Nonunion Following Trapeziometacarpal Arthrodesis With Plate and Screw Fixation

Lansinger, Yuri C.; Lehman, Thomas P.

doi:10.1016/j.jhsa.2015.03.025

Cited by 8 publications

(9 citation statements)

References 8 publications

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“…Arthrodesis can significantly relieve pain in cases of degenerative thumb CMC osteoarthritis [15]. The literature suggests its main disadvantage being decreased postoperative thumb range of motion, with the thumb unable to adduct and lay flat on the palm, as well as a certain rate of nonunion [16, 17]. We observed a decrease in thumb abduction angle postoperative; however, the joint was not completely fixed and was unable to move.…”

Section: Discussionmentioning

confidence: 78%

Comparison of arthrodesis and arthroplasty of Chinese thumb carpometacarpal osteoarthritis

Gao

et al. 2019

J Orthop Surg Res

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BackgroundThe thumb carpometacarpal (CMC) osteoarthritis is very common. Multiple methods are used to treat progressive thumb CMC osteoarthritis, among which trapeziometacarpal arthrodesis and trapezial excision with ligament reconstruction and tendon interposition (LRTI) are the most common. These two surgical treatment methods have received mixed reviews in previous studies in the west patients. This retrospective study studied the effects, advantages, and disadvantages of arthrodesis and arthroplasty for treating thumb carpometacarpal osteoarthritis in Chinese patients.MethodsBetween February 2012 and September 2017, 39 Chinese patients with stage II or III thumb carpometacarpal osteoarthritis underwent surgery (trapeziometacarpal arthrodesis in 22, trapezial excision with ligament reconstruction and tendon interposition in 17). Postoperative objective and subjective evaluations were performed. The objective evaluation involved grip strength, pinch strength, thumb abduction degree (palmar and radial), and Kapandji opposition scores. The subjective evaluation involved visual analog scale (VAS) and Disabilities of the Arm, Shoulder, and Hand (DASH) scores.ResultsIntergroup differences in pinch strength, thumb abduction degrees (palmar and radial), and Kapandji opposition scores were obvious, whereas those in grip strength, VAS score, and DASH score were not.ConclusionIn Chinese patients, both techniques relieved pain and improve grip strength. Arthrodesis displayed better pinch strength, while arthroplasty displayed better motor function. Patients were satisfied with the effects of both techniques.

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Section: Discussionmentioning

confidence: 78%

Comparison of arthrodesis and arthroplasty of Chinese thumb carpometacarpal osteoarthritis

Gao

et al. 2019

J Orthop Surg Res

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“…However, concerns have been raised about high complication rates, including non-union, problems with metal hardware and development of osteoarthritis in the neighbouring STT joint. Nonunion rates vary from 8 -21 % according to a recent article which included a literature review (Lansinger and Lehman, 2015), although other authors cite rates of up to 50% (Jimenez-Diaz et al, 2017). However, most patients are asymptomatic after failed arthrodesis attempts.…”

Section: Arthrodesismentioning

confidence: 99%

Early Cup Loosening After Metal-on-Metal Total Joint Replacement of the Trapeziometacarpal Joint: A Retrieval Study

Thorkildsen

Johansson

Högmalm

et al. 2020

The Journal of Hand Surgery

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“…Mechanical rigid fixation at the fusion site is important in achieving bone union after CMC arthrodesis (Huffman and Rayan, 2011; Lansinger and Lehman, 2015). Various internal fixation techniques, such as K-wires, TBW, screws, plates or staples, have been reported for CMC arthrodesis (Dharamsi et al., 2022).…”

Section: Discussionmentioning

confidence: 99%

“…Some reports have shown that most nonunions are asymptomatic and do not affect clinical and functional outcomes (Dharamsi et al, 2022;Smeraglia et al, 2015). In contrast, others have revealed that nonunion increases the risk of implant failure or revision surgery (Dharamsi et al, 2022;Lansinger and Lehman, 2015;Singh et al, 2015). Therefore, avoiding nonunion after arthrodesis in patients with CMC arthritis is desirable.…”

Section: Introductionmentioning

confidence: 99%

Comparative study on the effectiveness of bone grafting for arthrodesis of the thumb carpometacarpal arthritis

Matsuo

Suzuki

Hayakawa³

et al. 2022

J Hand Surg Eur Vol

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The aim of this retrospective study was to assess the effectiveness of autogenous bone grafting for arthrodesis of the thumb carpometacarpal joint by comparing the bone union rates with and without bone grafting. We included 36 patients who underwent arthrodesis of the thumb carpometacarpal joint for arthritis (20 patients with bone grafts and 16 without bone grafts). Implants used for internal fixation were K-wire, tension band wiring, headless compression screw and locking plate. The presence of bone union and the time from surgery to bone union were evaluated. The bone union rate was 20/20 (100%) in the bone grafting group and 12/16 (75%) in the non-bone grafting group ( p = 0.03). There were no significant differences between the two groups in the time from surgery to bone union and patient characteristics. In conclusion, autogenous bone grafting may contribute to the bone union in the arthrodesis of thumb carpometacarpal arthritis. Level of evidence: III

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Nonunion Following Trapeziometacarpal Arthrodesis With Plate and Screw Fixation

Cited by 8 publications

References 8 publications

Comparison of arthrodesis and arthroplasty of Chinese thumb carpometacarpal osteoarthritis

Comparison of arthrodesis and arthroplasty of Chinese thumb carpometacarpal osteoarthritis

Early Cup Loosening After Metal-on-Metal Total Joint Replacement of the Trapeziometacarpal Joint: A Retrieval Study

Comparative study on the effectiveness of bone grafting for arthrodesis of the thumb carpometacarpal arthritis

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