Reporting Outcomes and Outcome Measures in Thumb Carpometacarpal Joint Osteoarthritis: A Systematic Review

2021 ◽  
Vol 46 (1) ◽  
pp. 65.e1-65.e11 ◽  
Author(s):  
Andrea Copeland ◽  
Lucas Gallo ◽  
Christina Weber ◽  
Syena Moltaji ◽  
Matteo Gallo ◽  
...  
Keyword(s):  
Systematic Review ◽  
Outcome Measures ◽  
Carpometacarpal Joint ◽  
Thumb Carpometacarpal Joint ◽  
Thumb Carpometacarpal

Systematic Review of Thumb Carpometacarpal Joint Hemiresection Interposition Arthroplasty Materials

Hand ◽  
2020 ◽  
pp. 155894472097412
Author(s):  
Michelle Spiteri ◽  
Henk Giele
Keyword(s):  
Systematic Review ◽  
Outcome Measures ◽  
Systematic Reviews ◽  
Stage Ii ◽  
Carpometacarpal Joint ◽  
Interposition Arthroplasty ◽  
Thumb Carpometacarpal Joint ◽  
First Carpometacarpal Joint ◽  
Thumb Carpometacarpal ◽  
Symptomatic Benefit

Background Osteoarthritis of the first carpometacarpal joint is a common condition. Various management options and surgical procedures have been described to treat symptomatic cases. Many systematic reviews examine aspects of thumb carpometacarpal joint osteoarthritis treatment, although none solely examines the outcomes of trapezial partial resection and interposition arthroplasty in stage II to III patients in detail, yet this technique is of growing interest as surgeons seek more nuanced, tailored approaches for osteoarthritis of the first carpometacarpal joint. Methods A systematic review of the thumb carpometacarpal joint hemiresection and interposition arthroplasty was performed with pain assessment as a primary outcome measure and patient-reported outcome measures (PROMs) and reoperation rate as secondary outcome measures. A search was performed between 2004 and 2019 using MEDLINE, Embase, and PubMed. Preferred Reporting Items and Systematic Reviews and Meta-Analyses guidelines were used. Results Twenty-nine articles met the inclusion criteria and were included in the final review. Pain relief and improved PROMs were described in all the articles using this technique with all the interposition materials. Materials such as polyurethane urea matrix and poly-l/d-lactide scaffold had higher complication rates. Revision rates varied and were highest with the polyurethane urea matrix. Conclusions This review shows that hemiresection interposition arthroplasty is a useful technique and provides symptomatic benefit in patients with Eaton-Littler stage II and III osteoarthritis. Revision surgery rates due to persistent pain and instability were higher with the use of implants. Larger and long-term studies of this technique using autologous or more bioinert materials and implants are required to assess duration of symptomatic benefit.

A systematic review and meta-analysis of arthroscopic assisted techniques for thumb carpometacarpal joint osteoarthritis

2018 ◽  
Vol 43 (10) ◽  
pp. 1098-1105 ◽  
Author(s):  
Suzanne C. Wilkens ◽  
Claudia A. Bargon ◽  
Amin Mohamadi ◽  
Neal C. Chen ◽  
J. Henk Coert
Keyword(s):  
Systematic Review ◽  
Grip Strength ◽  
Meta Analysis ◽  
Pinch Strength ◽  
Carpometacarpal Joint ◽  
Arthroscopic Management ◽  
Thumb Carpometacarpal Joint ◽  
Before And After ◽  
Thumb Carpometacarpal ◽  
Meta Analyses

Arthroscopic management of thumb carpometacarpal (CMC) osteoarthrosis (OA) is an approach that has unclear results. We performed a systematic review encompassing three electronic databases up to May 2016 for studies describing arthroscopic-assisted techniques for thumb CMC OA. Meta-analyses of visual analogue scores (VAS) for pain, Disabilities of the Arm, Shoulder and Hand (DASH) scores, grip strength and pinch strength before and after arthroscopy were performed for ten included non-randomized cohort studies comprising 294 patients. Based on Hedges’ g measure, we found a large effect on VAS and DASH scores, a small effect on grip strength and no effect on pinch strength. On average, VAS improved by 4.1 cm, DASH by 22 points and grip strength by 2.8 kg. Complications were reported in 4% of patients. The use of arthroscopic-assisted techniques for thumb CMC OA is still limited; however, it may be a reasonable option for patients with thumb CMC OA who do not respond to non-operative treatment.

