Minimum 10-year clinical and radiological follow-up of trapeziectomy with interposition or suspensionplasty for basal thumb arthritis

Abstract Hypothesis The aim of this article is to analyze clinical and radiological outcomes of trapeziectomy performed for basal thumb arthritis after a minimum follow-up of 10 years to gain further insight from shorter and medium-term studies reporting satisfactory evolution. Methods We reviewed 6...

Full description

Saved in:
Bibliographic Details
Published in:Orthopaedics & traumatology, surgery & research surgery & research, 2016-12, Vol.102 (8), p.995-1000
Main Authors: Pomares, G, Delgrande, D, Dap, F, Dautel, G
Format: Article
Language:English
Subjects:
Aged
Arthroscopy
Basal thumb arthritis
Female
Follow-up
Follow-Up Studies
Hand
Hand Strength
Humans
Interposition
Male
Metacarpophalangeal Joint - diagnostic imaging
Metacarpophalangeal Joint - surgery
Middle Aged
Orthopedics
Osteoarthritis - diagnostic imaging
Osteoarthritis - surgery
Radiography
Surgery
Suspensionplasty
Thumb
Trapeziectomy
Trapezium Bone - diagnostic imaging
Trapezium Bone - surgery
Treatment Outcome
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abstract Hypothesis The aim of this article is to analyze clinical and radiological outcomes of trapeziectomy performed for basal thumb arthritis after a minimum follow-up of 10 years to gain further insight from shorter and medium-term studies reporting satisfactory evolution. Methods We reviewed 67 trapeziectomies, operated on by the same senior surgeon after a minimum follow-up of 10 years. The sample included 16 cases of suspensionplasty and 51 interpositions. Clinical outcome evaluated strength, pain, joint amplitude, Kapandji opposition score, Disabilities of the Arm, Shoulder and Hand score, complications and revision surgery. Radiological evaluation criteria included osteoarthritis and collapse of the trapezial void. Results After a 10-year follow-up, clinical results remained stable despite radiological degradations. Long-term clinical outcomes of trapeziectomy for basal thumb arthritis are very positive, with interpositioning as an isolated procedure appearing, clinically, to be the preferred treatment despite greater radiological degradation when compared to suspensionplasty. Conclusion In addition to offering insight into minimum 10-year follow-up, this study also pinpoints this paradoxical dissociation of clinical-radiological outcomes. Type of study/level of evidence Therapeutic III.
ISSN:1877-0568
1877-0568
DOI:10.1016/j.otsr.2016.08.014