cited by 2 publications

References 28 publications

Basal thumb arthritis surgery: complications and its management

Basal thumb arthritis surgery: complications and its management

Mid-Term Results of Surgical Treatment for Rhizarthrosis Using Interposition and Suspension-Interposition Arthroplasty

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