Treatment of Advanced Carpometacarpal Joint Disease: Arthrodesis

Kenniston, Julia A.; Bozentka, David J.

doi:10.1016/j.hcl.2008.03.006

Cited by 30 publications

(10 citation statements)

References 26 publications

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“…Cannulated screws were used to fuse the trapezium and the base of the first metacarpal. The thumb position of fusion was at 35° of radial abduction, 35° of palmar abduction, 15° of pronation, and 10° of dorsiflexion [3]. After the procedure, the joint capsule, subcutaneous tissues, and skin were closed layer by layer.…”

Section: Methodsmentioning

confidence: 99%

Comparison of arthrodesis and arthroplasty of Chinese thumb carpometacarpal osteoarthritis

Gao

et al. 2019

J Orthop Surg Res

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BackgroundThe thumb carpometacarpal (CMC) osteoarthritis is very common. Multiple methods are used to treat progressive thumb CMC osteoarthritis, among which trapeziometacarpal arthrodesis and trapezial excision with ligament reconstruction and tendon interposition (LRTI) are the most common. These two surgical treatment methods have received mixed reviews in previous studies in the west patients. This retrospective study studied the effects, advantages, and disadvantages of arthrodesis and arthroplasty for treating thumb carpometacarpal osteoarthritis in Chinese patients.MethodsBetween February 2012 and September 2017, 39 Chinese patients with stage II or III thumb carpometacarpal osteoarthritis underwent surgery (trapeziometacarpal arthrodesis in 22, trapezial excision with ligament reconstruction and tendon interposition in 17). Postoperative objective and subjective evaluations were performed. The objective evaluation involved grip strength, pinch strength, thumb abduction degree (palmar and radial), and Kapandji opposition scores. The subjective evaluation involved visual analog scale (VAS) and Disabilities of the Arm, Shoulder, and Hand (DASH) scores.ResultsIntergroup differences in pinch strength, thumb abduction degrees (palmar and radial), and Kapandji opposition scores were obvious, whereas those in grip strength, VAS score, and DASH score were not.ConclusionIn Chinese patients, both techniques relieved pain and improve grip strength. Arthrodesis displayed better pinch strength, while arthroplasty displayed better motor function. Patients were satisfied with the effects of both techniques.

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Section: Methodsmentioning

confidence: 99%

Comparison of arthrodesis and arthroplasty of Chinese thumb carpometacarpal osteoarthritis

Gao

et al. 2019

J Orthop Surg Res

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“…1,2 In one study assessing the long-term outcomes of trapeziometacarpal arthrodesis in 126 thumbs in 114 patients, using a variety of techniques for arthrodesis, there were 17 nonunions (13.5%), of which 8 thumbs were painless and did not require additional treatments. 3 Rubino et al reported that patients with nonunion after arthrodesis only complain of pain until the metalwork has been removed.…”

Section: Adverse Effectsmentioning

confidence: 99%

Nonunion Following Trapeziometacarpal Arthrodesis With Plate and Screw Fixation

Lansinger

Lehman

2015

The Journal of Hand Surgery

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“…While it provides stability, strength and pain relief, it does so at the expense of mobility and transfer of joint reaction forces to other joints (48). The literature contains several reports on the use of TMJ arthrodesis (49)(50)(51)(52)(53). The most widely used technique is the traditional one described by Muller in 1949 (54), which is performed under regional anesthesia and limb ischemia.…”

Section: Partial Trapeziectomymentioning

confidence: 99%

Surgical treatment of trapeziometacarpal joint osteoarthritis

Taccardo¹,

Vitis

Parrone³

et al. 2013

Joints

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Trapeziometacarpal joint osteoarthritis is a common cause of radial-sided wrist pain that prevalently affects women. It is diagnosed on the basis of a thorough history, physical examination, and radiographic evaluation. While radiographs are used to determine the stage of disease, treatment is dependent on the severity of the symptoms. Non-surgical treatment frequently consists of activity modification, non-steroidal anti-inflammatory drugs, splinting and corticosteroid injections. After failure of conservative treatment, various surgical options exist depending on the stage of the disease. These options range from ligament reconstruction or osteotomy, for early painful laxity, to trapeziectomy, arthrodesis and arthroplasty for more severe osteoarthritis. This article reviews the literature supporting the various surgical treatment options and analyzes the surgical techniques most frequently used in the different disease stages. 140JOINTS 2013;1(3):138-144 J oints G. taccardo et al. 144 JOINTS 2013;1(3):138-144 J oints G. taccardo et al.

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Treatment of Advanced Carpometacarpal Joint Disease: Arthrodesis

Cited by 30 publications

References 26 publications

Comparison of arthrodesis and arthroplasty of Chinese thumb carpometacarpal osteoarthritis

Comparison of arthrodesis and arthroplasty of Chinese thumb carpometacarpal osteoarthritis

Nonunion Following Trapeziometacarpal Arthrodesis With Plate and Screw Fixation

Surgical treatment of trapeziometacarpal joint osteoarthritis

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