The Value of Scapho-Trapezio-Trapezoid Arthrodesis Combined with “De La Caffinière” Arthroplasty for the Treatment of Pan-Trapezial Osteoarthritis

Sennwald, G; Segmüller, G

doi:10.1016/0266-7681(93)90165-c

Cited by 11 publications

(7 citation statements)

References 18 publications

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“…A cemented prosthesis for the trapeziometacarpal joint was introduced by de la Caffinière and Aucouturier in 1979 and the results have been reviewed (August, Coupland and Sandefer 1984;Nicholas and Calderwood 1992;Sennwald and Segmüller 1993). Other cemented designs based on the ball-and-socket concept have also been developed.…”

mentioning

confidence: 99%

Non-Cemented Replacement of the Trapeziometacarpal Joint

Wachtl¹,

Sennwald²

1996

The Journal of Bone and Joint Surgery. British volume

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We treated 43 patients (38 women and 5 men) with osteoarthritis of the basal joint of the thumb by non-cemented arthroplasty of the first carpometacarpal joint as described by Ledoux. The probability of a patient avoiding revision for 12 months was 62% and for 16 months 59%. The indications for revision were aseptic loosening in 83% and luxation in 17%.The surviving prostheses were reviewed clinically and radiologically at a mean follow-up of 25.3 months. Pain on loading, movement or at rest was seen in 75% of the patients. There was significant reduction in the range of movement of the trapeziometacarpal joint and of wrist strength. Radiological assessment showed significant subsidence of the stem in the first metacarpal and migration of the cup, with the stem loose in 15% and the cup in 46%.We no longer recommend this method of joint replacement.

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mentioning

confidence: 99%

Non-Cemented Replacement of the Trapeziometacarpal Joint

Wachtl¹,

Sennwald²

1996

The Journal of Bone and Joint Surgery. British volume

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“…All planes of movements were reported in only three [2,15,17] studies. Movements such as those recommended by Kapandji [5,9,13,14] were reported in three studies and one article failed to mention movement [4], while eight articles did not mention the preoperative range of movement. Different studies used different instruments and different units to measure grip strength and pinch strength, whereas grip strength was not measured in six studies.…”

Section: Outcome Criteria and Outcome Assessment Methodsmentioning

confidence: 99%

“…Adequacy of outcome reporting was assessed according to Table 3. Outcome variables like pain were not reported in four studies [3,4,7,13]. Four of the studies used visual analogue scores (VAS) [5,9,14,17] and seven used some form of grading system for the pain.…”

Section: Outcome Criteria and Outcome Assessment Methodsmentioning

confidence: 99%

“…Assessment of functional capabilities was documented in only five studies [9,10,12,14,17]. Patient satisfaction was not documented in 11 studies, good/excellent/fair/poor grading was used in two studies [13,14] and VAS was used in the remaining two studies [5,9]. There was great variability in the reporting of mobility after cemented total-joint arthroplasty of the thumb.…”

Section: Outcome Criteria and Outcome Assessment Methodsmentioning

confidence: 99%

“…Only patients with inflammatory arthritis were included in one study [14] and only four studies were exclusively on osteoarthritis patients [9,12,13,17]. Radiography was the only investigation used to establish the diagnosis in all studies.…”

Section: Diagnostic Certaintymentioning

confidence: 99%

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Analysis of methodological deficiencies of studies reporting surgical outcome following cemented total-joint arthroplasty of trapezio-metacarpal joint of the thumb

Sambandam

Gul

Priyanka

2006

International Orthopaedics (SICO

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Cemented total-joint arthroplasty has been increasingly used in the treatment of end stage arthritis of the thumb trapeziometacarpal joint. Evidence supporting its use in the treatment of trapeziometacarpal disorders in the literature is very limited. Most hand surgeons agree that there are concerns about the methodological quality of the limited literature available. In this study, we analysed the methodological quality of the outcome studies on cemented total-joint arthroplasty of the thumb. We included all the outcome studies published in the English literature on cemented total-joint arthroplasty of the trapeziometacarpal joint of thumb. We analysed these studies for methodological deficiencies and quality of outcome reporting based on the recommendations given by Coleman et al. Our study revealed that there were no uniform standards of outcome reporting. The mean Coleman score for the studies dealing with cemented total-joint arthroplasty of the thumb was 42.9. Major deficiencies were identified in areas like subject selection criteria (0/15), type of study (5.7/15), description of surgical procedure (3.7/5), description of the rehabilitation protocol (2/10), outcome measures (4.4/10) and outcome assessment (3.9/15). The methodological quality of the studies published within the last 10 years (49.9±9.7) was found to be slightly better than the studies published over 10 years ago (39.7±7.8). Our study highlights the need for more evidence in the form of randomised controlled prospective studies conducted with good methodological quality, comparing the cemented total-joint arthroplasty of the thumb to other procedures available for the treatment of disorders of the thumb. Further, to improve the standards of reporting, journal editors should try to standardise the outcome of the reporting by following the surgical procedures on the thumb.Résumé L'usage des prothèses totales cimentées dans le traitement des arthroses sévères trapézométarcarpiennes est en augmentation. Les preuves en faveur de cette utilisation sont rares. La plupart des chirurgiens de la main s'accordent à dire que les études de la littérature ont une méthodologie douteuse. Nous avons analysé dans cette étude la qualité méthodologique de la littérature pour les arthroplasties cimentées. Nous avons inclus pour cette étude tous les résultats publiés dans la littérature anglo-saxonne pour ce type de prothèses. Nous avons étudié les méthodologies et la qualité des résultats selon les recommandations de Coleman et al. Notre étude nous permet de montrer qu'il n'y a pas de standard uniforme pour valider ces résultats. Le score de Coleman et al. dans ces études a été de 42.9 (déviation standard [SD]-9.4). Les problèmes principaux que nous avons identifiés reposent sur les critères de sélection (0/15), le type d'études (5.7/15), la description du traitement chirurgical (3.7/5), la description du protocole de rééducation (2/10), les mesures de surveillance (4.4/10) et le devenir des patients (3.9/15). Pour la qualité méthod-International Orthop...

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Osteoarthritis and prosthetic joints in the hand

Watts

Trail

2015

Plastic and Reconstructive Surgery

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The Value of Scapho-Trapezio-Trapezoid Arthrodesis Combined with “De La Caffinière” Arthroplasty for the Treatment of Pan-Trapezial Osteoarthritis

Cited by 11 publications

References 18 publications

Non-Cemented Replacement of the Trapeziometacarpal Joint

Non-Cemented Replacement of the Trapeziometacarpal Joint

Analysis of methodological deficiencies of studies reporting surgical outcome following cemented total-joint arthroplasty of trapezio-metacarpal joint of the thumb

Osteoarthritis and prosthetic joints in the hand

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