Patient functional outcomes with trapeziectomy alone versus trapeziectomy with TightRope ®

Mohan, Anita T.; Shenouda, Michael; Ismail, Hiba; Desai, Ankit; Jacob, Joshua; Sarkhel, Tanaya

doi:10.1016/j.jor.2015.10.019

Cited by 10 publications

(14 citation statements)

References 15 publications

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“…43 The VAS and the Q-DASH score have been used in studies evaluating the effects of surgery to the thumb CMC joint to quantify postoperative pain and functional outcomes, respectively. [44][45][46][47][48] Day et al 37 have studied the short-and long-term effects of thumb CMCJ steroid injections and splinting on patients suffering from progressively worse stages of the disease. They have demonstrated an average 23 months of pain relief for all patients at the first stage, long-term efficacy in only 40% of those with stages II and III and lack of either short-or long-term relief in those with stage IV.…”

Section: Discussionmentioning

confidence: 99%

Platelet-Rich Plasma versus Corticosteroid Intra-Articular Injections for the Treatment of Trapeziometacarpal Arthritis: A Prospective Randomized Controlled Clinical Trial

et al. 2018

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Various systematic reviews have recently shown that intra-articular platelet-rich plasma (IA-PRP) can lead to symptomatic relief of knee osteoarthritis for up to 12 months. There exist limited data on its use in small joints, such as the trapeziometacarpal joint (TMJ) or carpometacarpal joint (CMCJ) of the thumb. A prospective, randomized, blind, controlled, clinical trial of 33 patients with clinical and radiographic osteoarthritis of the TMJ (grades: I-III according to the Eaton and Littler classification) was conducted. Group A patients (16 patients) received 2 ultrasound-guided IA-PRP injections, while group B patients (17 patients) received 2 ultrasound-guided intra-articular methylprednisolone and lidocaine injections at a 2-week interval. Patients were evaluated prior to and at 3 and 12 months after the second injection using the visual analogue scale (VAS) 100/100, shortened Disabilities of the Arm, Shoulder, and Hand Questionnaire (Q-DASH), and patient’s subjective satisfaction. No significant differences between the baseline clinical and demographic characteristics of the 2 groups were identified. After 12 months’ follow-up, the IA-PRP treatment has yielded significantly better results in comparison with the corticosteroids, in terms of VAS score ( P = 0.015), Q-DASH score ( P = 0.025), and patients’ satisfaction ( P = 0.002). Corticosteroids offer short-term relief of symptoms, but IA-PRP might achieve a lasting effect of up to 12 months in the treatment of early to moderate symptomatic TMJ arthritis.

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Section: Discussionmentioning

confidence: 99%

Platelet-Rich Plasma versus Corticosteroid Intra-Articular Injections for the Treatment of Trapeziometacarpal Arthritis: A Prospective Randomized Controlled Clinical Trial

et al. 2018

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“…Its advantage is rapid recovery with minimal risk for complications. 1,3,6,11,12,16,17 Several studies have evaluated and compared results from different techniques of suspensionplasty after partial or full trapeziectomy for symptomatic TMC joint osteoarthritis, including suspensionplasty using abductor pollicis longus tendon, 1,18e20 suture suspensionplasty, 21 double or simple SBS, 3,4,11,16,22 and arthroscopic SBS. 5,6 The common conclusion of the studies is that these surgical techniques are safe and have similarly satisfactory long-term outcomes.…”

Section: Discussionmentioning

confidence: 99%

“…7 Kirchner wires are usually removed 4 weeks or more after surgery, and the thumb can become stiff as a result of prolonged immobilization. 11,16 Also, with suture button fixation, some complications associated with K-wire pinning can be entirely avoided, such as pin track infections and skin irritation. 3,8,11,16 In this cohort, one complication was present at latest follow-up.…”

Section: Discussionmentioning

confidence: 99%

Trapezium Bone Resection Arthroplasty and Suspension With Suture Button for the Treatment of Trapeziometacarpal Osteoarthritis: Long-Term Follow-Up in a Colombian Cohort

