The Effect of a Bone Tunnel During Ligament Reconstruction for Trapeziometacarpal Osteoarthritis: A 5-Year Follow-up

2015 ◽  
Vol 40 (11) ◽  
pp. 2214-2222 ◽  
Author(s):  
Kim R. Spekreijse ◽  
Guus M. Vermeulen ◽  
Muhammed A. Kedilioglu ◽  
Harm P. Slijper ◽  
Reinier Feitz ◽  
...  
Keyword(s):  
Ligament Reconstruction ◽  
Bone Tunnel ◽  
Trapeziometacarpal Osteoarthritis

TRAPEZIECTOMY WITH LIGAMENT RECONSTRUCTION AND TENDON INTERPOSITION: A MINIMUM 10-YEAR FOLLOW-UP

Hand Surgery ◽  
2013 ◽  
Vol 18 (03) ◽  
pp. 365-368 ◽  
Author(s):  
Toby Vinycomb ◽  
John Crock
Keyword(s):  
Revision Surgery ◽  
Ligament Reconstruction ◽  
Long Term Outcomes ◽  
Participant Satisfaction ◽  
Trapeziometacarpal Osteoarthritis ◽  
Alternative Techniques ◽  
Objective Outcomes ◽  
Tendon Interposition

Purpose: To investigate the long-term (> 10 yrs) outcomes of trapeziectomy with ligament reconstruction and tendon interposition (LRTI). Methods: We reviewed 15 cases of trapeziectomy with LRTI performed for the treatment trapeziometacarpal osteoarthritis. Mean follow up was 13.5 yrs (range, 10.5–17.5 yrs). We assessed a number of subjective and objective outcomes. A good outcome was a participant who did not require revision surgery, was satisfied with the outcome of their surgery and did not experience rest pain. Results: No patients had revision surgery and only two patients were unsatisfied or very unsatisfied with the outcome of their surgery. Pain with activity was the strongest predictor of participant satisfaction. Discussion: Approximately half the participants in this study experienced good long-term outcomes. Some participants were experiencing long-term symptoms, particularly pain, despite reporting that they are satisfied with the outcome of their surgery. Alternative techniques should be investigated that provide superior long-term outcomes.

Outcomes of cementless joint prosthesis versus tendon interposition for trapeziometacarpal osteoarthritis: a prospective study

2018 ◽  
Vol 44 (2) ◽  
pp. 151-158 ◽  
Author(s):  
Roman Cebrian-Gomez ◽  
Alejandro Lizaur-Utrilla ◽  
Emilio Sebastia-Forcada ◽  
Fernando A. Lopez-Prats
Keyword(s):  
Ligament Reconstruction ◽  
Pinch Strength ◽  
Level Of Evidence ◽  
Trapeziometacarpal Osteoarthritis ◽  
The Mean ◽  
A Prospective Study ◽  
Tendon Interposition ◽  
Mid Term Results ◽  
Dash Questionnaire

We compared 84 patients with the Ivory trapeziometacarpal prosthesis versus 62 with ligament reconstruction and tendon interposition arthroplasty performed for osteoarthritis. There were 134 women and 12 men with a mean age of 60 years. Prospective clinical assessment was made using the Quick Disability of the Arm, Shoulder and Hand (DASH) questionnaire, visual analogue scale for pain, range of motion, and grip and pinch strength. The mean follow-up was 4 years (range 2–5). Prosthetic replacement provided significantly better thumb abduction, adduction, pinch strength, QuickDASH, pain relief, satisfaction and a faster return to daily activities and previous work. Revision surgery was required for two patients in the prosthesis group, two for dislocation and one cup loosening, while in the ligament reconstruction group there were no revisions. We conclude that trapeziometacarpal prosthesis provides better mid-term results in terms of function compared with ligament reconstruction and tendon interposition for patients with Stages 2 and 3 osteoarthritis of the trapeziometacarpal joint. Level of evidence: II

FIVE TO EIGHT YEARS FOLLOW-UP FOR TRAPEZIECTOMY AND WEILBY LIGAMENT RECONSTRUCTION FOR THE TREATMENT OF TRAPEZIOMETACARPAL OSTEOARTHRITIS

