La luxation trapézo-métacarpienne fermée, récente, traitée par embrochage

Obert, L.; Garbuio, P.; Gerard, F.; Pe, Ridoux; Tropet, Y.; Vichard, P

doi:10.1016/s0753-9053(97)80027-0

Cited by 7 publications

(6 citation statements)

References 9 publications

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“…Other authors prefer Kirschner-wire stabilization independent of the reduction method [2,3,12,13]. It is a quick, simple and reproducible procedure [14]; however, articular non-congruence may persist, which can generate osteoarthritis. Other authors consider that the two aforementioned treatments increase the risk of recurrence, thus ligament reconstruction [16,17] or CMC joint capsulorraphy is suggested [18].…”

Section: Discussionmentioning

confidence: 99%

“…According to Péquignot et al, peripheral ligament reconstruction provides joint stability without reducing its range of motion and results in good joint kinematics [15]. However, the outcomes have been reported to deteriorate over time [14]. When the metacarpal cannot be reduced properly, surgical treatment finds its place because of soft tissue impingement [1].…”

Section: Discussionmentioning

confidence: 99%

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Floating thumb metacarpal in a motorcyclist: A case report

Messaoudi

Errhaimini

Ghoubach

et al. 2015

Chirurgie de la Main

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Floating thumb metacarpal in a motorcyclist: A case report

Messaoudi

Errhaimini

Ghoubach

et al. 2015

Chirurgie de la Main

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“…- TM transarticular distraction (TMTD) (the so-called Wiggins technique 6 but doubled): The arm was left in traction and, using a motorized driver, a K-wire was introduced from the base of the metacarpal to the body of the trapezium.…”

Section: Methodsmentioning

confidence: 99%

“…In this study, we first assessed the efficacy of an arthroscopic partial trapeziectomy technique associated with temporary distraction and then compared two types of distraction: the first corresponding to M1-M2 intermetacarpal pinning as described by Iselin and colleagues 5 and the second corresponding to double TM pinning as described by Wiggins. 6 Not only was their effectiveness compared, but also their complications.…”

mentioning

confidence: 99%

Targeted Partial Arthroscopic Trapeziectomy and Temporary K-Wire Distraction for Basal Joint Arthritis in Young Patients: A Retrospective Study of 39 Thumbs

et al. 2022

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Purpose There is a real need to find less invasive therapeutic options for young patients suffering from osteoarthritis of the first carpometacarpal joint. We wanted to assess the effectiveness of targeted partial arthroscopic trapeziectomy with distraction of the trapeziometacarpal (TM) joint with Kirschner wires (K-wires) in 39 thumbs impacted by TM osteoarthritis. Methods We conducted a retrospective study in which preoperative and postoperative data on pinch strength, grip strength, and pain on a visual analogue scale were collected. Subgroup analysis was performed based on two different K-wire distraction techniques. Only patients suffering from primary osteoarthritis and younger than 70 years were included. Second, we compared the frequency of complications relative to the position of the pins. Results We found a significant improvement in pain (p = 0.005) and grip strength (p = 0.0021) as well as an improvement in pinch strength (p = 0.5704). There was reduction in pain for all Badia levels, which was significant for stages 2 (p = 0.002) and 3 (p = 0.032) as well as an overall improvement in grip strength and pinch strength for all Badia levels. Conclusion Partial trapeziectomy with K-wire distraction in young patients suffering from TM osteoarthritis is a simple technique that requires minimal equipment and yields satisfactory outcomes. Conversion to another surgical treatment is still possible if this less invasive technique is unsuccessful.Level of evidence: This is a Level IV study.

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“…On n'en compte au total pas plus d'une centaine de cas dans la littérature [1]. Les rares publications [2][3][4][5][6][7] ne font état que de courtes séries ne portant jamais sur plus d'une quinzaine de cas. Elles associent souvent des lésions récentes et anciennes et les méthodes de traitement rapportées sont rarement univoques avec toutefois une tendance à la réalisation d'une ligamentoplastie de première intention pour le traitement des lésions récentes.…”

Section: Introductionunclassified