Arthroplasty of the basal joint of the thumb. Long-term follow-up after ligament reconstruction with tendon interposition.

Tomaino, Matthew M.; Pellegrini, Vincent D.; Burton, Richard I.

doi:10.2106/00004623-199503000-00003

Cited by 338 publications

(271 citation statements)

References 20 publications

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“…Tomaino et al [29] reported that 20 of 22 patients were satisfied with LRTI at 9-year follow-up, and Kochevar et al [11] reported that 17 of 18 patients had excellent or good relief of pain with APL tendon suspensionplasty at a 5.5-year follow-up.…”

Section: Discussionmentioning

confidence: 99%

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Basal Joint Osteoarthritis of the Thumb: Comparison of Suture Button versus Abductor Pollicis Longus Suspensionplasty

Avant

Nydick²,

White

et al. 2014

Hand (New York, N,Y.)

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Background Our purpose was to compare the outcomes of patients with severe basilar thumb osteoarthritis treated with trapeziectomy and suspensionplasty using abductor pollicis longus (APL) tendon versus a suture button device. Methods A retrospective study was performed for patients undergoing trapeziectomy and suspensionplasty with APL tendon or suture button fixation. Outcome measures included disabilities of the arm, shoulder, and hand (DASH); visual analog score (VAS); grip strength; key pinch; tip pinch; and thumb opposition. Radiographic measurements, surgical times, and complications were recorded. Results Thirty-three patients in the APL tendon group and 27 patients in the suture button group had a minimum 6-month follow-up. VAS, DASH, and functional measurements improved after surgery for both groups. Mean operative time was 68 min for the APL tendon group and 48 min for the suture button group. Complications were similar between groups.Conclusions The use of suture button fixation when compared to APL tendon suspensionplasty offers similar clinical outcomes.Type of study/level of evidence: Therapeutic III

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Section: Discussionmentioning

confidence: 99%

“…Tomaino et al demonstrated that grip and tip pinch strength continues to increase steadily for up to 6 years postoperatively before reaching a plateau [29]. This demonstrates the importance for prolonged evaluation for both of these patient cohorts in order to suggest what may provide the better functional outcome.…”

Section: Discussionmentioning

confidence: 99%

Basal Joint Osteoarthritis of the Thumb: Comparison of Suture Button versus Abductor Pollicis Longus Suspensionplasty

Avant

Nydick²,

White

et al. 2014

Hand (New York, N,Y.)

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“…Autores recomendam a ressecção do trapézio e apenas interposição tendinosa sem reconstrução ligamentar (13)(14)(15)(16) . No entanto, a cirurgia que parece ser a preferida ultimamente é a combinação da trapeziectomia com ligamentoplastia e interposição tendinosa, embora muitos autores concordem com o fato de que a simples ressecção do trapézio dá os mesmos resultados que a associação com aquelas técnicas (2,(17)(18)(19)(20)(21) .…”

Section: Introductionunclassified

Estudo comparativo entre ressecção do trapézio e interposição tendinosa com e sem ligamentoplastia no tratamento da artrose carpometacarpiana do polegar

Pardini¹,

Freitas²,

Chaves³

et al. 2008

Rev. bras. ortop.

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“…13 Trapeziectomy with or without ligament reconstruction and tendon interposition (LRTI) are mainly performed in advanced stages. [14][15][16][17][18] Proximal migration of the first metacarpal bone is one of the major problems of trapeziectomy. Additionally, the removal of one part of the thumb saddle joint-the os trapeziummight be the reason for the loss of pinch grip strength compared to healthy controls.…”

Section: Introductionmentioning

confidence: 99%

Microstructural adaptation in trapezial bone due to subluxation of the thumb

Nufer

Goldhahn

Köhler

et al. 2007

Journal Orthopaedic Research

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Although the thumb saddle is one of the most common sites of degenerative osteoarthritis in the hand, little is known about the altered microstructure in osteoarthritic trapezial bones. External forces resulting from subluxation of the carpometacarpal joint of the thumb (CMC I) should provoke microstructural changes in the trapezium. The purpose of this study was to compare the regional differences of the microstructure between osteoarthritic and healthy trapezial bones. Fifteen trapezia harvested from female patients with radiologically and clinically diagnosed saddle joint osteoarthritis (OA) were compared with 15 unaffected controls. Microstructural parameters, such as bone volume ratio (BV/TV), three-dimensional connectivity (Conn.D), trabecular number (Tb.N), and trabecular thickness (Tb.Th) were studied using a microcomputed tomography (microCT) system. While the trapezial height in OA was 22% less, the sclerotic subchondral bone layer thickness was 50% higher in OA compared with the control group (p < 0.001). In the OA group there was a 42% higher bone volume ratio (p 0.001), an 18% increase in Tb.Th (p ¼ 0.006), and a 10% greater Tb.N (p ¼ 0.034) compared with the control group. Although in both groups BV/TV was significantly lower in the radial region, the radial column showed the highest relative increase in bone volume and structure compared with the control group (þ67% BV/TV, þ20% Tb.Th, þ23% Tb.N). The reinforcement of the bony microstructure in CMC I OA, especially at the radial side, is a sign for bone adaptation reacting to radially shifted joint forces. This has to be considered during the development of new prosthetic alternatives. ß

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Arthroplasty of the basal joint of the thumb. Long-term follow-up after ligament reconstruction with tendon interposition.

Cited by 338 publications

References 20 publications

Basal Joint Osteoarthritis of the Thumb: Comparison of Suture Button versus Abductor Pollicis Longus Suspensionplasty

Basal Joint Osteoarthritis of the Thumb: Comparison of Suture Button versus Abductor Pollicis Longus Suspensionplasty

Estudo comparativo entre ressecção do trapézio e interposição tendinosa com e sem ligamentoplastia no tratamento da artrose carpometacarpiana do polegar

Microstructural adaptation in trapezial bone due to subluxation of the thumb

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