scholarly journals Clinical results of the BoneWelding®Fiji® anchor for the treatment of Stener lesions of the thumb

2020 ◽  
Author(s):  
Tobias Kastenberger ◽  
Peter Kaiser ◽  
Gernot Schmidle ◽  
Kerstin Stock ◽  
Stefan Benedikt ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Range Of Motion ◽  
Traumatic Event ◽  
Ulnar Collateral Ligament ◽  
Metacarpophalangeal Joint ◽  
Contralateral Side ◽  
Pinch Strength ◽  
Dash Score ◽  
Collateral Ligament

Abstract Introduction A new technology (Sportwelding®) was recently presented, which uses ultrasonic energy to meld a resorbable suture anchor at the interface with the host bone. A standardized clinical use was not investigated yet. This study prospectively evaluated the surgical and clinical outcomes of the Fiji Anchor® (Sportwelding®, Schlieren, Switzerland) in the repair of an ulnar collateral ligament lesion of the metacarpophalangeal joint of the thumb. Material and methods The range of motion, grip and pinch strength, disability of arm, shoulder and the hand (DASH) and patient rated evaluation (PRWE) score, pain, satisfaction, complications and adverse events were assessed in 24 patients after surgical treatment for an acute displaced rupture or avulsion of the ulnar collateral metacarpophalangeal ligament of the thumb using the Fiji Anchor® after 6, 12 and 52 weeks. Results At final follow up, the range of motion of the metacarpophalangeal joint reached almost the contralateral side (49.3° SD 11.7°). Thumb opposition showed a Kapandji score of 9.7 (SD 0.5; range 9–10). Grip strength, the lateral, tip and the three jaw pinch showed nearly similar values compared to the contralateral side (83–101%). Pain was low (0.2 SD 0.7 at rest and 0.6 SD 1.0 during load). The DASH score was 5.0 (SD 7.3) and the PRWE score was 4.1 (SD 9.0). 81% of patients were very satisfied at final follow-up. Two patients were rated unstable during the follow-up period due to a second traumatic event. Three cases experienced difficulties during anchor insertion, whereby incorrect anchor insertion resulted in damage to the suture material; however, this was resolved after additional training. Conclusion One advantage of this anchor appears to be its stable fixation in cancellous bone. The surgical treatment of an ulnar collateral ligament lesion of the thumb using the Fiji Anchor® can lead to an excellent clinical outcome with a minor complication rate; however, long-term dangers and the cost effectiveness of the procedure are not known yet.

scholarly journals Thumb Metacarpophalangeal Joint Ulnar Collateral Ligament: Early Outcomes of Suture Anchor Repair with Suture Tape Augmentation

2020 ◽  
Author(s):  
Shaan S. Patel ◽  
Michael Hachadorian ◽  
Amber Gordon ◽  
Jason Nydick ◽  
Michael Garcia
Keyword(s):  
Range Of Motion ◽  
Suture Anchor ◽  
Ulnar Collateral Ligament ◽  
Dash Score ◽  
Suture Anchors ◽  
Collateral Ligament ◽  
Joint Flexion ◽  
Suture Anchor Repair ◽  
Suture Tape

Abstract Introduction The purpose of this study was to evaluate the early outcomes of thumb metacarpophalangeal (MCP) joint ulnar collateral ligament (UCL) repair using suture anchors with suture tape augmentation. Materials and Methods Six patients underwent thumb UCL repair or reconstruction with suture tape augmentation and six patients underwent thumb UCL repair with intraosseous suture anchors between January 2013 and January 2018. The main outcome measures were range of motion, strength, Disabilities of the Arm, Shoulder, and Hand (DASH) score, and complications. Results At final follow-up for patients who had suture tape augmentation, the average thumb MCP joint and interphalangeal (IP) joint flexion were 65 and 73 degrees, respectively. The average DASH score was 4.3. At final follow-up for patients who had intraosseous suture anchor repair, the average thumb MCP joint and IP joint flexion were 50 and 60 degrees, respectively. The average DASH score was 38. There were no complications or secondary procedures in either group. Conclusion The use of suture anchor repair with suture tape augmentation for thumb UCL injuries is a treatment option that allows for early range of motion with satisfactory early outcomes that are comparable to intraosseous suture anchor repair. Level of Evidence This is a level IV, case series article.