Management of thumb carpometacarpal joint dislocations: A systematic review

2021 ◽  
Vol 25 ◽  
pp. 59-63
Author(s):  
Jennifer S. Kim ◽  
Kumail Hussain ◽  
Devan O. Higginbotham ◽  
Andrew G. Tsai
Keyword(s):  
Systematic Review ◽  
Carpometacarpal Joint ◽  
Thumb Carpometacarpal Joint ◽  
Joint Dislocations ◽  
Thumb Carpometacarpal

scholarly journals Modified Eaton-Littler's Reconstruction for Traumatic Thumb Carpometacarpal Joint Instability: Operative Technique and Clinical Outcomes

2017 ◽  
Vol 07 (03) ◽  
pp. 191-198 ◽  
Author(s):  
Karthikeyan Iyengar ◽  
William Loh ◽  
Hosam Matar
Keyword(s):  
Clinical Outcomes ◽  
Outcome Measures ◽  
Joint Instability ◽  
Case Series ◽  
Strength Analysis ◽  
Carpometacarpal Joint ◽  
Thumb Carpometacarpal Joint ◽  
Thumb Carpometacarpal ◽  
Cmc Joint

Background Injuries to thumb carpometacarpal joint ligaments lead to instability. Eaton-Littler's ligament reconstruction traditionally uses a strip of flexor carpi radialis to stabilize the CMC joint. Study Description We have modified this technique to reproduce the direction of active action of the anterior oblique ligament by reconstructing both the volar and dorsoradial ligaments. In this prospective study, we evaluated patients with confirmed traumatic thumb CMC joint instability who underwent modified Eaton-Littler's reconstruction. Strength analysis, Michigan Hand Outcome Questionnaire, QuickDASH, and subjective outcome measures were collected pre- and postoperatively with minimum 3 years of follow-up. Eleven patients were included in the final analysis, with mean age of 29 years (range: 16–52) and average follow-up of 6.2 years (range: 3–11). There was a statistically significant improvement in all outcome measures. Clinical Relevance Our modified technique helps to simultaneously address both volar and dorsal ligaments and yields satisfactory clinical outcomes at medium term follow-up. Level of Evidence Level IV, case series.

Thumb carpometacarpal joint total arthroplasty: a systematic review

2015 ◽  
Vol 40 (4) ◽  
pp. 338-350 ◽  
Author(s):  
K. Huang ◽  
N. Hollevoet ◽  
G. Giddins
Keyword(s):  
Systematic Review ◽  
Carpometacarpal Joint ◽  
Long Term Outcomes ◽  
Short Term ◽  
Thumb Carpometacarpal Joint ◽  
Published Evidence ◽  
Total Arthroplasty ◽  
Thumb Carpometacarpal ◽  
Better Than

Thumb carpometacarpal joint total arthroplasty has been undertaken for many years. The proponents believe the short-term outcomes are better than trapeziectomy and its variants, but the longer term complications are often higher. This systematic review of all peer reviewed articles on thumb carpometacarpal joint total arthroplasty for osteoarthritis shows that there are reports of many implants. Some are no longer available. The reported outcomes are very variable: for some there are good long-term outcomes to beyond 10 years; for others there are unacceptably high early rates of failure. Overall the published evidence does not show that total arthroplasty is better than trapeziectomy and its variants yet there is a higher complication rate and significant extra cost of using an implant. Future research needs to compare total arthroplasty with trapeziectomy to assess short term results where the arthroplasties may be better, long-term outcomes and the healthcare and personal costs so that surgeons and patients can make fully informed choices about the treatment of symptomatic thumb carpometacarpal joint osteoarthritis.

Arthroplasty in the hand: what works and what doesn’t?

2021 ◽  
pp. 175319342110177
Author(s):  
Daniel B. Herren ◽  
Hajime Ishikawa ◽  
Marco Rizzo ◽  
Mark Ross ◽  
Michael Solomons
Keyword(s):  
Surgical Technique ◽  
Metacarpophalangeal Joint ◽  
Distal Radioulnar Joint ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Carpometacarpal Joint ◽  
Thumb Carpometacarpal Joint ◽  
Radioulnar Joint ◽  
What Works ◽  
Thumb Carpometacarpal

This review describes the different possibilities for arthroplasties at the proximal interphalangeal joint, thumb carpometacarpal joint, distal radioulnar joint, metacarpophalangeal joint and the wrist. For each joint, the indication for arthroplasty is explained, the surgical technique with the suitable implant is described and a brief summary of the outcomes reported in the literature is given.

Modeling of the stress state of the thumb carpometacarpal joint

2013 ◽  
Vol 48 (4) ◽  
pp. 439-449
Author(s):  
G. M. Anferov ◽  
I. G. Goryacheva ◽  
A. N. Lyubicheva ◽  
I. A. Soldatenkov ◽  
Fong-Chin Su ◽  
...  
Keyword(s):  
Stress State ◽  
Carpometacarpal Joint ◽  
Thumb Carpometacarpal Joint ◽  
Thumb Carpometacarpal
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