Minimally invasive arthroscopy-assisted arthrodesis for thumb carpometacarpal osteoarthritis

Komura, Shingo; Hirakawa, Akihiro; Hirose, Hitoshi; Akiyama, Haruhiko

doi:10.1007/s00402-023-05145-w

Cited by 2 publications

(1 citation statement)

References 20 publications

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“…Corrective osteotomy entails reshaping the bones forming the joint to rectify deformities and redistribute the load on less damaged areas of cartilage [242][243][244]. On the other hand, arthrodesis involves immobilizing a mobile or semimobile joint by aligning the component bones and securing them with screws, plates, or bone grafts [245,246]. Osteotomy can alleviate pain and postpone the need for other surgical interventions, offering short-term relief.…”

Section: Surgical Approachesmentioning

confidence: 99%

Osteoarthritis: Insights into Diagnosis, Pathophysiology, Therapeutic Avenues, and the Potential of Natural Extracts

Coppola,

Greco,

Munir

et al. 2024

CIMB

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Osteoarthritis (OA) stands as a prevalent and progressively debilitating clinical condition globally, impacting joint structures and leading to their gradual deterioration through inflammatory mechanisms. While both non-modifiable and modifiable factors contribute to its onset, numerous aspects of OA pathophysiology remain elusive despite considerable research strides. Presently, diagnosis heavily relies on clinician expertise and meticulous differential diagnosis to exclude other joint-affecting conditions. Therapeutic approaches for OA predominantly focus on patient education for self-management alongside tailored exercise regimens, often complemented by various pharmacological interventions primarily targeting pain alleviation. However, pharmacological treatments typically exhibit short-term efficacy and local and/or systemic side effects, with prosthetic surgery being the ultimate resolution in severe cases. Thus, exploring the potential integration or substitution of conventional drug therapies with natural compounds and extracts emerges as a promising frontier in enhancing OA management. These alternatives offer improved safety profiles and possess the potential to target specific dysregulated pathways implicated in OA pathogenesis, thereby presenting a holistic approach to address the condition’s complexities.

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Section: Surgical Approachesmentioning

confidence: 99%

Osteoarthritis: Insights into Diagnosis, Pathophysiology, Therapeutic Avenues, and the Potential of Natural Extracts

Coppola,

Greco,

Munir

et al. 2024

CIMB

View full text Add to dashboard Cite

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How does Fixation Alignment Affect Surgical Outcomes in Arthrodesis for Thumb Carpometacarpal Osteoarthritis?

Komura,

Hirakawa,

Hirose

et al. 2024

J Wrist Surg

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Purpose Arthrodesis is a traditional surgical procedure for treating thumb carpometacarpal (CMC) osteoarthritis. Previous studies have investigated surgical outcomes, focusing on the fixation technique, bone union rate, and surgical complications but not on the postoperative alignment of the thumb CMC joints. Therefore, we aimed to investigate how thumb fixation alignment affects the surgical outcomes of thumb CMC arthrodesis. Patients and Methods Twenty-six patients (28 thumbs) who achieved bone union after arthrodesis with more than 1-year follow-up were retrospectively analyzed. We measured the radial abduction and palmar abduction angles and change in thumb length (Δthumb length) on postoperative radiographs and the first metacarpal rotation angle on postoperative computed tomography. Moreover, we investigated the 1-year clinical outcomes, including the Disabilities of Arm, Shoulder, and Hand (DASH) score, Hand20 questionnaire score, visual analog scale (VAS) score for pain, Δgrip strength, Δpulp pinch, and Δkey pinch strength. The correlation between the postoperative alignment and clinical outcomes was also statistically analyzed. Results The mean radial abduction, palmar abduction, first metacarpal rotation angles, and Δthumb length were 20.8 degrees, 34.4 degrees, 109.4 degrees, and −1.8 mm, respectively. Radial abduction and palmar abduction angles were positively and negatively correlated with Δgrip strength (r = 0.37 and −0.37), respectively. The first metacarpal rotation angle was positively correlated with the DASH score (r = 0.51), Hand20 score (r = 0.48), and VAS score for pain (r = 0.42). ΔThumb length had no correlation with clinical outcomes at 1-year follow-up. Conclusion Thumb fixation alignment has an impact on the surgical outcomes of thumb CMC arthrodesis. To obtain a successful outcome, it is important to add slight pronation and avoid excessively small radial abduction and excessively large palmar abduction.

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Minimally invasive arthroscopy-assisted arthrodesis for thumb carpometacarpal osteoarthritis

Cited by 2 publications

References 20 publications

Osteoarthritis: Insights into Diagnosis, Pathophysiology, Therapeutic Avenues, and the Potential of Natural Extracts

Osteoarthritis: Insights into Diagnosis, Pathophysiology, Therapeutic Avenues, and the Potential of Natural Extracts

How does Fixation Alignment Affect Surgical Outcomes in Arthrodesis for Thumb Carpometacarpal Osteoarthritis?

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