Chapter 38 Trapeziectomy with or without Ligament Reconstruction for Thumb Basal Joint Arthritis

2022 ◽  
Keyword(s):  
Ligament Reconstruction ◽  
Basal Joint ◽  
Joint Arthritis

Comparison of Ligament Reconstruction Tendon Interposition and Trapeziometacarpal Interposition Arthroplasty for Basal Joint Arthritis

Orthopedics ◽  
2008 ◽  
Vol 31 (3) ◽  
pp. 1-9 ◽  
Author(s):  
Louis Catalano ◽  
Landon T. Horne ◽  
Evan Fischer ◽  
O. Alton Barron ◽  
Steven Z. Glickel
Keyword(s):  
Ligament Reconstruction ◽  
Interposition Arthroplasty ◽  
Basal Joint ◽  
Tendon Interposition ◽  
Joint Arthritis

TREATMENT OF BASAL JOINT ARTHRITIS OF THE THUMB: TRAPEZIECTOMY WITH OR WITHOUT TENDON INTERPOSITION/LIGAMENT RECONSTRUCTION

Hand Surgery ◽  
2004 ◽  
Vol 09 (01) ◽  
pp. 5-9 ◽  
Author(s):  
L. De Smet ◽  
W. Sioen ◽  
D. Spaepen ◽  
H. van Ransbeeck
Keyword(s):  
Ligament Reconstruction ◽  
Surgical Techniques ◽  
Dash Score ◽  
Pinch Force ◽  
Proximal Migration ◽  
Group I ◽  
Basal Joint ◽  
Group Ii ◽  
Gripping Force ◽  
Joint Arthritis

This prospective study compared the outcome — subjective, objective and radiographic — of two surgical techniques for treating basal joint arthritis of the thumb: a "simple" trapeziectomy (group I) and a ligament reconstruction/tendon (group II) interposition technique. There were respectively 22 patients in group I and 34 in group II, all women with primary osteoarthritis. Both techniques gave favourable results and there were no significant differences for pain relief, patient satisfaction, mobility, DASH-score, key pinch force and gripping force. However in group II, the trapezial height was better preserved indicating that the proximal migration of the thumb was prevented or limited. There was also a significant correlation between the remaining trapezial space and key pinch force.

Scapho-Trapezoid Arthritis

1995 ◽  
Vol 20 (3) ◽  
pp. 346-352 ◽  
Author(s):  
A. S. IRWIN ◽  
N. MAFFULLI ◽  
R. B. CHESNEY
Keyword(s):  
Ligament Reconstruction ◽  
The Other ◽  
Post Operative Pain ◽  
Basal Joint ◽  
Operative Assessment ◽  
Joint Arthritis

Scapho-trapezoid osteoarthritis may accompany osteoarthritis of the CM joint of the thumb. If the scapho-trapezoid joint is not excised when performing an excision of the trapezium with ligament reconstruction and interposition of the tendon of the FCR, the procedure may be unsuccessful. We describe three patients with four thumbs in which scapho-trapezoid osteoarthritis was associated with basal joint arthritis. In one patient, it was not recognised pre-operatively and persistent post-operative pain dictated further surgery. In the other patients, the scapho-trapezoid joint was excised primarily, with resolution of the pain. In the pre-operative assessment, the scapho-trapezoid joint should be carefully studied to prevent failure of the procedure.

Basal joint arthritis: Trapeziectomy with ligament reconstruction and tendon interposition arthroplasty

1996 ◽  
Vol 21 (2) ◽  
pp. 202-209 ◽  
Author(s):  
Robert E. Lins ◽  
Richard H. Gelberman ◽  
Lisa McKeown ◽  
Jeffrey N. Katz ◽  
R. Kumar Kadiyala
Keyword(s):  
Ligament Reconstruction ◽  
Interposition Arthroplasty ◽  
Basal Joint ◽  
Tendon Interposition ◽  
Joint Arthritis

EARLY FUNCTIONAL IMPROVEMENT AFTER A MODIFIED LIGAMENT RECONSTRUCTION TENDON INTERPOSITION ARTHROPLASTY FOR THUMB BASAL JOINT ARTHRITIS

Hand Surgery ◽  
2008 ◽  
Vol 13 (03) ◽  
pp. 153-158 ◽  
Author(s):  
Toshiki Miura ◽  
Koji Osuka ◽  
Shozo Itoh ◽  
Takumi Nakagawa ◽  
Hirotaka Kawano ◽  
...  
Keyword(s):  
Ligament Reconstruction ◽  
Functional Change ◽  
Functional Improvement ◽  
Functional Changes ◽  
Post Operative Period ◽  
Basal Joint ◽  
Before And After ◽  
Tendon Interposition ◽  
Joint Arthritis

Many modifications to trapeziectomy have been proposed for the treatment of thumb basal joint arthritis. Their final outcomes have been discussed intensively, whereas functional changes in the early post-operative period have not been fully documented. The purpose of the present study is to evaluate an early functional change following our modified ligament reconstruction with tendon interposition (LRTI) arthroplasty. Nine patients (ten thumbs) were included in this study. Pain levels, strength, and mobility were assessed before and after surgery at intervals of two months. Pain level significantly improved at two months after surgery. Grip and pinch strengths had increased gradually after a temporal decrease at two-month follow-up, and were significantly stronger at six months after surgery. Palmar abduction improved significantly at six months after surgery, whereas opposition did not change significantly. A modified LRTI is an effective procedure in terms of early functional improvement of pain, strength, and mobility.

Changes in Key Pinch Strength after Excision of the Trapezium and Total Joint Arthroplasty

2004 ◽  
Vol 29 (1) ◽  
pp. 40-41 ◽  
Author(s):  
L. DE SMET ◽  
W. SIOEN ◽  
D. SPAEPEN
Keyword(s):  
Total Joint Arthroplasty ◽  
Ligament Reconstruction ◽  
Joint Arthroplasty ◽  
Pinch Strength ◽  
Pinch Force ◽  
Basal Joint ◽  
Tendon Interposition ◽  
Joint Arthritis

Key pinch force was measured preoperatively and at follow-up (mean 25 months) in patients treated for basal joint arthritis by either trapziectomy with ligament reconstruction and tendon interposition ( n=26) or total joint arthroplasty ( n=27). There was a significant increase in key pinch strength with both treatments, but no difference between the two treatments. Total joint arthroplasty does not appear to produce stronger key pinch than trapziectomy with ligament reconstruction and tendon interposition.

scholarly journals Long-term results of modified ligament reconstruction and tendon interposition for thumb basal joint arthritis

2019 ◽  
Vol 82 (8) ◽  
pp. 655-658
Author(s):  
Yi-Chao Huang ◽  
Hui-Kuang Huang ◽  
Yu-An Liu ◽  
Jung-Pan Wang ◽  
Ming-Chau Chang
Keyword(s):  
Ligament Reconstruction ◽  
Long Term Results ◽  
Basal Joint ◽  
Tendon Interposition ◽  
Joint Arthritis
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