Functional Recovery Following Trapeziectomy and Ligament Reconstruction and Tendon Interposition: A Prospective Longitudinal Study

Janakiramanan, Neela; Miles, Oliver; Collon, Sylvie; Crammond, Bradley Robert; McCombe, David; Tham, Stephen

doi:10.1016/j.jhsa.2021.04.036

Cited by 9 publications

(2 citation statements)

References 42 publications

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“…Therefore, early postoperative recovery is important for return to everyday work. Janakiramanan et al (2021) prospectively investigated early functional recovery after trapeziectomy and tendon interposition in 55 patients up to 12 months post-surgery. Interestingly, the reported rehabilitation values for pain and ROM were similar to our results, whereas in our study with dual mobility prostheses, superior outcomes of key pinch strength at 3, 6 and 12 months were achieved.…”

Section: Discussionmentioning

confidence: 99%

Dual mobility prosthesis for trapeziometacarpal osteoarthritis: results from a prospective study of 55 prostheses

Falkner

Tümkaya

Thomas

et al. 2023

J Hand Surg Eur Vol

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This prospective study evaluated outcomes after trapeziometacarpal joint replacement with a dual mobility prosthesis (Touch®) in 55 thumbs (52 patients) with a mean follow-up of 25 months (range 12–36). Pre- and postoperative assessments included pain, range of motion, the Kapandji index, pinch- and grip strength, as well as functional scores and radiological parameters. Mean preoperative metacarpophalangeal joint hyperextension of 19° (range 15°–28°) showed a significant correction after 1 year with a mean value of 2° (range 0°–5°). Mean Quick Disabilities of the Hand, Shoulder and Arm score was 14 (range 6–28), and Michigan Hand Questionnaire 82 (range 67–92). No revisions due to infection, loosening, dislocation or material failure occurred during follow-up. The dual mobility trapeziometacarpal joint prosthesis was a reliable treatment option to decrease pain, improve motion, strength and pre-existing metacarpophalangeal joint hyperextension at short-term follow-up. Level of evidence: IV

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Section: Discussionmentioning

confidence: 99%

Dual mobility prosthesis for trapeziometacarpal osteoarthritis: results from a prospective study of 55 prostheses

Falkner

Tümkaya

Thomas

et al. 2023

J Hand Surg Eur Vol

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“…35 However, in patients with severe pain preoperatively, an improvement in grip could be observed postoperatively because of significant reduction in pain. 36,37 In our cohort of patients, there was a statistically significant decrease in key pinch strength after surgery ( P = 0.01), whereas the decrease in tripod pinch strength was not found to be significant ( P = 0.49).…”

Section: Discussionmentioning

confidence: 56%

“Natural History of Metacarpal Subsidence Following Trapeziectomy with Ligament Reconstruction and Tendon Interposition and Its Relationship to Clinical Outcomes”

Meyers

Krebs

Rampazzo

et al. 2022

Plastic &Amp; Reconstructive Surgery

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Methods: An institutional review board–approved retrospective review of patients who underwent trapeziectomy and ligament reconstruction and tendon interposition (LRTI) was conducted. Patient demographics, visual analogue scale pain scores, grip strength, pinch strengths, and radial and palmar abduction were collected. The trapezial space ratio (TSR) was measured by the scaphometacarpal distance divided by the length of the capitate. Subsidence [(postoperative TSR − preoperative TSR)/preoperative TSR] was measured and classified as severe (≥70%) or mild to moderate (<70%). Median rate of subsidence increase was calculated. Conolly-Rath scores were used to evaluate the proportion of good outcomes in each group. Results: A total of 141 trapeziectomies with LRTI were included. Subsidence increased 6.7% (5.4% to 23.0%) per week before 16 weeks and 0.3% (0.1% to 0.8%) per week thereafter. Visual analogue scale pain scores were not significantly different between patients with severe or mild to moderate subsidence (P = 0.25) 16 weeks after thumb mobilization. The proportion of good outcomes was comparable between the two groups (P = 0.12). There was no correlation between subsidence and pain (ρ = −0.20; P = 0.24), grip (ρ = −0.02; P = 0.93), key (ρ = −0.13; P = 0.62), tripod (ρ = 0.16; P = 0.71), or index tip pinch strengths (ρ = −0.28; P = 0.43) or radial (ρ = −0.03; P = 0.92) or palmar (ρ = −0.15; P = 0.61) abduction. Conclusions: Subsidence occurs in all patients after trapeziectomy and LRTI, stabilizing 16 weeks after mobilization. Degree of subsidence does not correlate with postoperative outcomes. CLINICAL QUESTION/LEVEL OF EVIDENCE: Risk, II.

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Time to return to work after total trapeziometacarpal prosthesis

Tchurukdichian

Delgove

Essid

et al. 2023

Hand Surgery and Rehabilitation

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Functional Recovery Following Trapeziectomy and Ligament Reconstruction and Tendon Interposition: A Prospective Longitudinal Study

Cited by 9 publications

References 42 publications

Dual mobility prosthesis for trapeziometacarpal osteoarthritis: results from a prospective study of 55 prostheses

Dual mobility prosthesis for trapeziometacarpal osteoarthritis: results from a prospective study of 55 prostheses

“Natural History of Metacarpal Subsidence Following Trapeziectomy with Ligament Reconstruction and Tendon Interposition and Its Relationship to Clinical Outcomes”

Time to return to work after total trapeziometacarpal prosthesis

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