Results of treatment of trapeziometacarpal osteoarthritis with trapeziectomy and tendon allograft interposition

Abstract

The aim of the study was to evaluate the results of treatment of osteoarthritis of the carpometacarpal joint of the thumb with tendon allograft interposition. Fifty-three patients (61 hands), 13 men and 40 women, were operated on at a mean age of 61 years. A partial trapeziectomy with tendon interposition was performed in 19 hands and with suspension arthroplasty in 24. Seventeen thumbs underwent a total trapeziectomy with suspension arthroplasty. Patients were evaluated at a mean follow-up of 4 years. In 34 patients (41 hands), a mean disability of arm, shoulder and hand score of 19 was found and a mean visual analogue scale for pain of 1.3. The satisfaction rate was 83 %. Revision operations were performed in 8 out of 61 hands. Four of those thumbs had been operated on previously or did not have primary osteoarthritis. No revisions were needed after partial trapeziectomy and tendon allograft interposition with suspension arthroplasty. In conclusion, tendon allograft interposition can be considered as one of the treatment options for osteoarthritis of the carpometacarpal joint of the thumb.

Association of Open Reduction and Internal Fixation With Volar Locking Plate for Distal Radius Fractures With Patient-Reported Outcomes in Older Adults

“…Therefore, 23 articles were included in the final analysis ( Figure 1 ). 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 Thirteen studies assessed short-term patient-reported outcomes with DASH and PRWE; intermediate-term outcomes were assessed in 18 studies with DASH and 15 studies with PRWE. Of the included studies, 20 evaluated ORIF, 11 evaluated casting, 6 evaluated external fixation, 5 evaluated percutaneous pinning, and 4 studies evaluated nail fixation.…”

Comparison between Volar Locking Plate and Kirschner Wire Fixation for Unstable Distal Radius Fracture: A Meta-Analysis of Randomized Controlled Trials

“…Of the 14 studies, 3 were conducted in the United States, 3 conducted in the United Kingdom, and 1 study each from France, Belgium, Germany, Columbia, Iran, Pakistan, and India. [14][15][16][26][27][28][29][30][31][32][33][34][35][36] There was only one multicenter trial that was conducted in the United States, Canada, and Singapore. The sample size per study ranged from 34 to 461 participants including 352 males and 478 females.…”