scholarly journals Percutaneous Reconstruction of the Ulnar Collateral Ligament of the Metacarpophalangeal Joint of the Thumb: Technique and Results

2020 ◽  
Vol 48 (02) ◽  
pp. 101-108
Author(s):  
Juan Manuel Herrera ◽  
Lucas Herrera ◽  
Pablo Rotella ◽  
Raquel Cantero Téllez ◽  
Jimena Castellanos ◽  
...  
Keyword(s):  
Grip Strength ◽  
Ulnar Collateral Ligament ◽  
Metacarpophalangeal Joint ◽  
Tendon Graft ◽  
Pinch Strength ◽  
Percutaneous Technique ◽  
Dash Score ◽  
Joint Movement ◽  
Collateral Ligament ◽  
Contralateral Limb

Abstract Objectives The present study aims to describe a new percutaneous technique for the reconstruction of the ulnar collateral ligament of the metacarpophalangeal joint of the thumb with a tendon graft, and to evaluate the functional outcomes and stability six months postoperatively. Material and methods The percutaneous ligamentoplasty technique was performed with a palmaris longus tendon graft and tenodesis screws in 6 patients with ulnar instability of the thumb (> 30° degrees of radial deviation) for more than 6 weeks. Range of motion, grip strength, and pinch strength (lateral/key pinch, tip pinch, and palmar pinch) were assessed in comparison to the contralateral limb, as well as the Quick Disabilities of the Arm, Shoulder and Hand (DASH) score. Results At 6 months, the joint movement was of 100%, the grip strength was of 94.8%, the key pinch was of 95%, the palmar pinch was of 85.7%, and the tip pinch was of 93.5% compared to the contralateral limb. The internal tilt was of 14° compared to 9° at the contralateral limb. The Quick DASH score decreased from 24.2 to 2.6 points. Conclusion We devised this versatile surgical procedure to obtain early mobility with the advantages related to the percutaneous techniques.

Treatment of Chronic Injuries of the Ulnar Collateral Ligament of the Thumb Using a Free Tendon Graft and Bone Suture Anchors

2000 ◽  
Vol 25 (2) ◽  
pp. 208-211 ◽  
Author(s):  
G. I. MITSIONIS ◽  
S. E. VARITIMIDIS ◽  
G. G. SOTEREANOS
Keyword(s):  
Ulnar Collateral Ligament ◽  
Metacarpophalangeal Joint ◽  
Tendon Graft ◽  
Pinch Strength ◽  
Suture Anchors ◽  
Collateral Ligament ◽  
The Mean ◽  
Chronic Injuries ◽  
Weather Changes ◽  
Loss Of Motion

We report the results of a simple technique, using bone suture anchors and free tendon graft, for the reconstruction of chronic injuries of the ulnar collateral ligament complex at the thumb metacarpophalangeal (MP) joint. Our series includes 20 patients, with a mean age of 29 years. The mean follow-up period was 42 months. Using the Glickel grading system, 14 patients had excellent results and six had good results. Seventeen patients had no pain and three complained of mild pain with weather changes. Fourteen patients regained full stability of the MP joint and six had mild laxity. The mean loss of pinch strength was 18% compared with the contralateral thumb. The mean loss of motion at the metacarpophalangeal joint was 21%.

Suture Anchor Repair of Chronic Radial Ligament Injuries of the Metacarpophalangeal Joint of the Thumb

1998 ◽  
Vol 23 (2) ◽  
pp. 271-274 ◽  
Author(s):  
T. P. McDERMOTT ◽  
L. S. LEVIN
Keyword(s):  
Suture Anchor ◽  
Metacarpophalangeal Joint ◽  
Ligament Injury ◽  
Pinch Strength ◽  
Collateral Ligament ◽  
Chronic Instability ◽  
Radial Collateral Ligament ◽  
Suture Anchor Repair ◽  
Thumb Metacarpophalangeal Joint

Five cases of chronic instability of the radial collateral ligament of the thumb metacarpophalangeal joint are presented. All patients were treated using the Mitek suture anchor to reattach the avulsed ligament to bone in its anatomical position. Tendon advancement or graft reinforcement was not used in conjunction with the repair. A stable thumb metacarpophalangeal joint was achieved in each case with no recurrent instability or pain found within 9 months of follow-up. Postoperatively, each patient exhibited a full return to activities of daily living within 2 to 3.5 months. Grip and pinch strength and range of motion were nearly the same as in the uninjured hand. We recommend the Mitek suture anchor as a simple and effective method of repairing the chronic radial collateral ligament injury. The importance of correct anatomical placement of the anchor is stressed, and guidelines for this are discussed.

