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Trapeziectomy

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https://www.readbyqxmd.com/read/28167875/locking-plate-arthrodesis-compares-favorably-with-lrti-for-thumb-trapeziometacarpal-arthrosis-early-outcomes-from-a-longitudinal-cohort-study
#1
Nikolas H Kazmers, K J Hippensteel, Ryan P Calfee, Lindley B Wall, Martin I Boyer, Charles A Goldfarb, Richard H Gelberman, Daniel A Osei
BACKGROUND: Trapeziometacarpal arthrodesis (TMA) has been complicated by nonunion and hardware failure. QUESTIONS/PURPOSES: We hypothesized that modification of the TMA technique with a locking cage plate construct would afford reliable bony union while producing greater hand function than trapeziectomy with ligament reconstruction and tendon interposition (LRTI) at early follow-up. METHODS: We enrolled 36 consecutive patients with trapeziometacapal osteoarthritis (14 TMA patients (15 thumbs), 22 LRTI patients (22 thumbs))...
February 2017: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/28166695/results-of-115-rubis-ii-reverse-thumb-carpometacarpal-joint-prostheses-with-a-mean-follow-up-of-10-years
#2
M Dehl, M Chelli, S Lippmann, S Benaissa, V Rotari, M Moughabghab
: The aim of this study was to assess the clinical and radiological results of the Rubis II thumb carpometacarpal joint reverse prosthesis, at a mean follow-up of 10 years. Between 1997 and 2008, 253 prostheses were implanted in 199 patients; 115 were reviewed. The survival after a mean of 10 years was 89%. At the last follow-up, 70% of prostheses were painless; the others reported moderate or intermittent pain. The satisfaction rate was 98%. The mean opposition was 9 on the Kapandji scale; the mean QuickDASH score was 30...
February 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/28160900/evidence-based-practice-in-the-surgical-treatment-of-thumb-carpometacarpal-joint-arthritis
#3
Frank Yuan, Oluseyi Aliu, Kevin C Chung, Elham Mahmoudi
PURPOSE: Thumb carpometacarpal (CMC) arthritis contributes considerably to functional disability in the aging adult United States (US) population. Owing to the increasing growth in this segment of our population, its burden on health care resources will increase in the future. Variations exist in the degree of complexity and cost among different surgical treatments. We examined the national trends of the surgical treatment of thumb CMC arthritis and hypothesized that current practice patterns are not supported by evidence favoring the simpler trapeziectomy-only procedure...
February 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28149212/thumb-metacarpal-subsidence-after-partial-trapeziectomy-with-capsular-interposition-arthroplasty-a-biomechanical-study
#4
Christina Salas, Deana M Mercer, Gavin O'Mahony, James Love, Dukens LaBaze, Moheb S Moneim
Background: In a cadaveric model, we evaluated thumb metacarpal subsidence, indicated by a decreased metacarpal-to-scaphoid distance, after 2 surgical procedures used to treat thumb carpometacarpal (CMC) osteoarthritis (OA): partial trapeziectomy with capsular interposition (PTCI), which involves removal of 2 mm of both the distal trapezium and base of the metacarpal; and total trapeziectomy with capsular interposition (TTCI). Methods: Nine matched pairs of cadaveric hands were randomly assigned to undergo either PTCI or TTCI...
December 2016: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/28149211/biomechanical-comparison-of-suture-button-suspensionplasty-and-lrti-for-basilar-thumb-arthritis
#5
Mihir J Desai, David M Brogan, Marc J Richard, Suhail K Mithani, Fraser J Leversedge, David S Ruch
Background: The purpose of this study was to compare the initial biomechanical strength of trapeziectomy and suture-button suspensionplasty (SBS) with ligament reconstruction and tendon interposition (LRTI) for thumb carpometacarpal (CMC) arthritis in a cadaveric model. Methods: Eight matched pairs of below-elbow cadaveric arms were used for this study. Each specimen was randomly assigned to either receive a trapeziectomy and LRTI (LRTI group) or trapeziectomy and SBS (SBS group). Using previously described and validated testing protocols, physiological key pinch was simulated...
December 2016: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/27843078/minimum-10-year-clinical-and-radiological-follow-up-of-trapeziectomy-with-interposition-or-suspensionplasty-for-basal-thumb-arthritis
#6
G Pomares, D Delgrande, F Dap, G Dautel
HYPOTHESIS: The aim of this article is to analyze clinical and radiological outcomes of trapeziectomy performed for basal thumb arthritis after a minimum follow-up of 10 years to gain further insight from shorter and medium-term studies reporting satisfactory evolution. METHODS: We reviewed 67 trapeziectomies, operated on by the same senior surgeon after a minimum follow-up of 10 years. The sample included 16 cases of suspensionplasty and 51 interpositions. Clinical outcome evaluated strength, pain, joint amplitude, Kapandji opposition score, Disabilities of the Arm, Shoulder and Hand score, complications and revision surgery...
