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ligament reconstruction tendon interposition AND revision

Anita Sadhu, Ryan P Calfee, Andre Guthrie, Lindley B Wall
PURPOSE: To test the null hypothesis that there is no difference in patient-reported and objective outcomes of revision ligament reconstruction and tendon interposition (LRTI) compared with primary LRTI. METHODS: This case-control investigation enrolled 10 patients who had undergone revision LRTI at a tertiary care center. All patients had previously undergone primary trapeziectomy with LRTI. Patients with a minimum of 2 years' follow-up were eligible. All patients completed an in-office study evaluation...
October 14, 2016: Journal of Hand Surgery
Richard A Bernstein
Osteoarthritis of the hand continues to be a problem in an aging population and affects the proximal and distal interphalangeal, metacarpophalangeal, and carpometacarpal joints in the hands. Heberden nodes develop in the distal interphalangeal joints and typically present as a deformed and enlarged joint and can cause pain. Surgery rarely is necessary because functional difficulties are uncommon; however, there may be problems if the metacarpophalangeal and proximal interphalangeal joints are involved because cartilage destruction generates pain and causes weakness and motion loss...
2015: Instructional Course Lectures
Anne Wajon, Toby Vinycomb, Emma Carr, Ian Edmunds, Louise Ada
BACKGROUND: Surgery is used to treat persistent pain and dysfunction at the base of the thumb when conservative management, such as splinting, or medical management, such as oral analgesics, is no longer adequate in reducing disability and pain. This is an update of a Cochrane Review first published in 2005. OBJECTIVES: To assess the effects of different surgical techniques for trapeziometacarpal (thumb) osteoarthritis. SEARCH METHODS: We searched the following sources up to 08 August 2013: CENTRAL (The Cochrane Library 2013, Issue 8), MEDLINE (1950 to August 2013), EMBASE (1974 to August 2013), CINAHL (1982 to August 2013), Clinicaltrials...
2015: Cochrane Database of Systematic Reviews
Ali Erşen, Mehmet Demirhan, Ata Can Atalar, Ahmet Salduz, Onur Tunalı
OBJECTIVE: The aim of this study was to evaluate the long-term radiological and functional results of distraction interposition arthroplasty using an Achilles tendon allograft. METHODS: The study included 5 patients (3 females and 2 males; mean age: 31 years, range: 25 to 41 years) who underwent distraction interposition arthroplasty for stiff elbow and arthrosis due to intrinsic factors between 2001 and 2010. Interposition with fresh-frozen Achilles allograft and collateral ligament reconstruction were performed in all patients...
2014: Acta Orthopaedica et Traumatologica Turcica
Sergi Barrera-Ochoa, Nuria Vidal-Tarrason, Eva Correa-Vázquez, Maria Mercè Reverte-Vinaixa, Jordi Font-Segura, Xavier Mir-Bullo
PURPOSE: To report outcomes after a minimum of 5 years following pyrocarbon interposition (PyroDisk) trapeziometacarpal joint implant for osteoarthritis at a single center. METHODS: We retrospectively reviewed the midterm clinical and radiological outcomes of 19 patients who had a pyrocarbon interposition implant (PyroDisk; Integra Life Sciences, Plainsboro, NJ) arthroplasty. The rate and causes of repeat surgeries, revisions, and complications were examined. RESULTS: The mean follow-up period was 68 months...
November 2014: Journal of Hand Surgery
Mark A Yaffe, Bennet Butler, James M Saucedo, Daniel J Nagle
BACKGROUND: The purpose of the present study is to evaluate a single surgeon's short, intermediate, and long-term clinical, functional, and radiographic outcomes with a trapeziectomy with flexor carpi radialis (FCR) suspension arthroplasty without tendon interposition (LRSA). METHODS: Twenty-one patients underwent 26 FCR suspension arthroplasties without tendon interposition by a single senior surgeon. All patients had Eaton stage III and IV carpometacarpal (CMC) osteoarthritis...