Surgical Treatment of Congenital Metacarpal Synostosis of the Ring and Little Fingers

1998 ◽  
Vol 23 (5) ◽  
pp. 691-694 ◽  
Author(s):  
E. HORII ◽  
T. MIURA ◽  
R. NAKAMURA ◽  
E. NAKAO ◽  
H. KATO
Keyword(s):  
Surgical Treatment ◽  
Range Of Motion ◽  
Average Length ◽  
Metacarpophalangeal Joint ◽  
Block Method ◽  
Active Flexion ◽  
Distraction Device ◽  
Little Finger

Fifteen hands with congenital metacarpal fusions were treated operatively by osteotomy combined either with the use of a silicone block or a distraction device. The aim of the silicone block was to separate the fused metacarpals, but it was buried in the metacarpals at follow-up, with recurrence of fusion. By the distraction technique, 13 mm of lengthening was obtained. The average length of the little metacarpal was 88% of that of the long finger metacarpal. Both methods were effective in correcting the abduction deformity of the little finger by a mean of 34°, and increasing the range of motion of the metacarpophalangeal joint to 28° of active flexion. Although the distraction method took longer than the silicone block method, the final appearance of the hand was better.

Emergency Reconstruction of a Collateral Ligament of a Metacarpophalangeal Joint Using Dacron Material

1999 ◽  
Vol 24 (3) ◽  
pp. 376-378 ◽  
Author(s):  
M. LANZETTA ◽  
A. CHOLLET
Keyword(s):  
Full Range ◽  
Ulnar Collateral Ligament ◽  
Metacarpophalangeal Joint ◽  
Pedicled Flap ◽  
Collateral Ligament ◽  
Range Of Movement ◽  
Long Term Follow Up ◽  
Interosseous Artery

We present a case in which an open wound involving the ulnar collateral ligament of the metacarpophalangeal joint of the little finger was treated by ligament reconstruction using a strip of Dacron material, nerve grafting and coverage by a posterior interosseous artery pedicled flap. At a long term follow-up of 4 years, the joint was stable and had a full range of movement.

Rupture of the Ulnar Collateral Ligament of the Metacarpophalangeal Joint of the Index Finger

2000 ◽  
Vol 25 (1) ◽  
pp. 108-109 ◽  
Author(s):  
M. BOSCH AGUILÁ ◽  
J. SOLANA CARNÉ ◽  
A. HENRIQUEZ LLUCH
Keyword(s):  
Surgical Treatment ◽  
Conservative Treatment ◽  
Index Finger ◽  
Ulnar Collateral Ligament ◽  
Metacarpophalangeal Joint ◽  
Collateral Ligament ◽  
Chronic Instability ◽  
Left Hand ◽  
Persistent Instability

We report a case of chronic instability due to rupture of the ulnar collateral ligament of the metacarpophalangeal joint of the index finger of the left hand. Because of persistent instability after the initial conservative treatment, surgical treatment was required.

Thumb Ulnar Collateral Ligament Repair with Suture Tape Augmentation

2020 ◽  
Vol 25 (01) ◽  
pp. 32-38 ◽  
Author(s):  
Steven J. Lee ◽  
Remy V. Rabinovich ◽  
Andrew Kim
Keyword(s):  
Postoperative Outcome ◽  
Ulnar Collateral Ligament ◽  
Pinch Strength ◽  
Collateral Ligament ◽  
Short Term ◽  
Joint Range Of Motion ◽  
One Year ◽  
Joint Range ◽  
Suture Tape

