Trapézectomie totale avec tendinoplastie de suspension et d’interposition dans le traitement de la rhizarthrose : résultats à 6,5ans de recul moyen

Ferriere, S.; Mansat, Pierre; Rongières, M.; Mansat, M.; Bonnevialle, P.

doi:10.1016/j.main.2009.11.004

Cited by 18 publications

(6 citation statements)

References 34 publications

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“…Dans notre série, la perte de la HLT entre le postopératoire précoce et le dernier recul était de 29%, valeur comparable au 27% à 6,5 ans de recul retrouvé dans la publication de Ferrière et al [24]. Pomares et al [19] retrouvent une HLT postopératoire à 6,5 mm et à 3,6 mm à un recul de 13 ans.…”

Section: Discussionunclassified

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Evaluation radiographique et fonctionnelle de la trapézectomie totale pour rhizarthrose à 10 ans de recul minimal: à propos de 21 cas

Abdalla

Saab

Amouyel

et al. 2021

Hand Surgery and Rehabilitation

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Section: Discussionunclassified

“…Dans notre série, les résultats fonctionnels restaient satisfaisants sans corrélation avec la diminution de HLT ou de l'IT. Ces résultats sont similaires à ceux retrouvés dans la littérature [3,6,10,12,15,[18][19][20]24]. Seul le key-pinch était significativement plus faible du côté opéré dans notre série.…”

Section: Discussionunclassified

Evaluation radiographique et fonctionnelle de la trapézectomie totale pour rhizarthrose à 10 ans de recul minimal: à propos de 21 cas

Abdalla

Saab

Amouyel

et al. 2021

Hand Surgery and Rehabilitation

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“…The new ligament is necessary to stabilize the suspension of the first metacarpal, to allow time for the functional fibrous pad to form, preventing the first metacarpal from collapsing over the tubercle of the scaphoid. In fact, when a simple excision of the trapezium is performed, proximal migration of the first metacarpal is often described, 32 and it can be related to a postoperative weakness. 20,45,46 F. Brunelli technique presents numerous advantages such as its simplicity and reproducibility, the short surgical time, and a comfortable recovery after surgery.…”

Section: Discussionmentioning

confidence: 99%

F. Brunelli Ligamentoplasty as Treatment in Thumb Basal Joint Arthritis: Up to 9 Years Follow-up

Fulchignoni¹,

Morini²,

Panzera³

et al. 2020

Techniques in Hand &Amp; Upper Extremity Surgery

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Thumb basal joint arthritis treatment with biological arthroplasty is a widely used procedure in hand surgery centers. The several described techniques are based on the use of different tendons of the wrist, implying frequently a tenoplasty around flexor carpi radialis or transosseous tunnels to stabilize the articulation. The authors have been using, for many years, the technique conceived by F. Brunelli that relies on the anchorage of the volar band of the abductor pollicis longus tendon to the first intermetacarpal ligament, to obtain a suspension arthroplasty. Technical details are discussed. Sixty-seven patients in Eaton-Littler stage 2 or 3 with > 4 years follow-up after surgery were evaluated. Each patient expressed a subjective evaluation relating to pain, functionality, strength, esthetic aspect, and general satisfaction. The following parameters have been considered as objective data: the angle of the first web space, the abduction and opposition of the first digit, the pinch, and the strength. X-rays were also performed to verify the distance between the scaphoid and the first metacarpal. In 84% of cases, a significant improvement was found in the considered parameters. Joint space was maintained in 76% of cases at radiologic follow-up. No patient needed surgical revision. The tenoplasty conceived by F. Brunelli presents several advantages, including the simple and reproducible execution, short surgical time, and comfortable postoperative course for the patient. After mid-term follow-up, authors believe this procedure is particularly respectful of the anatomy and physiology of the first ray and gives optimal results in most of the cases, but, in patients with severe subluxation of the 1st metacarpal (identifiable as Eaton-Littler stage 3), it is less reliable, because of the degeneration of the intermetacarpal ligament.

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“…3,4 Several surgical techniques ranging from trapeziectomy to the more recent prosthetic implants have been reported in the literature. [5][6][7][8][9] During the last decades, many new materials have been developed to act as structural support in the initial phases and then be resorbed in a later period. The use of these biological spacers was thought to preserve other biological tissues like tendons for interposition-suspensionplasty and avoid the implant of permanent artificial devices to decrease comorbidity.…”

Section: Introductionmentioning

confidence: 99%

“…3,4 Several surgical techniques ranging from trapeziectomy to the more recent prosthetic implants have been reported in the literature. 5-9…”

Section: Introductionmentioning

confidence: 99%

Retrospective Review of Long-term Outcomes of Patients Undergoing CMC Arthroplasty With Interposition Scaffold

Marcuzzi

Colzani

Acciaro

et al. 2020

Hand (New York, N,Y.)

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Background: The treatment of rhizarthritis involves several surgical techniques; among them, bioabsorbable scaffolds have begun to be proposed to avoid the use of other biological tissues or artificial permanent devices. Methods: In this study, we evaluated the long-term outcomes of poly-ld-lactic acid scaffold in interposition arthroplasty in a series of patients treated in our department. Results: Strength, range of motion, and pain improved after the intervention and lasted over the years; nonetheless, most of the radiographs showed a progressive collapse of the first metacarpal. Conclusions: Despite radiological findings, we believe that poly-ld-lactic acid scaffold can be considered a good alternative to traditional trapeziectomy with tendon interposition and suspensionplasty, with long-lasting satisfactory clinical results.

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Trapézectomie totale avec tendinoplastie de suspension et d’interposition dans le traitement de la rhizarthrose : résultats à 6,5ans de recul moyen

Cited by 18 publications

References 34 publications

Evaluation radiographique et fonctionnelle de la trapézectomie totale pour rhizarthrose à 10 ans de recul minimal: à propos de 21 cas

Evaluation radiographique et fonctionnelle de la trapézectomie totale pour rhizarthrose à 10 ans de recul minimal: à propos de 21 cas

F. Brunelli Ligamentoplasty as Treatment in Thumb Basal Joint Arthritis: Up to 9 Years Follow-up

Retrospective Review of Long-term Outcomes of Patients Undergoing CMC Arthroplasty With Interposition Scaffold

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