Arthroscopic interposition arthroplasty of the trapeziometacarpal joint

Diaconu, M.; Mathoulin, C.; Facca, S.; Liverneaux, Philippe

doi:10.1016/j.main.2011.06.009

Cited by 19 publications

(30 citation statements)

References 13 publications

(11 reference statements)

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“…Multiple procedures have been performed for the treatment of phases II, III and IV carpometacarpal joint osteoarthritis [14][15][16][17][18][19][20][21][22][23][24].…”

Section: Discussionmentioning

confidence: 99%

Ligament reconstruction and tendon interposition arthroplasty of the trapeziometacarpal joint with the use of the full thickness of the flexor carpi radialis tendon

Başar

Erol

et al. 2012

Chirurgie de la Main

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“…Multiple procedures have been performed for the treatment of phases II, III and IV carpometacarpal joint osteoarthritis [14][15][16][17][18][19][20][21][22][23][24].…”

Section: Discussionmentioning

confidence: 99%

Ligament reconstruction and tendon interposition arthroplasty of the trapeziometacarpal joint with the use of the full thickness of the flexor carpi radialis tendon

Başar

Erol

et al. 2012

Chirurgie de la Main

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“…The manuscripts that formed the major portion of the review (n = 22) include those focused on arthroscopic débridement or partial trapeziectomy with case series and adequate outcomes data (n = 11) [2,9,14,15,17,18,21,25,27,28,34]; open series that provided information regarding the interposition material or changes in the STT joint or MCP hyperextension (n = 7) [8,10,23,[31][32][33]39]; and review or techniques articles or a case study with some limited original clinical data (n = 4) [4,5,12,41].…”

Section: Search Strategy and Criteriamentioning

confidence: 99%

“…Diaconu et al [14] reported on arthroscopic débridement of the thumb CMC joint without partial trapeziectomy and interposition of a polylactic acid implant (Arex TM ; Arex, Palaiseau, France) for basilar joint arthrosis. In this series, those with dysplastic changes in the trapezium or metacarpal amenable to osteotomy or realignment were excluded, although Dell Stages 2 to 4 were included (which implies some STT changes might be present, because Dell Stage 3 includes patients with pantrapezial arthritis) [13].…”

Section: Manufactured Materialsmentioning

confidence: 99%

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Does Arthroscopic Débridement With or Without Interposition Material Address Carpometacarpal Arthritis?

Adams

2014

Clinical Orthopaedics &Amp; Related Research

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Background Thumb carpometacarpal (CMC) joint arthritis is a common problem in clinical practice with a variety of treatment options. Arthroscopic procedures can preserve all or part of the trapezium in the setting of treatment of basilar joint arthritis, and such procedures (even without stabilization or ligament reconstruction) have high reported success rates. However, little is documented about the limitations of these procedures in terms of patient selection, the optimal type of interposition, if any, and rehabilitation. Questions/purposes A systematic review was performed to determine the influence of (1) interposition material (manufactured, biological, or none); and (2) patient-related factors (including metacarpophalangeal joint hyperextension, ligamentous laxity, and severity of arthritis) on pain, functional scores, and postoperative complications unique to each approach.Methods A systematic review of the English language literature regarding thumb basilar joint arthritis and arthroscopic partial trapeziectomy or débridement was performed. Those procedures including ligament reconstruction or stabilization were excluded. Results Biological materials and no interposition were both associated with satisfactory improvement and low rates of complications; complication rates with synthetic materials were higher. Eaton Stages I to III were treated successfully with this technique. The effect of scaphotrapeziotrapezoid (STT) changes was variably described across series. In most series, metacarpophalangeal hyperextension did not seem to have an adverse effect on outcomes, although these patients were excluded in some series. Conclusions Arthroscopic débridement with or without interposition can be used for treatment of Eaton Stages I to III CMC osteoarthritis with satisfactory outcomes. Some series suggest satisfactory outcomes in the setting of STT changes and metacarpophalangeal hyperextension.

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“…But certain complications, such as damage to terminal branches of the radial nerve, collapse of the thumb column, lack of strength, and complex regional pain syndrome, have led to the development of various arthroscopic techniques. [1][2][3][4][5][6][7][8][9] The method described here combines partial trapeziectomy and ligament reconstruction using a strip of the abductor pollicis longus tendon, which creates a suspension ligamentoplasty and reconstructs the intermetacarpal ligament. This procedure is indicated in patients with isolated trapeziometacarpal joint conditions.…”

Section: Introductionmentioning

confidence: 99%

Chapter 23 Partial Arthroscopic Trapeziectomy with Suspension Ligamentoplasty

Mathoulin¹

2015

Wrist Arthroscopy Techniques

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Arthroscopic interposition arthroplasty of the trapeziometacarpal joint

Cited by 19 publications

References 13 publications

Ligament reconstruction and tendon interposition arthroplasty of the trapeziometacarpal joint with the use of the full thickness of the flexor carpi radialis tendon

Ligament reconstruction and tendon interposition arthroplasty of the trapeziometacarpal joint with the use of the full thickness of the flexor carpi radialis tendon

Does Arthroscopic Débridement With or Without Interposition Material Address Carpometacarpal Arthritis?

Chapter 23 Partial Arthroscopic Trapeziectomy with Suspension Ligamentoplasty

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