September 2014: Hand: Official Journal of the American Association for Hand Surgery
Manish Chug, Nicole Williams, David Benn, Stephen Brindley
BACKGROUND: Osteoarthritis of the trapeziometacarpal joint of thumb occurs frequently and can be very disabling. Numerous surgical techniques including trapeziectomy with or without tendon interposition arthrodesis and partial or total joint arthroplasty with cemented and noncemented prosthesis have been described for the treatment of trapeziometacarpal joint osteoarthritis. Initial problems of osteolysis and implant loosening have been substantially reduced with improvement in implant design...
July 2014: Indian Journal of Orthopaedics
G M Vermeulen, S M Brink, H Slijper, R Feitz, T M Moojen, S E R Hovius, R W Selles
BACKGROUND: Both trapeziectomy with ligament reconstruction and tendon interposition and trapeziometacarpal arthrodesis are commonly performed procedures for the treatment of trapeziometacarpal osteoarthritis. The purpose of this study was to compare the outcomes of both treatments for symptomatic osteoarthritis of the thumb trapeziometacarpal joint in a randomized trial. METHODS: Women who were forty years of age or older were randomized either to trapeziectomy with ligament reconstruction and tendon interposition or to arthrodesis with plate and screws...
May 7, 2014: Journal of Bone and Joint Surgery. American Volume
Toby Vinycomb, John Crock
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...
2013: Hand Surgery
Andrew L Blount, Shannon D Armstrong, Frank Yuan, Scott D Burgess
PURPOSE: To examine outcomes and complications of the porous polyurethaneurea (Artelon; Small Bone Innovations, Morrisville, PA) spacer compared to traditional surgical treatment of trapeziectomy with ligament reconstruction and tendon interposition (LRTI). METHODS: A retrospective chart review was undertaken of patients with carpometacarpal (CMC) arthritis who had either placement of an Artelon spacer or LRTI. Patients were brought back to clinic for interview and functional testing...
September 2013: Journal of Hand Surgery
A Pendse, A Nisar, S Z Shah, A Bhosale, J V Freeman, I Chakrabarti
This study reviews the results of Surface Replacement Trapeziometacarpal (SR TMC, Avanta, San Diego, CA) total joint arthroplasty. Fifty patients (62 joints) were included in the study. Forty-three patients (54 joints) were seen at final follow up. Seven patients (eight joints) were interviewed over the phone. Seven patients were revised to trapeziectomy and ligament reconstruction with tendon interposition, five for aseptic loosening and two for dislocation. At final follow up, the mean Quick DASH score was 30...
December 2009: Journal of Hand Surgery, European Volume
R García-Mas, X Solé Molins
INTRODUCTION: We have performed arthroligamentoplasty with partial trapeziectomy since 1987. We compare the results of this technique with those of arthroligamentoplasty with total trapeziectomy. MATERIAL AND METHODS: We reviewed 112 arthroligamentoplasties performed by the same surgeon, with a minimum follow-up of three years, comparing partial trapeziectomy (93 hands Eaton stage II-III of the disease and one with post-traumatic osteoarthritis), with total trapeziectomy (nine hands stage IV of the disease, eight hands requiring re-operation due to failure of total trapeziectomy and one with post-traumatic osteoarthritis)...
September 2009: Chirurgie de la Main
Louis Catalano, Landon T Horne, Evan Fischer, O Alton Barron, Steven Z Glickel
This study compared patients with basal joint arthritis who underwent either ligament reconstruction tendon interposition (LRTI) or trapeziometacarpal interposition arthroplasty (TMIA). Twenty-two consecutive LRTI and 22 TMIA procedures were compared. Arthritis was graded using the staging system of Eaton. In the LRTI group, 1 patient (4.5%) had stage II, 3 patients (13.6%) had stage III, and 14 patients (15 LRTI procedures; 68.1%) had stage IV disease; 3 patients had previous silicone implants (13.6%). In the TMIA group, 3 patients (13...
