Five- to 18-Year Follow-Up for Treatment of Trapeziometacarpal Osteoarthritis: A Prospective Comparison of Excision, Tendon Interposition, and Ligament Reconstruction and Tendon Interposition

2012 ◽  
Vol 2012 ◽  
pp. 183-184
Author(s):  
S.D. Trigg
Keyword(s):  
Ligament Reconstruction ◽  
Trapeziometacarpal Osteoarthritis ◽  
Prospective Comparison ◽  
Tendon Interposition

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

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.

Comparison of simulated key pinch after three surgical procedures for trapeziometacarpal osteoarthritis: a cadaver study

2021 ◽  
pp. 175319342110159
Author(s):  
Lionel Athlani ◽  
Damien Motte ◽  
Marie Martel ◽  
Florent Moissenet ◽  
Julie Mottet ◽  
...  
Keyword(s):  
Surgical Procedures ◽  
Total Joint Arthroplasty ◽  
Ligament Reconstruction ◽  
Cadaver Study ◽  
Joint Arthroplasty ◽  
Pinch Force ◽  
Trapeziometacarpal Osteoarthritis ◽  
Intact Sample ◽  
Significant Difference ◽  
Tendon Interposition

We performed a cadaver study using 18 fresh-frozen adult forearms and hands to compare the tendon loads required to generate progressively greater key pinch (0.5 kg to 2 kg) after three different surgical procedures to treat trapeziometacarpal osteoarthritis: isolated trapeziectomy, trapeziectomy followed by ligament reconstruction with tendon interposition and total joint arthroplasty using a Touch® implant. Thumb pinch was simulated by loading the main actuator tendons involved in the key pinch. Six specimens were randomly assigned to each of the three surgical procedure groups. Measurements were made before and after the joint surgery. Specimens that underwent trapeziectomy with or without ligament reconstruction with tendon interposition required significantly higher tendon loads than those with the implant to achieve the same pinch force. There was no significant difference between the isolated trapeziectomy and ligament reconstruction groups. Using the implant resulted in similar median tendon loads compared with those of the intact sample. Total joint arthroplasty with a Touch® prosthesis may yield a superior biomechanical profile in which the tendon loads needed to achieve a certain key pinch force are lower and better distributed between the actuator muscles compared with trapeziectomy with or without ligament reconstruction.

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 Alone, with Tendon Interposition or with Ligament Reconstruction?

1997 ◽  
Vol 22 (6) ◽  
pp. 689-694 ◽  
Author(s):  
T. R. C. DAVIS ◽  
O. BRADY ◽  
N. J. BARTON ◽  
P. G. LUNN ◽  
F. D. BURKE
Keyword(s):  
Pain Relief ◽  
Prospective Study ◽  
Ligament Reconstruction ◽  
Hand Function ◽  
Short Term ◽  
Tendon Interposition

This randomized prospective study compared the results of trapeziectomy alone, or combined with tendon interposition or ligament reconstruction in 76 women with basal thumb osteoarthritis. At 3 month and 1 year follow-up the results of the three procedures were indistinguishable in terms of pain relief, hand function and thumb strength. In the short term at least, tendon interposition and ligament reconstruction do not improve the results of trapeziectomy.

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