Suspensionplasty With the Abductor Pollicis Longus Tendon for Osteoarthritis in the Carpometacarpal Joint of the Thumb

Soejima, Osamu; Hanamura, Tatsuo; Kikuta, Tomomi; Iida, Hiroyuki; Naito, Masatoshi

doi:10.1016/j.jhsa.2005.12.010

Cited by 79 publications

(62 citation statements)

References 11 publications

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“…At 2 [4], 3 [11], and 4 [12] -year follow-up, respectively, these studies demonstrated clinical and functional results similar to those found in our short-term follow-up group (group 1 with average follow-up of 3.2 years) ( Table 2).…”

Section: Discussionsupporting

confidence: 82%

First Carpometacarpal Arthroplasty with Ligamentous Reconstruction: A Long-Term Follow-up

Yaffe

Butler

Saucedo

et al. 2014

Hand (New York, N,Y.)

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Background The purpose of the present study is to evaluate a single surgeon's short, intermediate, and long-term clinical, functional, and radiographic outcomes with a trapeziectomy with flexor carpi radialis (FCR) suspension arthroplasty without tendon interposition (LRSA). Methods Twenty-one patients underwent 26 FCR suspension arthroplasties without tendon interposition by a single senior surgeon. All patients had Eaton stage III and IV carpometacarpal (CMC) osteoarthritis. The Patient-Rated Wrist and Hand Evaluation (PRWHE) and Quick Disabilities of Arm, Shoulder, and Hand (QuickDASH) were used to evaluate functional outcomes. A comprehensive strength and range of motion evaluation was performed to evaluate clinical outcomes. Plain radiographs at rest and with maximal pinch were performed to evaluate for arthroplasty space subsidence. Results The LRSA exhibited consistent clinical and functional outcomes throughout postoperative follow-up. As the average patient age and time from surgery increased, range of motion (ROM) and PRWHE scores stayed relatively constant, while lateral tip and tip pinch strength deteriorated with time. The LRSA prevented the proximal migration of the first metacarpal in all but one patient. No patients required revision arthroplasty following LRSA. Conclusions This study demonstrates the consistent short, intermediate, and long-term clinical, functional, and radiographic outcomes following a trapeziectomy with FCR suspension arthroplasty.

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Section: Discussionsupporting

confidence: 82%

First Carpometacarpal Arthroplasty with Ligamentous Reconstruction: A Long-Term Follow-up

Yaffe

Butler

Saucedo

et al. 2014

Hand (New York, N,Y.)

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“…18 Subsequently a number of alternative grafts were proposed as the ideal interposition material including; palmaris longus, 19 APL, 20,21 and FCR. 22 Whilst there is evidence supporting the use of these substitutes, certain limitations exist.…”

Section: Discussionmentioning

confidence: 99%

Long-term follow-up of trapeziectomy with abductor pollicis longus tendon interposition arthroplasty for osteoarthritis of the thumb carpometacarpal joint

Avisar

Elvey

Wasrbrout

et al. 2013

Journal of Orthopaedics

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Results: At a mean of 15 years post operation (range 15e17 years), there was no statistical difference between the operated and non-operated hands with regards to grip and pinch strength. In all cases CMC and MCPJ range of motion in the operative hand was either equal to or greater than non-operative counterparts. Mean visual analogue scale score was 2.13 and mean DASH score was 16.85. Mean carpal height was 0.52 and mean trapezial space ratio was 0.163. There were no early or late complications recorded and no revision surgery was required. Conclusion:It is the opinion of these authors that abductor pollicis longus tendon interposition arthroplasty is able to provide high-quality long-term results for patients who suffer from moderate to severe osteoarthritis of the thumb carpometacarpal joint.

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“…Our ROM in palmar (60 8 ) and radial (55 8 ) abduction at the final follow-up showed equivalence to series in the literature, which reported similar parameters. 16,21,22,27 In a prospective cohort study, which was published by Vermeulen et al, 28 palmar abduction was stated as an intermetacarpal distance measurement in centimeters rather than goniometric evaluation. Preoperative 5.4-cm measurement in distance was significantly improved to 5.9 cm at 12th months after the surgery.…”

Section: Discussionmentioning

confidence: 99%

Rehabilitation Protocol after Suspension Arthroplasty of Thumb Carpometacarpal Joint Osteoarthritis

Ataker

Güdemez

Ece

et al. 2012

Journal of Hand Therapy

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Suspensionplasty With the Abductor Pollicis Longus Tendon for Osteoarthritis in the Carpometacarpal Joint of the Thumb

Cited by 79 publications

References 11 publications

First Carpometacarpal Arthroplasty with Ligamentous Reconstruction: A Long-Term Follow-up

First Carpometacarpal Arthroplasty with Ligamentous Reconstruction: A Long-Term Follow-up

Long-term follow-up of trapeziectomy with abductor pollicis longus tendon interposition arthroplasty for osteoarthritis of the thumb carpometacarpal joint

Rehabilitation Protocol after Suspension Arthroplasty of Thumb Carpometacarpal Joint Osteoarthritis

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