Interposition Arthroplasty for Osteoarthritis of Trapezio Metacarpal Joint: Results of a Modified Incision and Technique of Interposing With Early Mobilisation

Maqsood, M.; Kumar, Nishikant; Noorpuri, B.S.W.

doi:10.1142/s0218810402001084

Cited by 7 publications

(6 citation statements)

References 22 publications

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“…27 Maqsood et al reported data on LRTI using FCR tendon interposition and mobilizing patients at 2 weeks. 29 At 5.5 years their series of 60 patients had normal mobility and no cases of CRPS. De Smet et al reported data on a cohort of patients undergoing trapeziectomy and/or LRTI who mobilized within a week.…”

Section: Discussionmentioning

confidence: 92%

Long-term follow-up of trapeziectomy with abductor pollicis longus tendon interposition arthroplasty for osteoarthritis of the thumb carpometacarpal joint

Avisar

Elvey

Wasrbrout

et al. 2013

Journal of Orthopaedics

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Results: At a mean of 15 years post operation (range 15e17 years), there was no statistical difference between the operated and non-operated hands with regards to grip and pinch strength. In all cases CMC and MCPJ range of motion in the operative hand was either equal to or greater than non-operative counterparts. Mean visual analogue scale score was 2.13 and mean DASH score was 16.85. Mean carpal height was 0.52 and mean trapezial space ratio was 0.163. There were no early or late complications recorded and no revision surgery was required. Conclusion:It is the opinion of these authors that abductor pollicis longus tendon interposition arthroplasty is able to provide high-quality long-term results for patients who suffer from moderate to severe osteoarthritis of the thumb carpometacarpal joint.

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Section: Discussionmentioning

confidence: 92%

Long-term follow-up of trapeziectomy with abductor pollicis longus tendon interposition arthroplasty for osteoarthritis of the thumb carpometacarpal joint

Avisar

Elvey

Wasrbrout

et al. 2013

Journal of Orthopaedics

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“…Women have a greater predilection for degenerative arthritis at this joint than men. 120 Because many daily activities are markedly affected by the pain of arthritic changes at the CMC joint, surgical intervention is common. Surgical management of arthritis in the distal upper extremity is most frequently provided at this joint.…”

Section: Thumb Carpometacarpal Surgerymentioning

confidence: 99%

Neurologic complications in common wrist and hand surgical procedures

Verdecchia¹,

Johnson

Baratz

et al. 2018

Orthop Rev (Pavia)

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Nerve dysfunction after upper extremity orthopedic surgery is a recognized complication, and may result from a variety of different causes. Hand and wrist surgery require incisions and retraction that necessarily border on small peripheral nerves, which may be difficult to identify and protect with absolute certainty. This article reviews the rates and ranges of reported nerve dysfunction with respect to common surgical interventions for the distal upper extremity, including wrist arthroplasty, wrist arthrodesis, wrist arthroscopy, distal radius open reduction and internal fixation, carpal tunnel release, and thumb carpometacarpal surgery. A relatively large range of neurologic complications is reported, however many of the studies cited involve relatively small numbers of patients, and only rarely are neurologic complications included as primary outcome measures. Knowledge of these neurologic outcomes should help the surgeon to better counsel patients with regard to perioperative risk, as well as provide insight into workup and management of any adverse neurologic outcomes that may arise.

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“…However, subluxation correlated with poor results in this study, leading the authors to conclude that ligament reconstruction was worthwhile. Maqsood also reported excellent results after T+IA (Table 4) (Level IV Evidence) 13…”

Section: Evidence On Surgical Treatment Planmentioning

confidence: 88%

“…Results are very predictable with this method. Maqsood reported on a series of T+LRTI patients mobilized early (2 weeks) (Level IV Evidence) 13. He felt this was important to reduce the incidence of stiffness and complex regional pain syndrome (CRPS).…”

Section: Evidence On Postoperative Outcomesmentioning

confidence: 99%