Total trapeziectomy

Jäger, T.

doi:10.1016/j.hansur.2020.05.015

Cited by 8 publications

(3 citation statements)

References 32 publications

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“…111 First CMC arthritis is a common condition effectively treated with either trapeziectomy alone or augmented with additional procedures. 112,113 Trapeziectomy can be considered for all stages of first CMC arthritis. 114,115 Techniques including simple trapeziectomy, trapeziectomy with ligament reconstruction and tendon interposition, and trapeziectomy with suspension-plasty are frequently reported in the literature with similar outcomes.…”

Section: Trapeziummentioning

confidence: 99%

Isolated Osseous Excision in the Adult Carpus: A Narrative Review

Dolan,

Shiver,

Wallace

et al. 2024

Journal of Hand and Microsurgery

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Various pathologies of the adult carpus result in clinical scenarios where excision can be considered and even recommended. In the appropriate patient population, isolated carpal excision can alleviate pain and improve mobility. Excisions of the pisiform, trapezium, and trapezoid have abundant literature evidence to support positive long-term functional outcomes. In contrast, isolated excision of the capitate, hamate, and triquetrum has limited support in the literature secondary to compromise of carpal mechanics and lead to recurrent pain. Additionally, isolated scaphoid and lunate excision are best avoided secondary to carpal collapse and should be paired with concomitant stabilizing procedures in the carpus. This article provides a comprehensive literature review of isolated excision of each osseous carpal bone, their indications, and previously assessed outcomes.

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Section: Trapeziummentioning

confidence: 99%

Isolated Osseous Excision in the Adult Carpus: A Narrative Review

Dolan,

Shiver,

Wallace

et al. 2024

Journal of Hand and Microsurgery

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“…Several procedures have been described for trapeziometacarpal joint arthritis, but none has shown a clearly defined superiority (Higginbotham et al., 2017). Trapeziectomy offers a good therapeutic option and a durable result (Jager, 2021). However, failure of trapeziectomy is a real therapeutic challenge for which there are not many solutions (Herren et al., 2021; Rouveyrol et al., 2021).…”

Section: Introductionmentioning

confidence: 99%

Targeted partial arthroscopic trapeziectomy with temporary distraction: a retrospective study with 5-year follow-up

de Villeneuve Bargemon,

Lupon,

Soudé

et al. 2023

J Hand Surg Eur Vol

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Targeted partial arthroscopic trapeziectomy with temporary distraction is a minimally invasive treatment for trapeziometacarpal osteoarthritis. We performed a retrospective single centre study from March 2011 to May 2022 and included patients with at least 5 years of follow-up. A failure was defined as a patient requiring a second procedure. Of the 28 patients with at least 5 years of follow-up, 23 were reviewed. Five of the 23 patients underwent revision surgery with a 5-year survival rate of 78%. There was a significant improvement in pain and the Quick Disabilities of the Arm, Shoulder and Hand (Q-DASH) score. There were three postoperative complications, one with complex regional pain syndrome, and two with hyperesthesia in the distribution of the sensory branch of the radial nerve. Targeted partial arthroscopic trapeziectomy with temporary distraction is a feasible temporary solution for early stage trapeziometacarpal joint osteoarthritis. However, there remains a 20% risk of failure. Level of evidence: IV

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“…In younger patients, however, good range of motion associated with strength and precision is required for fine and gross motor function, which this technique does not currently achieve [11,12,21]. Jager, nevertheless, claimed that total trapeziectomy is currently the only surgical technique for thumb basal joint arthritis that provides a potential life-long solution [22].…”

Section: Introductionmentioning

confidence: 99%