Revision surgery after trapeziometacarpal arthroplasty

Megerle, Kai; Grouls, S.; Germann, G.; Kloeters, Oliver; Hellmich, Susanne

doi:10.1007/s00402-010-1128-x

Cited by 53 publications

(57 citation statements)

References 18 publications

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“…Anatomical studies have shown that the FRC tendon passes near the volar surfaces of the scaphoid and trapezium in an osteofibrous groove [30,31]. Adhesion of the FCR tendon to residual bone fragments after the surgery may be the source of the tendinopathy [32]. These anatomical and functional relationships explain why FRC tendinopathy occurs with STT osteoarthritis [33][34][35].…”

Section: Tendinopathymentioning

confidence: 99%

Complications and failures of the trapeziometacarpal Maia® prosthesis: A series of 156 cases

Bricout

Rezzouk

2016

Hand Surgery and Rehabilitation

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Section: Tendinopathymentioning

confidence: 99%

Complications and failures of the trapeziometacarpal Maia® prosthesis: A series of 156 cases

Bricout

Rezzouk

2016

Hand Surgery and Rehabilitation

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“…Характерными осложнениями первичной артропластики седловидного сустава являются сохранение коллапса первого луча, несостоятельность или потеря фиксации восстановленных связок, подвывих, лизис интерпозиционного материала, распространение дегенеративного процесса на пястно-фаланговый и ладьевиднотрапециевидный суставы. клиническими проявлениями, как правило, служат сохранение боли или функциональная несостоятельность оперированного сустава [66]. повторные вмешательства ос-ложнены отсутствием пластического материала для восстановления высоты сустава и его стабилизации.…”

Section: ревизионная хирургия седловидного суставаunclassified

“…с их помощью легко восстанавливалась высота сустава, который стабилизировался за счет лигаментопластики. Этому методу часто отдавали предпочтение при неудачном протезировании -ножка спейсера заполняла дефект ткани пястной кости [33,66]. но анализ отдаленных результатов показал высокую частоту фрагментации имплантатов и реакции параартикулярных тканей, вызванных контактом с силиконом [52,66,67].…”

Section: ревизионная хирургия седловидного суставаunclassified

Surgical Treatment of Trapeziometacarpal Osteoarthritis (Review)

Rodomanova¹,

Орлова

2018

Traumatology and Orthopedics of Russia

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The sellar joint plays a key role in wrist function ensuring thumb contraposition when gripping. Lesions of sellar joint are accompanied by pain syndrome and deformity of the first metacarpal which substantially affects life quality of the patients. The authors carried the analysis of literature dedicated to surgical treatment of degenerative lesions of trapeziometacarpal joint. The present review describes features of joint anatomy and biomechanics, reports the key factors contributing to disease progression, covers various approaches and criteria for selection of surgical options for reconstruction of sellar joint.

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“…Ein dauerhaft unbefriedigendes Ergebnis mit Schmerzen und Funktionsstörungen im ersten Strahl ist selten. Megerle und Mitarbeiter beschrieben im eigenen Patientengut nach Ar throplastik auf Grundlage einer Rhizarthrose 2,9 % revisionsbe dürftige Komplikationen [20]. Die Proximalisierung des ersten Strahls ist eine der möglichen, unerwünschten Folgen der alleinigen Trapezektomie [1][2][3][4][5].…”

Section: Diskussion ▼unclassified

Erfahrungen mit dem Mini TightRope® bei schmerzhafter Proximalisierung des 1. Mittelhandstrahls nach Trapezektomie bei Rhizarthrose

Szalay¹,

Scheufens²,

Alt³

et al. 2015

Handchir Mikrochir plast Chir

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The aim of the current study was to review the significance of the TightRope ® to suspend the first metacarpal in the case of a revision for patients with painful proximalisation after trapezectomy. Patients and Method:After an average of 25.5 months (13-60) from initial operative treatment for rhizarthrosis, revision surgery was performed on 6 female patients with a mean age of 56 years, using a Mini TightRope ® . Before and after revisionsurgery the pain level was measured, using the visual analogue scale (1-10) as was the level of strength in the fingertips. The overall result was documented according to the evaluation scale according to BuckGramcko. Directly after surgery as well as at the last followup exam, the degree of proximalisation of the first metacarpal was radiologically measured. The followup period was 13.7 months on average (4-31 months). Results: After revision surgery a decrease in pain level was detected, but no patient was completely painfree. According to the visual analogue scale the pain level after surgery compared to preoperatively was: at rest at an average of 2.5 (1-4), preoperatively 3.3 (2-4); with mild load 3.5 (2-5), preoperatively 4.8 (4-6); and with high load 4.8 (3-7), preoperatively 7 (6-8). The level of strength in the fingertips was postoperatively measured at below 60 % in 2 patients (preoperatively 5 patients), once between 60 and 79 % (preoperatively 1 patient) and 3 times between 80 and 99 %. With an average preoperative score of 11.7 (6-16) points according to BuckGramcko, an increase of 20.3 points could be achieved by performing the revision operation. This resulted in a score of 32 (14-44) out of 56 points. The measured distance between the distal scaphoid pole and the centre of the base of the first metacarpal was postoperatively at an average of 8.3 mm (5.6-11.4 mm).

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Revision surgery after trapeziometacarpal arthroplasty

Cited by 53 publications

References 18 publications

Complications and failures of the trapeziometacarpal Maia® prosthesis: A series of 156 cases

Complications and failures of the trapeziometacarpal Maia® prosthesis: A series of 156 cases

Surgical Treatment of Trapeziometacarpal Osteoarthritis (Review)

Erfahrungen mit dem Mini TightRope® bei schmerzhafter Proximalisierung des 1. Mittelhandstrahls nach Trapezektomie bei Rhizarthrose

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