Thumb Basal Joint Arthroplasty Using Abductor Pollicis Longus Tendon: An Average 5.5-Year Follow-Up

Kochevar, Andrew; Adham, Christine; Adham, Mehdi N.; Angel, Michael; Walkinshaw, Marcus D.

doi:10.1016/j.jhsa.2011.05.026

Cited by 45 publications

(45 citation statements)

References 28 publications

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“…Tomaino et al [29] reported that 20 of 22 patients were satisfied with LRTI at 9-year follow-up, and Kochevar et al [11] reported that 17 of 18 patients had excellent or good relief of pain with APL tendon suspensionplasty at a 5.5-year follow-up.…”

Section: Discussionmentioning

confidence: 99%

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Basal Joint Osteoarthritis of the Thumb: Comparison of Suture Button versus Abductor Pollicis Longus Suspensionplasty

Avant

Nydick²,

White

et al. 2014

Hand (New York, N,Y.)

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Background Our purpose was to compare the outcomes of patients with severe basilar thumb osteoarthritis treated with trapeziectomy and suspensionplasty using abductor pollicis longus (APL) tendon versus a suture button device. Methods A retrospective study was performed for patients undergoing trapeziectomy and suspensionplasty with APL tendon or suture button fixation. Outcome measures included disabilities of the arm, shoulder, and hand (DASH); visual analog score (VAS); grip strength; key pinch; tip pinch; and thumb opposition. Radiographic measurements, surgical times, and complications were recorded. Results Thirty-three patients in the APL tendon group and 27 patients in the suture button group had a minimum 6-month follow-up. VAS, DASH, and functional measurements improved after surgery for both groups. Mean operative time was 68 min for the APL tendon group and 48 min for the suture button group. Complications were similar between groups.Conclusions The use of suture button fixation when compared to APL tendon suspensionplasty offers similar clinical outcomes.Type of study/level of evidence: Therapeutic III

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Section: Discussionmentioning

confidence: 99%

“…While this technique was initially described as a salvage procedure, it has shown excellent long-term results for the treatment of primary thumb CMC osteoarthritis [11].…”

Section: Introductionmentioning

confidence: 99%

Basal Joint Osteoarthritis of the Thumb: Comparison of Suture Button versus Abductor Pollicis Longus Suspensionplasty

Avant

Nydick²,

White

et al. 2014

Hand (New York, N,Y.)

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“…The ability of APL interposition arthroplasty to relieve symptoms of CMC arthritis in the short and medium term is well documented. 25,26 Few studies report on long-term outcomes. Kaarela et al presented outcomes of APL interposition arthroplasty at a mean of 6 years (range 1e11).…”

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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“…Time for return to full unrestricted activity was only mentioned in five of the 19 studies (Table 5) [6,12,14,16,19]. The range for time to return to full activity was 5 to 12 weeks in these studies.…”

Section: Resultsmentioning

confidence: 96%

“…Postoperative thumb exercise protocols were quite variable across the studies identified (Table 4). Some patients simply were shown exercises after the immobilization was discontinued [2,5,8,12,13,15,19]. Patients in other studies were referred to a therapist after the period of immobilization [1,3,4,7,9,24].…”

Section: Resultsmentioning

confidence: 99%

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

Wolfe

Chu

Woods

et al. 2014

Clinical Orthopaedics &Amp; Related Research

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Background There are a variety of postoperative immobilization and therapy options for patients with basal joint arthritis. Although prior systematic reviews have compared surgical procedures used to treat basal joint arthritis, none to our knowledge compares therapy protocols for this condition, which are considered an important part of the treatment.Questions/purposes (1) We sought to determine whether differences in the length and type of postoperative immobilization affect clinical results after basal joint arthritis surgery. (2) We also compared specific therapy protocols that were prescribed. (3) Finally, we evaluated published protocols to determine when patients were released to full activity to see whether these appeared to affect clinical results. Methods A systematic review of English-language studies in the PubMed and Cochrane databases was performed. Studies were then reviewed to determine what postoperative immobilization and therapy protocols the authors used and when patients were released to full activities. A total of 19 studies were identified using the search criteria.

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Thumb Basal Joint Arthroplasty Using Abductor Pollicis Longus Tendon: An Average 5.5-Year Follow-Up

Cited by 45 publications

References 28 publications

Basal Joint Osteoarthritis of the Thumb: Comparison of Suture Button versus Abductor Pollicis Longus Suspensionplasty

Basal Joint Osteoarthritis of the Thumb: Comparison of Suture Button versus Abductor Pollicis Longus Suspensionplasty

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

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

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