Abstract:Arthrodesis or autologous tendon interposition can relieve pain associated with arthritis of the carpometacarpal joint of the first ray (CMC-I), but has its limitations. The aim of this study was to assess whether trapezium resection and fascia lata allograft (Tutoplast) interposition is a good alternative. Thirty-eight such combined CMC-I arthroplasties in 36 patients with a median age of 57 years and a median follow-up of 25 months were analysed for complications; Disabilities of Arm, Shoulder, and Hand ques… Show more
“…Previously, outcomes of processed fascia lata allografts have been published. van der Veen et al (8) reported results of 36 patients (38 hands) who underwent a fascia lata interposition after total trapeziectomy without suspension arthroplasty or ligament reconstruction. Mean DASH score was 25 and only 64 % of patients were satisfied.…”
Section: Discussionmentioning
confidence: 99%
“…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.…”
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.
“…Previously, outcomes of processed fascia lata allografts have been published. van der Veen et al (8) reported results of 36 patients (38 hands) who underwent a fascia lata interposition after total trapeziectomy without suspension arthroplasty or ligament reconstruction. Mean DASH score was 25 and only 64 % of patients were satisfied.…”
Section: Discussionmentioning
confidence: 99%
“…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.…”
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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