González

Suarez

Vanegas

et al. 2019

Journal of Hand Surgery Global Online

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Purpose: Osteoarthritis of the trapeziometacarpal (TMC) thumb joint is one of the most common and debilitating degenerative osteoarthritic conditions of the hand. Two available surgical options include arthrodesis versus arthroplasty; the latter uses complete or partial trapeziectomy. Suspension with a suture button avoids the use of tendon grafts and favors early rehabilitation. Our purpose was to evaluate the long-term results of suspension arthroplasty using the suture button technique in a Colombian cohort. Methods: This was a retrospective study of clinical results of a cohort of patients with osteoarthritis of the TMC joint of the thumb, who were treated with trapezium resection arthroplasty plus suspension with a suture button. We included 15 patients (16 thumbs). Functional recovery and pain level were assessed through the grip and pinch strength tests, range of motion, QuickeDisabilities of the Arm, Shoulder, and Hand (QuickDASH) and Kapandji scores, and visual analog scale score of pain. Trapezial space was measured on preoperative and postoperative x-rays. Results: Average age of patients was 62.4 years; there were 14 women. One patient had bilateral involvement. Preoperative QuickDASH score was 70.45 and EatoneLittler classification of the 16 cases was II in 1, III in 6, and IV in 9 thumbs. Average follow-up was 33.75 months (range, 24e48 months) and average QuickDASH score was 24.7. Grip and pinch strengths were 96.9% and 108.3%, respectively, of the nonsurgical side. Average palmar and radial abduction was 92.8% and 101.1%, respectively of the nonsurgical thumb. Average Kapandji score was 9.33. During the last follow-up, the visual analog scale score was 2 or lower in 83.3% of cases. There was one complication of regional pain syndrome. Conclusions: In our population, TMC arthroplasty with suture button provided good functional results for patients with osteoarthritis of the TMC thumb joint, primarily related to pain relief, satisfaction, and early reincorporation into daily activities. Type of study/level of evidence: Therapeutic IV.

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“…65,66 Retrospective comparison between simple trapeziectomy and suture button suspensionplasty found no significant difference in Quick Disabilities of the Arm, Shoulder and Hand questionnaire or Nelson Thumb Scores; however, 6.7 percent of suture button suspensionplasty patients required reoperation, whereas no complications occurred for trapeziectomy. 67 Unique suture button suspensionplasty complications include overtightening with metacarpal 68 Modifications include a targeting guide and tapered suture-passing guidewire to help preserve bone integrity. 66 Of 242 patients who underwent suture button suspensionplasty with either Mini-Tightrope (n = 183) or CableFix (n = 59), there was a 5 percent complication rate, including one metacarpal fracture.…”

Section: Suture Suspensionplastymentioning

confidence: 99%

Update on Thumb Basal Joint Arthritis Surgery

Trost

Giménez

Staines

et al. 2021

Plastic &Amp; Reconstructive Surgery

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Learning Objectives: After studying this article, the participant should be able to: 1. Comprehend anatomy and biomechanics of the normal and arthritic trapeziometacarpal joint. 2. Evaluate best evidence for diagnosis and for operative and nonoperative treatment of thumb osteoarthritis. 3. Understand treatment pitfalls of basilar joint arthritis and complication avoidance. Summary: Articular and ligamentous anatomy of the trapeziometacarpal joint enables complex motions. Disability from arthritis, common at the trapeziometacarpal joint, is debilitating. Furthering the understanding of how trapeziometacarpal arthritis develops can improve treatment. The authors provide current best evidence for diagnosis and treatment of basilar joint arthritis. Pitfalls in treatment are discussed.

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Patient functional outcomes with trapeziectomy alone versus trapeziectomy with TightRope ®

Cited by 10 publications

References 15 publications

Platelet-Rich Plasma versus Corticosteroid Intra-Articular Injections for the Treatment of Trapeziometacarpal Arthritis: A Prospective Randomized Controlled Clinical Trial

Platelet-Rich Plasma versus Corticosteroid Intra-Articular Injections for the Treatment of Trapeziometacarpal Arthritis: A Prospective Randomized Controlled Clinical Trial

Trapezium Bone Resection Arthroplasty and Suspension With Suture Button for the Treatment of Trapeziometacarpal Osteoarthritis: Long-Term Follow-Up in a Colombian Cohort

Update on Thumb Basal Joint Arthritis Surgery

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