Hand Surgery ◽  
2013 ◽  
Vol 18 (03) ◽  
pp. 369-373 ◽  
Author(s):  
A. S. C. Bidwai ◽  
W. J. Marlow ◽  
Y. Khan ◽  
M. Waseem
Keyword(s):  
Patient Satisfaction ◽  
Pain Relief ◽  
Ligament Reconstruction ◽  
Interposition Arthroplasty ◽  
Trapeziometacarpal Joint ◽  
Post Surgery ◽  
Trapeziometacarpal Osteoarthritis ◽  
And Function

Trapeziectomy and Weilby ligament reconstruction is a recognized treatment for osteoarthritis of the trapeziometacarpal joint. Studies published using this procedure have limited follow-up post-surgery. In this series of 24 cases assessed objectively and 36 subjectively with a minimum follow-up of five years, patients continue to have pain relief and function comparable to the opposite non-operated hand. Patient satisfaction is high at 92% and the rate of complications is low. Despite these encouraging results the need for interposition arthroplasty and/or ligament reconstruction in addition to trapeziectomy alone is discussed.

Anatomical collateral ligament reconstruction in the hand using intraosseous suture anchors and a free tendon graft

2012 ◽  
Vol 37 (9) ◽  
pp. 832-838 ◽  
Author(s):  
J. I. Lee ◽  
W. J. Jeon ◽  
D. H. Suh ◽  
J. H. Park ◽  
J. M. Lee ◽  
...  
Keyword(s):  
Ligament Reconstruction ◽  
Skin Irritation ◽  
Clinical Results ◽  
Tendon Graft ◽  
Bone Tunnel ◽  
Anatomical Reconstruction ◽  
Suture Anchors ◽  
Collateral Ligaments ◽  
Collateral Ligament

We describe anatomical collateral ligament reconstruction using a free tendon graft and intraosseous suture anchors in the digits. Eleven patients who underwent collateral ligament reconstruction at the proximal interphalangeal or metacarpophalangeal joints were enrolled in this study. Proper and accessory collateral ligaments were reconstructed using a free tendon graft in an anatomical configuration and the grafted tendons were fixed with suture anchors. The mean time from surgery to last follow-up was 9.2 months. All anchors used for fixation of grafted tendons remained securely at their original positions at the last follow-up visits. No significant complications were associated with the use of anchors. Clinical results were excellent in 10 patients and good in one. Anatomical reconstruction of collateral ligaments using suture anchors is simpler, faster, and safer than the conventional bone tunnel technique and it does not have the risks of breakage of bone bridges, skin irritation, or graft loosening.

Trapeziectomy and ligament reconstruction tendon interposition for isolated scaphotrapeziotrapezoid osteoarthritis of the wrist

2013 ◽  
Vol 39 (8) ◽  
pp. 833-837 ◽  
Author(s):  
R. Langenhan ◽  
B. Hohendorff ◽  
A. Probst
Keyword(s):  
Analogue Scale ◽  
Ligament Reconstruction ◽  
Pinch Strength ◽  
Dash Score ◽  
Trapeziometacarpal Osteoarthritis ◽  
Osteoarthritis Of The Wrist ◽  
Pain At Rest ◽  
Tendon Interposition ◽  
Median Pain

Isolated osteoarthritis of the scaphotrapeziotrapezoid joint is rather rare compared with thumb trapeziometacarpal osteoarthritis. The aim of this retrospective study was to evaluate the outcome of 15 consecutive patients treated with trapeziectomy/ligament reconstruction tendon interposition for isolated scaphotrapeziotrapezoid osteoarthritis of the wrist. After a mean follow-up of 54 months, 14 patients (15 wrists) were available for clinical and radiological examination. The median pain intensity was 0 on a 0–10 visual analogue scale, both at rest and with activity, mean grip strength averaged 24 kg, pinch strength 5 kg. The disabilities of the arm, shoulder and hand (DASH) score was 16, and a modified Mayo Wrist Score 84. Correlation between the degree of scaphotrapezoid osteoarthritis and pain at rest, pain with activity, and DASH score was not significant. The findings from our study suggest that trapeziectomy/ligament reconstruction tendon interposition is an effective procedure for treating isolated scaphotrapeziotrapezoid osteoarthritis, and that additional partial trapezoid excision is not necessary.

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