Background: The purpose of this study is to describe our technique of thumb ulnar collateral ligament (UCL) repair with suture tape augmentation and to evaluate the short-term outcomes in our initial series of patients treated with this method of repair. Methods: Patients with minimum one-year follow up after isolated UCL repair with suture tape augmentation were contacted for clinical evaluation, radiographs, and postoperative outcome questionnaires, including the Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) questionnaire and study-specific questions. Thirteen of 15 (87%) consecutive patients who were treated using this method of repair were available for follow-up, 9 with acute tears and 4 with chronic tears. Results: Average post-operative thumb metacarpophalangeal (MCP) and interphalangeal (IP) joint range-of-motion (ROM) was 0–57.5° and 0–71°, respectively, for chronic tears and 2.2–53.9° and 0–71°, respectively, for acute tears. Average grip and pinch strength relative to the unaffected hand was 102% and 84%, respectively, among patients with chronic tears and 103.3% and 88.7%, respectively, among those with acute tears. All patients demonstrated stability with a firm endpoint, relative to the unaffected thumb. The average QuickDASH score among all patients was 11.9 for the disability/symptom module, 0 for the sport module and 16.5 for the work module. Stiffness was reported among 4 patients and no patient suffered wound-related issues or other complications. Conclusions: Thumb UCL repair with suture tape augmentation demonstrates short-term outcomes comparable to what has been reported for other methods of repair. It may potentially allow for an expedited recovery and rehabilitation process.

Chronic Post-Traumatic Radial Instability of the Metacarpophalangeal Joint of the Finger

1998 ◽  
Vol 23 (4) ◽  
pp. 503-506 ◽  
Author(s):  
S. RIEDERER ◽  
L. NAGY ◽  
U. BÜCHLER
Keyword(s):  
Retrospective Study ◽  
Range Of Motion ◽  
Metacarpophalangeal Joint ◽  
Tendon Graft ◽  
Degenerative Changes ◽  
Normal Range ◽  
Collateral Ligament ◽  
Post Traumatic ◽  
Graft Reconstruction

Chronic painful post-traumatic instability of the radial collateral ligament complex of the metacarpophalangeal joint of a finger was treated by tendon graft reconstruction in 24 patients. Seventeen patients (20 joints) were available for a retrospective study at a mean follow-up time of 105 months. Eighty percent of the joints showed excellent or good results, with relief of pain, return of adequate stability, a near normal range of motion and absence of degenerative changes.

scholarly journals Perilunate Lesions – Clinical and Radiological Results with a Minimum of 2 Years of Follow-up

2021 ◽  
Vol 49 (01) ◽  
pp. 013-018
Author(s):  
Elisabete Ribeiro ◽  
Nuno Oliveira ◽  
Juvenália Ribeiro ◽  
Pedro Varanda ◽  
Luis Filipe Rodrigues
Keyword(s):  
Poor Prognosis ◽  
Contralateral Side ◽  
Pinch Strength ◽  
Dash Score ◽  
Adequate Treatment ◽  
Clinical And Radiological Results ◽  
Carpal Height ◽  
And Cartilage ◽  
Over Time

AbstractPerilunate injuries are complex and rare lesions with circumferential carpal bones, ligamentous and cartilage involvement. Despite optimal surgical treatment, poor prognosis is expected and usually gets worse over time. Our aim was to address clinical and radiological outcomes after 2 years of follow-up. Seven wrists were revised with average age of 35.59 ± 14.01 (range 21–56) years old and mean follow-up of 44.10 ± 14.24 (range 25.60–68.63) months. At the latest follow-up, mean postoperative VAS score for pain was 2.71 ± 3.40 and DASH score was 10.48 ± 10.54. Patients returned to work in 5.00 ± 3.15 months. Strength and Range of Motion (ROM) parameters were ∼80% of the contralateral side, with exception for extension (61%) and radial deviation (73%). After 2 years of follow-up, radiographic arthrosis was observed in 29% of the cases. One of these patients was symptomatic and was proposed for arthrodesis. Mean carpal height was 1.51 ± 0.81 and scapholunate angle was 41.58 ± 22.82°. A correlation was observed between arthritis found at final follow-up and grip (r = −0.8660; p < 0.001) and pinch strength (r = −0.8885; p < 0.001). In conclusion, despite characteristic guarded prognosis, efforts to perform a prompt and adequate treatment are helpful. Clinical and radiological outcomes may not be related. Thus, it is of main importance to understand patients' perception of their sequelae.

Sign in / Sign up

Export Citation Format

Share Document