scholarly journals Intraoperative Load Tolerance of the Thumb Carpometacarpal Joint After Resection-Suspension-Interposition Arthroplasty

2021 ◽  
Author(s):  
Pascal Behm ◽  
Miriam Marks ◽  
Stephen J. Ferguson ◽  
Michael Brodbeck ◽  
Daniel B. Herren
Keyword(s):  
Carpometacarpal Joint ◽  
Interposition Arthroplasty ◽  
Thumb Carpometacarpal Joint ◽  
Thumb Carpometacarpal ◽  
Load Tolerance

Interpositional Arthroplasty with Gore-Tex, Marlex or Tendon for Osteoarthritis of the Trapeziometacarpal Joint

1998 ◽  
Vol 23 (1) ◽  
pp. 64-68 ◽  
Author(s):  
S. MUERMANS ◽  
L. COENEN
Keyword(s):  
Retrospective Study ◽  
Resection Arthroplasty ◽  
Carpometacarpal Joint ◽  
Interposition Arthroplasty ◽  
Trapeziometacarpal Joint ◽  
Valuable Alternative ◽  
Thumb Carpometacarpal Joint ◽  
Expanded Polytetrafluoroethylene ◽  
Thumb Carpometacarpal ◽  
Tendon Interposition

In this retrospective study of 26 patients with arthritis of the thumb carpometacarpal joint, we report the use of expanded polytetrafluoroethylene (ePTFE) (Gore-Tex) and polypropylene (Marlex) as interpositional materials for resection arthroplasty of the trapeziometacarpal joint. We have compared the results with those of “conventional” tendon interposition and those in the literature. In three patients the use of ePTFE (Gore-Tex) was complicated by marked clinical synovitis, resembling findings in silicone synovitis. Therefore, the use of ePTFE has been discontinued. Polypropylene seems to be a valuable alternative to tendon interposition arthroplasty.

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.

Poor Patient-Reported Outcomes following Surgical Treatment of Eaton Grade 1 Osteoarthritis of the Thumb Carpometacarpal Joint

2021 ◽  
Author(s):  
Rasmus Wejnold Jørgensen ◽  
Anders Odgaard ◽  
Kiran Annette Anderson ◽  
Claus Hjorth Jensen
Keyword(s):  
Surgical Treatment ◽  
Carpometacarpal Joint ◽  
Interposition Arthroplasty ◽  
Chi Square ◽  
Thumb Carpometacarpal Joint ◽  
Poor Patient ◽  
Patient Reported ◽  
Thumb Carpometacarpal ◽  
Stage 1 ◽  
Radiographic Changes

Abstract Background Osteoarthritis of the thumb carpometacarpal joint (CMC-1 OA) is increasingly common with age. Conservative treatment with anti-inflammatory medication, thumb spica splinting, and steroid injection is recommended for early-stage OA, but some patients will continue to have refractory symptoms and surgery may be considered. We found it interesting to study outcomes of surgical treatment of cases with mild radiographic changes and yet symptoms severe enough to indicate surgery. The specific research question is, if there is a limit of radiographic changes, below which a poor patient-reported outcome (PRO) can be expected. Purpose In a retrospective cohort of patients with prospectively collected PROs, we intend to study the effect of the radiographic CMC-1 OA severity on the PRO improvement and satisfaction after interposition arthroplasty. Patients and Methods Radiographs of 347 patients, who had CMC-1 surgery, were retrospectively analyzed. Each rater independently assessed all radiographs classifying each according to the Eaton classification. All patients had surgery with CMC-1 interposition arthroplasty using three well-known techniques that all include a complete trapeziectomy. Comparison between stage 1 and stage 2–4 was done using Chi-square test and t-test. Results Patients with Eaton stage 1 had a mean improvement in Quick-DASH (Quick-Disability of the Arm, Shoulder, and Hand questionnaire) scores of 14.6 points. Patients with Eaton stage 2 to 4 had a mean improvement of 25.3 points. The difference between these two groups was 10.6 points (p = 0.009). Only 52% of patients with Eaton stage 1 OA were satisfied. However, 76% of patients with Eaton stage 2 to 4 were satisfied (p = 0.008, chi-square between stage 1 and stage 2–4). Conclusion Patients with Eaton stage 1 CMC-1 OA had poorer PROs, as compared with more advanced stages of OA, 6 months following surgical treatment with interposition arthroplasty. Based on our results, we advise against surgical treatment with interposition arthroplasty of the very mildest CMC-1 OA, regardless of the preoperative PROs.

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

Surface Anatomy of the Thumb Carpometacarpal Joint

2011 ◽  
Vol 36 (8) ◽  
pp. 26-27
Author(s):  
Christopher Got ◽  
Eni Halilaj ◽  
Amy L. Ladd ◽  
Arnold-Peter C. Weiss ◽  
Joseph J. Crisco
Keyword(s):  
Carpometacarpal Joint ◽  
Thumb Carpometacarpal Joint ◽  
Surface Anatomy ◽  
Thumb Carpometacarpal
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