Arthroscopic treatment of basal joint arthritis by partial trapeziectomy with ligament reconstruction: Short-term results from a prospective study of 20 patients

Lucet, Antoine; Ligeard, M.; Chou, E. Salle de; Hulet, Christophe; Malherbe, Michel

doi:10.1016/j.hansur.2018.11.002

Cited by 11 publications

(27 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Twenty-two studies (with 23 sets of data) met the inclusion and exclusion criteria and thus were included in the analysis 28 29 32 38 39 41 42 43 44 45 46 47 48 49 50 51 52 60 61 62 63 64 to compare postoperative outcomes between the different techniques ( Table 1 ). In the trapeziectomy versus debridement alone subgroup analysis, the trapeziectomy subgroup contained 16 studies, 28 29 38 39 41 42 43 45 46 47 48 49 51 52 60 62 and the debridement subgroup contained six studies. 32 44 50 61 63 64 In the trapeziectomy alone versus interposition and suspension analysis, the trapeziectomy alone group contained four studies, 38 42 45 62 the interposition had eight studies, 39 41 42 46 47 48 52 60 and suspension had five studies.…”

Section: Resultsmentioning

confidence: 99%

“…The outcomes analyzed across all included studies were grip strength, oppositional pinch strength, appositional pinch strength, VAS at rest, VAS during activity, and DASH. Preoperative 32 38 39 41 42 48 49 51 61 64 and postoperative 32 38 39 41 48 49 51 60 61 64 resting VAS were reported in 10 studies each. Four studies reported preoperative and postoperative active VAS.…”

Section: Resultsmentioning

confidence: 99%

“…As we found, many case series have shown promising pain and functional outcomes of the thumb and hand with this technique. 39,41,42,[46][47][48]52,60 Finally, another alternative to interposing tissue into the resected articulation is to suspend the first metacarpal to the second metacarpal using either a graft or synthetic material. This helps to preserve the metacarpal and ultimate height, and prevents subsidence.…”

Section: Discussionmentioning

confidence: 99%

“…ROM was assessed in 14 studies, 29,38,41,[43][44][45][46][48][49][50][51][52]60,61 though the specific motion measured varied greatly between studies. The most common motion assessed was opposition to the fifth metacarpal which was recorded in seven studies.…”

Section: Clinical Outcomes Of All Studiesmentioning

confidence: 99%

“…They potentially overcome some of the aforementioned issues by avoiding a capsulotomy and more extensive soft tissue disruption while instead preserving the native anatomy to provide stability and potentially an expedited recovery. 32 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52…”

mentioning

confidence: 99%

See 4 more Smart Citations

Treatment of First Carpometacarpal Osteoarthritis with Arthroscopy: A Systematic Review

et al. 2022

View full text Add to dashboard Cite

Background First carpometacarpal (CMC) osteoarthritis or trapeziometacarpal osteoarthritis is a common debilitating hand condition. No one surgical technique has demonstrated superiority in managing this disease. Purpose This study performed a systematic review of arthroscopic techniques for treating first CMC arthritis to assess the effectiveness of different arthroscopic techniques. Methods Grip strength, pinch strength, visual analog scale, the Disability of Arm, Shoulder, and Hand (DASH) score, range of motion (ROM), and complications were recorded. Two subgroup analyses were performed, comparing outcomes of (1) trapeziectomy of any type versus debridement alone and (2) trapeziectomy alone versus interposition versus suspension techniques. Results Preoperative and postoperative scores significantly improved for DASH scores and pain at rest and with activity with variable improvements in ROM. Complications occurred in 13% of cases in publications that reported complications. When comparing studies that utilized techniques with any type of trapeziectomy to debridement alone, only the trapeziectomy subgroup showed significant improvements in pain. When comparing trapeziectomy alone to interposition and suspension techniques, mean DASH scores and pain levels significantly improved in interposition and suspension subgroups. Conclusions The existing literature describes a predominantly female population with Eaton-Littler stage II and III disease. In the subgroup analysis, arthroscopic techniques involving a trapeziectomy seem to be more effective at lowering pain scores compared to techniques involving debridement alone. Likewise, interposition and suspension techniques may show improved outcomes compared to techniques involving trapeziectomy alone. Level of evidence This is a Level III study.

show abstract