Comparative clinical study of 2 surgical techniques for trapeziometacarpal osteoarthritis

Martínez‐Martínez, Francisco J.; García-Hortelano, S.; García-Paños, Juan Pedro; Moreno-Fernández, José M.; Martín-Ferrero, Miguel Ángel

doi:10.1016/j.recote.2015.11.006

Cited by 7 publications

(15 citation statements)

References 22 publications

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“…Arthrodesis of the CMC joint is an effective treatment because it stabilizes the thumb and provides strength but is associated with the loss of mobility and with more complications (Mureau et al., 2001). The short-term outcomes of joint prosthesis are superior to trapeziectomy and its variants (Cebrian-Gomez et al., 2019; Jager et al., 2013; Jurca et al, 2016; Martínez-Martínez et al., 2016), but the long-term complications are often higher (Giddins, 2012; Huang et al., 2015).…”

Section: Introductionmentioning

confidence: 99%

Trapeziometacarpal total joint arthroplasty for osteoarthritis: 199 patients with a minimum of 10 years follow-up

Martín-Ferrero

Simón-Pérez

Coco-Martín

et al. 2019

J Hand Surg Eur Vol

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We report outcomes of 228 consecutive patients with total joint arthroplasty using the Arpe® prosthesis, among which 216 trapeziometacarpal joints in 199 patients had a minimum of 10 years follow-up. The cumulative survival rate of the 216 implants at 10 years using the Kaplan–Meyer method was 93%. Two hundred joints were functional and painless. We found good integration and positioning of the components in 184 (93%) of the joints. Sixteen prostheses failed. We conclude that this implant has acceptable long-term survival rate and restores good hand function. We also report our methods to improve implant survival and to decrease the risk of component malpositioning, and failure rate. Level of evidence: II

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Section: Introductionmentioning

confidence: 99%

Trapeziometacarpal total joint arthroplasty for osteoarthritis: 199 patients with a minimum of 10 years follow-up

Martín-Ferrero

Simón-Pérez

Coco-Martín

et al. 2019

J Hand Surg Eur Vol

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“…All five studies [ 21 – 25 ] that compared JR with LRTI alone used the Burton-Pellegrini technique. Four studies adopted RA techniques, of which three [ 20 , 26 , 28 ] used RSA and one [ 27 ] used Lundsborg’s RA. The studies utilising TI adopted flexor carpi radialis (FCR) TI [ 29 ] and abductor pollicis longus (APL) TI [ 30 ].…”

Section: Resultsmentioning

confidence: 99%

“…Only one study [ 22 ] in this SR was a randomised controlled trial; five [ 21 , 26 , 29 , 30 , 32 ] were prospective cohort studies and eight [ 20 , 23 – 25 , 27 , 28 , 31 , 33 ] were retrospective cohort studies. The recruitment period ranged from 1995 to 2016, and all studies were published after the year 2000.…”

Section: Resultsmentioning

confidence: 99%

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Trapeziectomy versus joint replacement for first carpometacarpal (CMC 1) joint osteoarthritis: a systematic review and meta-analysis

Raj

Clay

Ramji

et al. 2021

Eur J Orthop Surg Traumatol

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Purpose This systematic review and meta-analysis directly compares joint replacement (JR) and trapeziectomy techniques to provide an update as to which surgical intervention is superior for first carpometacarpal (CMC-1) joint osteoarthritis. Methods In August 2020, MEDLINE, Embase and Web of Science were searched for eligible studies that compared these two techniques for the treatment of CMC-1 joint osteoarthritis (PROSPERO registration ID: CRD42020189728). Primary outcomes included the Disabilities of the Arm, Shoulder and Hand (DASH), QuickDASH (QDASH) and pain visual analogue scale (VAS) scores. Secondary outcomes, such as total complication, dislocation and revision surgery rates, were also measured. Results From 1909 studies identified, 14 studies (1005 patients) were eligible. Our meta-analysis found that post-operative QDASH scores were lower for patients in the JR group (five studies, p = 0.0004). Similarly, significantly better postoperative key pinch strength in favour of JR was noted (three studies, p = 0.001). However, pain (VAS) scores were similar between the two groups (five studies, p = 0.21). Moreover, JR techniques had significantly greater odds of overall complications (12 studies; OR 2.12; 95% CI 1.13–3.96, p = 0.02) and significantly greater odds of revision surgery (9 studies; OR 5.14; 95% CI 2.06–12.81, p = 0.0004). Conclusion Overall, based on very low- to moderate-quality evidence, JR treatments may result in better function with less disability with comparable pain (VAS) scores; however, JR has greater odds of complications and greater odds of requiring revision surgery. More robust RCTs that compare JR and TRAP with standardised outcome measures and long-term follow-up would add to the overall quality of evidence.

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“…Hence, in case when PE wear occurs, a revision of the entire cup becomes necessary even it may not be loosened [34]. Two comparative studies revealed that the outcomes regarding functionality and strength were better rated by patients with a total TCMJ replacement using the Arpe TM implant than by patients who underwent a primary excisional procedure [35,36]. At two midand one long-term follow-up's a survival rate for in-vivo functional Arpe TM prostheses was found in 85-97% of cases [34,37,38].…”

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confidence: 99%

Combined replacements of the wrist, ulnar head, and thumb carpometacarpal joint. Case report, technical note and recent evidence to the Arpe™ prosthesis

Schmidt¹

2017

Trauma Emerg Care

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Comparative clinical study of 2 surgical techniques for trapeziometacarpal osteoarthritis

Cited by 7 publications

References 22 publications

Trapeziometacarpal total joint arthroplasty for osteoarthritis: 199 patients with a minimum of 10 years follow-up

Trapeziometacarpal total joint arthroplasty for osteoarthritis: 199 patients with a minimum of 10 years follow-up

Trapeziectomy versus joint replacement for first carpometacarpal (CMC 1) joint osteoarthritis: a systematic review and meta-analysis

Combined replacements of the wrist, ulnar head, and thumb carpometacarpal joint. Case report, technical note and recent evidence to the Arpe™ prosthesis

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