December 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/27781988/a-ten-year-prospective-outcome-study-of-pi2%C3%A2-pyrocarbon-spacer-arthroplasty-in-carpometacarpal-joint-osteoarthritis
#7
C Agout, L Ardouin, P Bellemère
Surgical management of carpometacarpal osteoarthritis may use many techniques. Pi2 (pyrocarbon interposition implant) arthroplasty is one possible solution after total trapeziectomy. The present study assessed clinical and radiological results in Pi2 arthroplasty at a minimum 10years' follow-up. Forty-two consecutive cases underwent surgery between March 2003 and April 2005; 29 were followed up for a mean of 125.49months (10.5years). A total of 96.6% of patients were very satisfied or satisfied. Range of motion improved, especially in opposition (mean Kapandji score, 9...
September 2016: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/27781986/surgery-for-trapeziometacarpal-osteoarthritis
#8
A-M Gay, A Cerlier, A Iniesta, R Legré
Trapeziometacarpal (TMC) osteoarthritis is a common, disabling condition that mostly affects women. The demand for surgical treatment is growing and the patients are becoming younger, adding to the challenge. Surgery can only be proposed after failure of well-conducted conservative treatment and requires a complete X-ray assessment. In the early stages, conservative surgery measures can be used to stabilize the joint or realign it in cases of dysplasia, but in most cases, patients are seen with more advanced arthritis and joint replacement must be considered...
September 2016: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/27751779/revision-ligament-reconstruction-tendon-interposition-for-trapeziometacarpal-arthritis-a-case-control-investigation
#9
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...
December 2016: Journal of Hand Surgery
https://www.readbyqxmd.com/read/27695880/-current-aspects-of-therapy-of-rhizoarthrosis
#10
REVIEW
T Lögters, S Gehrmann, J Windolf
In patients with carpometacarpal osteoarthritis of the thumb, treatment strategies should be based on functional impairment and pain. Although X‑ray imaging is an integral component of the diagnostics, it is of subordinate importance for the therapy algorithm. Conservative therapy is always the first step in the chain of treatment. The efficacy of non-operative treatment, including intermittent immobilization using splinting and the application of technical assist devices in the daily routine has been proven to achieve pain relief...
December 2016: Der Unfallchirurg
https://www.readbyqxmd.com/read/27580444/-salvage-procedure-for-painful-proximalisation-of-the-1st-metacarpal-after-trapeziectomy-using-the-mini-tightrope%C3%A2
#11
B J Braun, N T Veith, F S Frueh, M Klein, W Knopp, T Pohlemann
PURPOSE: This study analyses our results after revision surgery for failed trapezectomy and suspension arthroplasty with painful proximalisation of the 1(st) metacarpal using the Mini TightRope(®). PATIENTS AND METHODS: In a prospective observational study, 5 patients (4 women and 1 man) with an average age of 62 years were treated with the Mini TightRope(®) for revision of a failed Epping arthroplasty with painful proximalisation of the first ray. The mean time between initial surgery and revision was 23...
August 2016: Handchirurgie, Mikrochirurgie, Plastische Chirurgie
https://www.readbyqxmd.com/read/27570226/trapeziometacarpal-arthrodesis-or-trapeziectomy-with-ligament-reconstruction-in%C3%A2-primary-trapeziometacarpal-osteoarthritis-a%C3%A2-5-year-follow-up
#12
Kim R Spekreijse, Ruud W Selles, Muhammed A Kedilioglu, Harm P Slijper, Reinier Feitz, Steven E Hovius, Guus M Vermeulen
PURPOSE: To compare the long-term outcomes of trapeziectomy with ligament reconstruction and tendon interposition (LRTI) with trapeziometacarpal arthrodesis for osteoarthritis (OA) of the basal thumb joint. METHODS: Patients were evaluated for pain, daily functioning, strength, and complications after a mean follow-up of 5.3 years. Generalized estimating equations statistics were used to compare repeated measurements over time in both groups. RESULTS: After 5 years, patients who had trapeziectomy with LRTI had significantly better pain reduction and function than the arthrodesis group...
September 2016: Journal of Hand Surgery
https://www.readbyqxmd.com/read/27454509/interposition-arthroplasty-versus-hematoma-and-distraction-for-the-treatment-of-osteoarthritis-of-the-trapeziometacarpal-joint
#13
Massimo Corain, Nicola Zampieri, Raffaele Mugnai, Roberto Adani
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...
February 2016: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/27418894/increased-complications-in-trapeziectomy-with-ligament-reconstruction-and-tendon-interposition-compared-with-trapeziectomy-alone
#14
Aparajit Naram, Keith Lyons, Douglas M Rothkopf, Edward R Calkins, Thomas Breen, Marci Jones, John V Shufflebarger
BACKGROUND: In the treatment of basal joint arthritis of the thumb, recent studies suggest equivalent outcomes with regard to long-term pain, mobility, and strength, in patients undergoing either trapeziectomy alone or trapeziectomy with ligament reconstruction and tendon interposition (LRTI). The goal of this study was to investigate risk factors for complications in carpometacarpal (CMC) arthroplasty. METHODS: We conducted a retrospective chart review of 5 surgeons at a single institution performing CMC arthroplasties from November 2006 to November 2012...
