Prospective 1-Year Follow-Up Study Comparing Joint Prosthesis With Tendon Interposition Arthroplasty in Treatment of Trapeziometacarpal Osteoarthritis

A Systematic Review of Postoperative Hand Therapy Management of Basal Joint Arthritis

“…A common theme in studies in which a Kirschner wire was used after the surgical procedure [3,6,14,15] was that patients were casted or splinted at least until the wire was removed, which occurred 4 to 5 weeks after surgery. For the studies in which some sort of joint prosthesis was implanted [1,9,18,20,21,24], postoperative immobilization time ranged from 2 to 6 weeks. The type of immobilization used for the studies was described in varying detail.…”

“…Patients in other studies were referred to a therapist after the period of immobilization [1,3,4,7,9,24]. Finally, some patients were only referred to a therapist if it was felt they were not making satisfactory progress during followup visits [6,14,21,22]. In the studies comparing different surgical techniques, most authors did not vary postoperative immobilization and therapy protocols based on the type of surgery [2,4,5,9,13,18,20].…”

“…In the studies comparing different surgical techniques, most authors did not vary postoperative immobilization and therapy protocols based on the type of surgery [2,4,5,9,13,18,20]. However, in some studies, patients undergoing either trapeziectomy alone [3] or prosthetic joint replacement [21] were allowed earlier ROM than patients undergoing trapeziectomy with tendon interposition with or without ligament reconstruction. Because of the variability in surgical techniques and therapy protocols used, no clear conclusions could be drawn in terms of the clinical efficacy of the various therapy protocols used.…”

Osteoarthritis of the Wrist

“…(Sung and Akelman 2009) Total prosthetic joint arthroplasty is a promising field and further research need to assess reproducibility and long term risks and benefits. (Ulrich-Vinther, Puggaard et al 2008) Currently, the gold standard is resection arthroplasty with or without ligament reconstruction and tendon interposition. This procedure requires a complete trapeziectomy.…”

Implant Arthroplasty of the Carpometacarpal Joint of the Thumb

“…This early loosening was believed to be related to suboptimal orientation and a deficiency of bone-embedment of the trapezial cup. 24 Ulrich-Vinther and colleagues 24 performed a prospective study comparing the Elektra prosthesis with an abductor pollicis longus tendon interposition arthroplasty. Ninety eight patients with mean age of 60 years were available for review after surgical treatment for Eaton stage II or III thumb carpometacarpal osteoarthritis.…”