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.

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

ARTHROSCOPIC EVALUATION AND TREATMENT BY TENDON INTERPOSITIONAL ARTHROPLASTY OF FIRST CARPOMETACARPAL JOINT ARTHRITIS

Hand Surgery ◽  
2007 ◽  
Vol 12 (01) ◽  
pp. 35-39 ◽  
Author(s):  
L. Pegoli ◽  
C. Parolo ◽  
T. Ogawa ◽  
S. Toh ◽  
G. Pajardi
Keyword(s):  
Pinch Strength ◽  
Carpometacarpal Joint ◽  
Thumb Carpometacarpal Joint ◽  
Mayo Score ◽  
Basal Joint ◽  
Palmaris Longus Tendon ◽  
Thumb Carpometacarpal ◽  
Tendon Interposition ◽  
Joint Arthritis

Basal joint arthritis of the thumb is usually seen in females beginning from the fourth and fifth decades. In the last two decades, arthroscopic techniques have brought new chances of diagnosis and treatment for this condition. In this paper, the authors describe the indications and their experience concerning arthroscopic hemitrapezectomy and tendon interposition using the palmaris longus tendon. A series of 16 patients with a maximum follow-up of 12 months is analysed. All of the 16 patients were followed and assessed with grasp strength, pinch strength, DASH and MAYO evaluation score both pre- and post-operatively at 12 months follow-up. According to the MAYO score, there were six excellent results, six good, three fair and one poor. No complications occurred. According to our preliminary results, this procedure with the proper indications gives a valid option for the treatment of thumb carpometacarpal joint arthritis in stages I and II according to Eaton's classification.

scholarly journals Outcome of trapeziectomy with ligament reconstruction tendon interposition for the treatment of advanced thumb carpometacarpal arthritis: a prospective study

2021 ◽  
Vol 7 (2) ◽  
pp. 252
Author(s):  
Eknoor Kaur ◽  
Narender Saini ◽  
Shashank Sharma ◽  
Devi Sahai Meena
Keyword(s):  
Ligament Reconstruction ◽  
Dash Score ◽  
Before And After ◽  
The Mean ◽  
Thumb Carpometacarpal ◽  
A Prospective Study ◽  
Tendon Interposition ◽  
Grip Power ◽  
Joint Arthritis ◽  
Score Range

<p><strong>Background</strong>: The purpose of this study is to assess the functional outcome of the cases with advanced thumb carpometacarpal (CMC) arthritis treated with trapeziectomy and ligament reconstruction tendon interposition (LRTI) in terms of visual analogue scale (VAS), disabilities of the arm, shoulder and hand (DASH) score, Kapandji score, range of motion (ROM) of radial and volar abduction of the thumb, grip power, key pinch and the height of the trapezial space.</p><p><strong>Methods</strong>: In a prospective before and after interventional study of 30 patients with the advanced thumb CMC joint arthritis underwent the procedure. An average follows up period was 17.9 months.</p><p><strong>Results:</strong> The mean VAS decreased from 8.17 to 2.70. The mean Kapandji score and DASH score improved from 3.47 and 71.62 preoperative to 8.23 and 14.46 postoperative.  Mean ROM for radial and volar abduction increased from 42.57° and 48° to 61°and 64.73° respectively. Mean key pinch power and grip power increased from 2.80 kg and 3.47 kg to 4.70 kg and 9.01 kg respectively.  There was a significant decrease in height of the trapezial space. Three patient complaint of the persistent pain at the surgical site and not much improvement in the DASH score.</p><p><strong>Conclusions:</strong>  Trapeziectomy with LRTI using flexor carpi radialis (FCR) transfer is an effective treatment for the advanced thumb CMC arthritis. This procedure stabilizes thumb metacarpal and provide enough support which prevents the collapse of metacarpal into dead space.</p>

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

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

A MODIFIED TECHNIQUE OF INTERPOSITIONAL ARTHROPLASTY IN TREATING THE BASAL JOINT ARTHRITIS OF THE THUMB IN A CHINESE POPULATION

Hand Surgery ◽  
2009 ◽  
Vol 14 (02n03) ◽  
pp. 83-87 ◽  
Author(s):  
Tak-Chuen Wong ◽  
Fu-Keung Ip
Keyword(s):  
Pain Syndrome ◽  
Chinese Patients ◽  
Modified Technique ◽  
Interpositional Arthroplasty ◽  
Significant Difference ◽  
Basal Joint ◽  
Before And After ◽  
Operative Evaluation ◽  
Joint Arthritis

We performed a retrospective review of 22 thumbs in 22 Chinese patients attending for the basal joint arthritis of the thumb over the last 14 years. There were 16 women and six men with a mean age of 50 years old. All were treated surgically by partial trapeziectomy and volar oblique ligament reconstruction with flexor carpi radialis tendon and interpositional arthroplasty with a free palmaris longus tendon ball after failure of conservative treatment. The mean follow-up time was 48 months. Radiographs did not show any differences in the arthroplasty space index, arthroplasty space, trapezial space ratio and scaphoid-thumb metacarpal distance at the pre-operative evaluation and at the final follow-up evaluation. There was significant difference in the pain score, grip strength, Kapandji score and functional status before and after surgery at final follow-up period. One patient had complex regional pain syndrome which was resolved after receiving a course of anti-inflammatory drugs and physiotherapy. The authors suggest that the modified technique of partial trapeziectomy with tendon interpositional arthroplasty is a safe and effective method in treating basal joint arthritis of the thumb with good short term functional and radiological outcomes and minimal complication.

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