Partial trapeziectomy and interposition of fascia lata allograft in the operative treatment of thumb base osteoarthritis

Spaans, Anne J.; Weijns, Marieke E.; Braakenburg, Assa; Minnen, L. Paul van; Molen, Aebele B. Mink van der

doi:10.3109/2000656x.2015.1069744

Cited by 8 publications

(8 citation statements)

References 25 publications

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“…With tendon allografts, operation time can be shortened and donor site morbidity avoided. Results of surgery with processed fascia lata allografts have been reported previously (8,9,10,11). In the present study, fresh frozen human cadaveric tendons from the lower limb were used.…”

Section: Introductionmentioning

confidence: 80%

“…If only patients with primary osteoarthritis were considered, then 4 reoperations (6.5%) were needed, in 3 of those it was after a partial trapeziectomy and tendon interposition without suspension arthroplasty or ligament reconstruction. In the studies with processed fascia lata allograft interposition, higher revision rates or failures were found if only an interposition was done without suspension or fixation (18% in the study of van der Veen et al (7) and 9% in the study of Spaans et al (11)). No revisions were required after stabilization with bone anchors or K-wires (9,10).…”

Section: Discussionmentioning

confidence: 97%

“…Mean DASH score was 37. Two patients (9%) had reoperations in the first year after the initial operation because of ongoing pain (11).…”

Section: Discussionmentioning

confidence: 99%

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Results of treatment of trapeziometacarpal osteoarthritis with trapeziectomy and tendon allograft interposition

Hollevoet¹,

C²,

Vekens³

et al. 2021

Acta Orthop Belg

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The aim of the study was to evaluate the results of treatment of osteoarthritis of the carpometacarpal joint of the thumb with tendon allograft interposition. Fifty-three patients (61 hands), 13 men and 40 women, were operated on at a mean age of 61 years. A partial trapeziectomy with tendon interposition was performed in 19 hands and with suspension arthroplasty in 24. Seventeen thumbs underwent a total trapeziectomy with suspension arthroplasty. Patients were evaluated at a mean follow-up of 4 years. In 34 patients (41 hands), a mean disability of arm, shoulder and hand score of 19 was found and a mean visual analogue scale for pain of 1.3. The satisfaction rate was 83 %. Revision operations were performed in 8 out of 61 hands. Four of those thumbs had been operated on previously or did not have primary osteoarthritis. No revisions were needed after partial trapeziectomy and tendon allograft interposition with suspension arthroplasty. In conclusion, tendon allograft interposition can be considered as one of the treatment options for osteoarthritis of the carpometacarpal joint of the thumb.

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Section: Introductionmentioning

confidence: 80%

Section: Discussionmentioning

confidence: 97%

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Results of treatment of trapeziometacarpal osteoarthritis with trapeziectomy and tendon allograft interposition

Hollevoet¹,

C²,

Vekens³

et al. 2021

Acta Orthop Belg

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“…Bleeding from subchondral bone forms an organized hematoma which eventually converts into fibrous tissue and together with the interposed material contributes to maintaining the gap in between the bones. 25…”

Section: Discussionmentioning

confidence: 99%

Systematic Review of Thumb Carpometacarpal Joint Hemiresection Interposition Arthroplasty Materials

Spiteri

Giele

2020

Hand (New York, N,Y.)

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Background Osteoarthritis of the first carpometacarpal joint is a common condition. Various management options and surgical procedures have been described to treat symptomatic cases. Many systematic reviews examine aspects of thumb carpometacarpal joint osteoarthritis treatment, although none solely examines the outcomes of trapezial partial resection and interposition arthroplasty in stage II to III patients in detail, yet this technique is of growing interest as surgeons seek more nuanced, tailored approaches for osteoarthritis of the first carpometacarpal joint. Methods A systematic review of the thumb carpometacarpal joint hemiresection and interposition arthroplasty was performed with pain assessment as a primary outcome measure and patient-reported outcome measures (PROMs) and reoperation rate as secondary outcome measures. A search was performed between 2004 and 2019 using MEDLINE, Embase, and PubMed. Preferred Reporting Items and Systematic Reviews and Meta-Analyses guidelines were used. Results Twenty-nine articles met the inclusion criteria and were included in the final review. Pain relief and improved PROMs were described in all the articles using this technique with all the interposition materials. Materials such as polyurethane urea matrix and poly-l/d-lactide scaffold had higher complication rates. Revision rates varied and were highest with the polyurethane urea matrix. Conclusions This review shows that hemiresection interposition arthroplasty is a useful technique and provides symptomatic benefit in patients with Eaton-Littler stage II and III osteoarthritis. Revision surgery rates due to persistent pain and instability were higher with the use of implants. Larger and long-term studies of this technique using autologous or more bioinert materials and implants are required to assess duration of symptomatic benefit.

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“…studied a larger cohort of 22 thumbs treated with this partial trapeziectomy method and found good-toexcellent patient-reported outcomes in 15/22 patients at long-term follow-up (mean of 70.2 months). 21 …”

Section: Further Considerations For Trapeziectomy With Ligament Reconmentioning

confidence: 99%

Current trends in the management of trapeziometacarpal arthritis

Eltorai¹,

Han²

2017

Orthop Rev (Pavia)

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The purpose of this update is to report on a variety of topics related to trapeziometacarpal arthritis that have been recently investigated. The keyword trapeziometacarpal arthritis was utilized to query the PubMed database of the U.S. National Library of Medicine. From the resulting list, papers published from the beginning of April 2014 through the beginning of April 2017 were reviewed. The forty-five studies identified are reviewed here and referenced.

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Partial trapeziectomy and interposition of fascia lata allograft in the operative treatment of thumb base osteoarthritis

Abstract: Partial trapeziectomy with interposition of fascia lata allograft in patients with symptomatic first carpometacarpal joint osteoarthritis can achieve reasonable results. It may be considered a reliable operative treatment option in patients with first carpometacarpal joint osteoarthritis.

Cited by 8 publications

References 25 publications

Results of treatment of trapeziometacarpal osteoarthritis with trapeziectomy and tendon allograft interposition

Results of treatment of trapeziometacarpal osteoarthritis with trapeziectomy and tendon allograft interposition

Systematic Review of Thumb Carpometacarpal Joint Hemiresection Interposition Arthroplasty Materials

Current trends in the management of trapeziometacarpal arthritis

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