March 2016: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/27390569/arthroscopic-trapeziectomy-with-suture-button-suspensionplasty-a-retrospective-review-of-153-cases
#15
Genevieve Landes, Michael P Gaspar, Peter Goljan, Sidney M Jacoby, Abdo Bachoura, Randall W Culp
BACKGROUND: Arthroscopic trapeziectomy with suture button suspensionplasty (ATBS) is a relatively new surgical option for the treatment of thumb carpometacarpal (CMC) osteoarthritis. Although ATBS has many potential benefits over alternative surgical treatments for CMC arthritis, little data exist regarding its safety and complication rates. The purpose of this study was to demonstrate that ATBS is associated with a low risk of complications within 1 year of surgery. METHODS: A retrospective review of patients treated with ATBS by one senior hand surgeon over a span of 3 years was performed...
June 2016: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/27281160/unacceptable-failure-of-the-pi2%C3%A2-implant
#16
J van Aaken, N Holzer, L Wehrli, F Delaquaize, I A Gonzalez, J Y Beaulieu
: The PI2® spacer is designed for treatment of trapeziometacarpal (TM) osteoarthritis. However, the shape of this implant has raised concerns about its stability. We retrospectively investigated 45 implants in 41 patients treated for trapeziometacarpal osteoarthritis in our hospital between 2004 and 2009 who underwent trapeziectomy and insertion of a PI2® spacer. Outcome parameters included revision rates and clinical outcomes correlated with implant position and scaphometacarpal distance, assessed using standard radiographs...
November 2016: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/27219267/medicare-spending-and-evidence-based-approach-in-surgical-treatment-of-thumb-carpometacarpal-joint-arthritis-2001-to-2010
#17
Elham Mahmoudi, Frank Yuan, Meghan E Lark, Oluseyi Aliu, Kevin C Chung
BACKGROUND: Despite equivalent outcomes among surgical treatments of thumb carpometacarpal arthritis, little is known about the variation in spending. Because of its complexities, the authors hypothesized that trapeziectomy with ligament reconstruction and tendon interposition incurs the greatest cost to Medicare compared with other surgical procedures. METHODS: Using a random 5 percent sample of Medicare beneficiaries diagnosed with thumb carpometacarpal joint arthritis, the authors examined total and out-of-pocket spending for 3530 patients who underwent a surgical treatment between 2001 and 2010...
June 2016: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27215594/the-pillow-technique-for-thumb-carpometacarpal-joint-arthritis-cohort-study-with-10-to%C3%A2-15-year-follow-up
#18
Panagiotis Givissis, Nikolaos Platon Sachinis, Panagiotis Akritopoulos, Stavros I Stavridis, Anastasios Christodoulou
PURPOSE: Arthritis of the carpometacarpal joint of the thumb is common, and there are many studies regarding its treatment. We investigated the long-term outcome of interposition arthroplasty with a fascia lata allograft (pillow technique), without ligament reconstruction, to treat thumb carpometacarpal arthritis. The technique consisted of complete trapeziectomy, use of alloplastic tensor fascia lata, and K-wire immobilization for 5 weeks. METHODS: The outcomes of 31 thumbs in 24 female patients were measured at a mean follow-up of 12...
July 2016: Journal of Hand Surgery
https://www.readbyqxmd.com/read/27203276/prevention-of-thumb-web-space-contracture-with-multiplanar-external-fixation
#19
Carl M Harper, Matthew L Iorio
Thumb web space contracture following hand trauma can be disabling with numerous reconstructive procedures existing to correct the resultant deformity. Following marked soft tissue injury to the hand we utilized the Stryker Hoffmann II Micro External Fixator System to link the first and second metacarpals by a multiplanar system using 1.6 or 2.0 mm self-drilling half-pins and 3 mm carbon fiber connecting rods. This facilitated placement of the thumb in maximal palmar abduction as well as allowed adjustment of thumb position throughout the postoperative period...
September 2016: Techniques in Hand & Upper Extremity Surgery
https://www.readbyqxmd.com/read/27117124/use-of-the-entire-flexor-carpi-radialis-tendon-for-basal-thumb-ligament-reconstruction-interposition-arthroplasty
#20
Jean-David Werthel, Thierry Dubert
UNLABELLED: Recent studies seem to show that ligament reconstruction with tendon interposition (LRTI) does not provide any benefit over trapezium excision alone; however dorsal subluxation was not measured in these studies. We believe it is logical to perform ligamentoplasty in order to obtain long-term stability and therefore treat dorsal subluxation. Our aim is to verify this hypothesis in an observational prospective study of LRTI using the entire flexor carpi radialis (FCR) tendon...
April 2016: Hand Surgery and Rehabilitation
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