Ligament reconstruction in thumb carpometacarpal joint instability: A systematic review

Jongen, I.C.; Nieuwdorp, N.J.; Hundepool, C.A.; Van Gelder, F.S.; Schutter, A.M.; Zuidam, J.M.

doi:10.1016/j.jpra.2024.01.001

JPRAS Open

2024

DOI: 10.1016/j.jpra.2024.01.001

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Ligament reconstruction in thumb carpometacarpal joint instability: A systematic review

I.C. Jongen,

N.J. Nieuwdorp,

C.A. Hundepool

et al.

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2024

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Cited by 2 publications

References 44 publications

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The Figure-of-Eight Ligament Reconstruction in Thumb Carpometacarpal Instability: Surgical Technique and Clinical Outcomes

Jongen,

Nieuwdorp,

Hundepool

et al. 2024

The Journal of Hand Surgery

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The Figure-of-Eight Ligament Reconstruction in Thumb Carpometacarpal Instability: Surgical Technique and Clinical Outcomes

Jongen,

Nieuwdorp,

Hundepool

et al. 2024

The Journal of Hand Surgery

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Arthroscopic debridement, synovectomy, and thermal shrinkage for basal joint arthritis

Kuo,

Lo,

Yin

et al. 2024

Journal of the Chinese Medical Association

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Background: Ligamentous laxity, cartilage wear, and diffuse synovitis are frequently seen in thumb basal joint arthritis. Although these degenerative changes may be mild for the majority, they have the potential to cause discomfort during movement and compromised hand function. This study assesses the long-term outcomes of arthroscopic debridement, synovectomy, and thermal shrinkage in managing early-stage basal joint arthritis. Methods: We retrospectively reviewed patients with basal joint arthritis who underwent arthroscopic debridement, synovectomy, and thermal shrinkage between November 2010 and January 2021 by a single surgeon at our medical institute. We assessed functional outcomes, thumb range of motion, perioperative nonsteroidal anti-inflammatory drug (NSAID) use, return to work and satisfaction level. Results: A total of 12 patients (13 hands), with a mean follow-up of 72 months, were included in this study. Significant improvements were observed in pain scores and functional outcomes, along with a reduction in postoperative NSAID use. Patients also reported a relatively quick return to work and a high satisfaction level. Conclusion: The study highlights the benefits of arthroscopic intervention, providing a minimally invasive approach with favorable long-term outcomes for patients with symptomatic basal joint arthritis.

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Ligament reconstruction in thumb carpometacarpal joint instability: A systematic review

Cited by 2 publications

References 44 publications

The Figure-of-Eight Ligament Reconstruction in Thumb Carpometacarpal Instability: Surgical Technique and Clinical Outcomes

The Figure-of-Eight Ligament Reconstruction in Thumb Carpometacarpal Instability: Surgical Technique and Clinical Outcomes

Arthroscopic debridement, synovectomy, and thermal shrinkage for basal joint arthritis

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