Kinematics of the trapeziometacarpal joint: A biomechanical analysis comparing tendon interposition arthroplasty and total-joint arthroplasty

1996 ◽  
Vol 21 (4) ◽  
pp. 544-553 ◽  
Author(s):  
Toshihiko Imaeda ◽  
William P. Cooney ◽  
Glen L. Niebur ◽  
Ronald L. Linscheid ◽  
Kai-Nan An
Keyword(s):  
Total Joint Arthroplasty ◽  
Joint Arthroplasty ◽  
Biomechanical Analysis ◽  
Interposition Arthroplasty ◽  
Trapeziometacarpal Joint ◽  
Tendon Interposition

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.

Bilateral Osteoarthritis of the Trapeziometacarpal Joint Treated by Bilateral Tendon Interposition Arthroplasty

1997 ◽  
Vol 22 (1) ◽  
pp. 96-99 ◽  
Author(s):  
A. DAMEN ◽  
B. VAN DER LEI ◽  
P. H. ROBINSON
Keyword(s):  
Long Term Results ◽  
Interposition Arthroplasty ◽  
Trapeziometacarpal Joint ◽  
Flexor Carpi Radialis ◽  
Trapeziometacarpal Osteoarthritis ◽  
Tendon Interposition

Twenty-four flexor carpi radialis (FCR) tendon interposition arthroplasties of the trapezium for bilateral trapeziometacarpal osteoarthritis were reviewed. Pain was reduced in all cases. Function was improved in all right hands and in 92% of the left hands. FCR tendon interposition arthroplasty for bilateral trapeziometacarpal osteoarthritis yields satisfactory long-term results on both sides.

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.

scholarly journals Impact of Osteoarthritis and Total Joint Arthroplasty on the Kinematics of the Trapeziometacarpal Joint: A Pilot Study

2018 ◽  
Vol 43 (4) ◽  
pp. 382.e1-382.e10 ◽  
Author(s):  
Priscilla D’Agostino ◽  
Benjamin Dourthe ◽  
Faes Kerkhof ◽  
Evie E. Vereecke ◽  
Filip Stockmans
Keyword(s):  
Pilot Study ◽  
Total Joint Arthroplasty ◽  
Joint Arthroplasty ◽  
Trapeziometacarpal Joint

scholarly journals Interposition Arthroplasty Versus Hematoma and Distraction for the Treatment of Osteoarthritis of the Trapeziometacarpal Joint

2016 ◽  
Vol 21 (01) ◽  
pp. 85-91 ◽  
Author(s):  
Massimo Corain ◽  
Nicola Zampieri ◽  
Raffaele Mugnai ◽  
Roberto Adani
Keyword(s):  
Average Distance ◽  
Excellent Result ◽  
Surgical Techniques ◽  
Mean Value ◽  
Dash Score ◽  
Interposition Arthroplasty ◽  
Trapeziometacarpal Joint ◽  
Wire Suspension ◽  
Tendon Interposition

Background: Various surgical techniques were reported with excellent result for the treatment of trapeziometacarpal joint arthritis. However, the best treatment option was not defined yet. Methods: This randomized prospective study compared the result of two surgical techniques: tendon interposition arthroplasty (64 patients) and K. wire distraction (56 patients) after trapeziectomy for stage 3 or 4 osteoarthritis of the trapeziometacarpal joint. Results: After a mean follow-up period of 6.8 (range, 3-10) years it was possible to observe a higher rate of pain relief following trapeziectomy with K. wire suspension, but no significant differences in strength, range of motion and DASH score between the two groups. On lateral unloaded radiographs the height of the space between the base of the thumb metacarpal and the scaphoid showed a mean value of 6.5 mm for both groups; the average distance between the metacarpal base and the trapezium was not statistically significant in the two groups. Complications were observed only in patients treated with trapeziectomy and interposition arthroplasty and were represented by tendinitis of the FCR in 15% of cases. Conclusions: We demonstrate that the trapezium excision and bone space distraction technique requires a smaller incision, a shorter surgical time, an easier surgical technique, and a less painful recovery, maintaining overlapping levels of functional restore.

Basal Joint Osteoarthritis of the Thumb Treated with Weilby Arthroplasty: A Prospective Study on the Early Postoperative Course of 106 Consecutive Cases

2009 ◽  
Vol 34 (4) ◽  
pp. 503-505 ◽  
Author(s):  
L. S. VADSTRUP ◽  
L. SCHOU ◽  
M. E. H. BOECKSTYNS
Keyword(s):  
Patient Satisfaction ◽  
Prospective Study ◽  
Grip Strength ◽  
Pinch Strength ◽  
Interposition Arthroplasty ◽  
Trapeziometacarpal Joint ◽  
Postoperative Course ◽  
Basal Joint ◽  
A Prospective Study ◽  
Tendon Interposition

One hundred and six consecutive cases of osteoarthritis of the trapeziometacarpal joint, treated by tendon interposition arthroplasty as described by Weilby, were followed prospectively, with assessment of pain, mobility, pinch and grip strength at 6, 12, 26 and 52 weeks. Patient satisfaction was reviewed at 26 and 52 weeks. Preoperative visual analogue scores for pain averaged 65 and decreased postoperatively to an average of 12 at 52 weeks. The main decrease in pain occurred during the first 3 months after operation. Mobility was improved or unaltered in 82%. Average grip and pinch strength reached preoperative values (41 kPa and 20 kPa respectively) between 12 and 26 weeks after surgery and were significantly greater (58 kPa and 34 kPa) at 52 weeks. Recovery after suspension arthroplasty takes 3–6 months, which may be a disadvantage to be considered when advising patients who are considering operative treatment.

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