Ligament Reconstruction with or without Tendon Interposition to Treat Primary Thumb Carpometacarpal Osteoarthritis

Kriegs-Au, Gabriele; Petje, G.; Fojtl, Eva; Rudolf, G.; Zachs, Ingrid

doi:10.2106/00004623-200503001-00007

Cited by 71 publications

(115 citation statements)

References 4 publications

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“…The need for interposition grafting material is frequent in the treatment of osteoarthritis of the base of the thumb [13,17] or tendinous [6,15,22] and ligamentous injuries of the hand [10,14]. The use of different tendons as grafting material is extensive in hand surgery.…”

Section: Introductionmentioning

confidence: 99%

Anatomic Study of the Abductor Pollicis Longus: A Source for Grafting Material of the Hand

Bravo

Barco

2010

Clinical Orthopaedics &Amp; Related Research

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Interposition grafting material is used frequently to treat osteoarthritis of the base of the thumb or tendinous and ligamentous injuries of the hand. The observation of duplicated tendons in the first dorsal compartment of the hand prompted us to explore the possibility of using the accessory abductor pollicis longus (AAPL) tendon as grafting material. Based on dissections of 78 cadaveric upper limbs, we describe the number of tendons in the first dorsal compartment of the hand, the number of muscle bellies, their innervation, their insertion site, and the tendon dimensions to determine whether the AAPL can be considered a true tendon. The AAPL was present in 85% of the hands. Average length, width, and thickness (in millimeters) of the APL were of 69.3, 5.2, and 2.1, respectively. Average length, width, and thickness (in millimeters) of the AAPL were of 69.2, 3.3, and 1.6, respectively. No differences in dimension of the tendons were found between the APL and the AAPL. The dimensions of the tendinous portion of the AAPL are similar to those of the APL and can be considered a true tendon. When present, the AAPL is a suitable source of local grafting material.

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Section: Introductionmentioning

confidence: 99%

Anatomic Study of the Abductor Pollicis Longus: A Source for Grafting Material of the Hand

Bravo

Barco

2010

Clinical Orthopaedics &Amp; Related Research

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“…This is now a matter of some doubt (Gerwin et al, 1997;Kreigs-Au et al, 2004;Downing and Davis, 2001). There is also a possible risk of scaphometacarpal arthritis occurring as a result of complete collapse of the metacarpal onto the distal pole of the scaphoid (Conolly and Rath, 1993).…”

mentioning

confidence: 99%

To Suspend or not to Suspend: A Randomised Single Blind Trial of Simple Trapeziectomy Versus Trapeziectomy and Flexor Carpi Radialis Suspension

Field

Buchanan

2007

J Hand Surg Eur Vol

122

119

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The thumb carpometacarpal joint is the second most common site of osteoarthritis in humans. There are numerous operations for the condition but, perhaps, the commonest is trapeziectomy, sometimes supplemented by a suspension procedure, most commonly using part of the flexor carpi radialis tendon. In order to determine whether there is an advantage to a suspension procedure, or not, 65 patients with Eaton and Glickel Grade III or IV arthritis of the carpometacarpal joint of their thumbs were randomised into either undergoing trapeziectomy alone (with no wiring) or a trapeziectomy with flexor carpi radialis suspension. Patient satisfaction from both operations was similar. There was increased range of movement in the trapeziectomy alone group, but there was no difference in grip or pinch strength. Measurement of the gap on X-ray left by the trapeziectomy was less when trapeziectomy alone was performed.

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“…11,35,36 Kriegs-Au et al 11 conducted a prospective randomized study and compared patients who had either ligament reconstruction and tendon interposition (group II) or ligament reconstruction without interposition (group I). Under stress, proximal metacarpal migration was found to result in a 40% loss of height in group I and a 27% loss of height in group II.…”

Section: Discussionmentioning

confidence: 99%

Trapezium Resection With Suspension and Interposition Arthroplasty Using Acellular Dermal Allograft for Thumb Carpometacarpal Arthritis

Kokkalis¹,

Zanaros²,

Weiser³

et al. 2009

The Journal of Hand Surgery

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Ligament Reconstruction with or without Tendon Interposition to Treat Primary Thumb Carpometacarpal Osteoarthritis

Cited by 71 publications

References 4 publications

Anatomic Study of the Abductor Pollicis Longus: A Source for Grafting Material of the Hand

Anatomic Study of the Abductor Pollicis Longus: A Source for Grafting Material of the Hand

To Suspend or not to Suspend: A Randomised Single Blind Trial of Simple Trapeziectomy Versus Trapeziectomy and Flexor Carpi Radialis Suspension

Trapezium Resection With Suspension and Interposition Arthroplasty Using Acellular Dermal Allograft for Thumb Carpometacarpal Arthritis

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