March 2008: Orthopedics
A Noelle Larson, Bernard F Morrey
BACKGROUND: Interposition arthroplasty is often considered to be a salvage option for the treatment of severe elbow arthritis when conservative treatment has failed and total joint replacement is contraindicated. The present retrospective study summarizes the results of a specific interposition arthroplasty technique for the treatment of inflammatory and posttraumatic arthritis of the elbow. METHODS: Between 1996 and 2003, sixty-nine elbows were treated with interposition arthroplasty with an Achilles tendon allograft...
December 2008: Journal of Bone and Joint Surgery. American Volume
T Apard, Y Saint-Cast
INTRODUCTION: The surgical gold standart treatment of the thumb osteoarthritis is the trapeziectomy with tendon interposition with ligament reconstruction. The trapeziometacarpal prosthesis is insufficiently assessed in literature. METHODS: Between 1994 and 2001, 43 trapeziometacarpal prosthesis Arpe were implanted by the same surgeon for isolated trapeziometacarpal degenerative osteoarthritis. The minimum follow-up is 5 years. 33 women and 2 men , average age 59,4-years, were operated after failure of conservative treatment...
April 2007: Chirurgie de la Main
Sanjiv H Naidu, Nikhil Kulkarni, Marnie Saunders
PURPOSE: To define the mechanics and determine the clinical outcome of titanium implant arthroplasty in trapeziometacarpal arthritis. METHODS: For the finite element analysis (FEA) a 2-dimensional FEA mesh of the titanium arthroplasty was constructed with 8-node quadrilateral elements and analyzed. Flexion-extension displacement of the metacarpal was analyzed. For the clinical study, between 1996 and 2003, 47 patients (50 thumbs) with Eaton stage 3 trapeziometacarpal arthritis were treated with titanium basal joint arthroplasty...
May 2006: Journal of Hand Surgery
William P Cooney, Timothy P Leddy, Dirk R Larson
PURPOSE: To determine the incidence of revision surgery after thumb trapeziometacarpal joint arthroplasty and to present the expected results of future surgical treatment. METHODS: We reviewed the patient database at our medical center and found 654 procedures performed between 1988 and 2000 for the treatment of thumb basal joint arthritis. From the database we found that revision arthroplasties were performed on 15 patients with 17 arthroplasties in the treatment of mechanical pain related to instability or bone impingement...
February 2006: Journal of Hand Surgery
George S Athwal, Jordan Chenkin, Graham J King, David R Pichora
PURPOSE: The purpose of this study is to report the early results with the Orthosphere (Wright Medical Technology Inc, Arlington, TN) spheric interpositional arthroplasty. METHODS: Six women and 1 man had Orthosphere arthroplasty between 2000 and 2001. The mean age at the time of surgery was 52 years (range, 24-73 years) and the mean duration of clinical and radiographic follow-up evaluation was 33 months (range, 29-44 months). RESULTS: Six of 7 Orthosphere implants subsided into the trapezium resulting in pain, weakness, and stiffness...
November 2004: Journal of Hand Surgery
T T Hannula, S H Nahigian
A cementless ball and socket trapeziometacarpal arthroplasty was used for the treatment of Eaton and Littler stage II and III trapeziometacarpal osteoarthritis. Forty-two joints were placed in 36 patients between 1986 and 1992. Five joints in 4 patients required revision. Thirty-four joints in 30 patients were evaluated with a mean follow-up period of 47 months (range, 15-86 months). Of the 33 monitored patients (39 joints), 79% reported good to excellent pain relief and excellent functional improvement and 12% reported poor to fair pain relief and functional improvement...
January 1999: Journal of Hand Surgery
J Y Alnot, G P Muller
The trapeziometacarpal joint is among the main targets for osteoarthritis at the hand. The objective of surgical treatment is to obtain a painless, stable, and mobile joint. One hundred fifteen cases treated either by a GUEPAR prosthesis (n = 90; group A) or by excision of the trapezium followed by ligament reconstruction and tendon interposition (n = 25; group B) were studied retrospectively. The choice between the two procedures was based on a number of clinical and radiological criteria. Of the 90 group A patients, 79 were reevaluated, after a mean follow-up of 5...
February 1998: Revue du Rhumatisme: Joint, Bone, Spine Diseases
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