Arthroscopic treatment of basal joint arthritis by partial trapeziectomy with ligament reconstruction: Short-term results from a prospective study of 20 patients

Partial trapeziectomy for basal joint arthritis is an alternative to total trapeziectomy that preserves the height of the thumb column. Using arthroscopy reduces the incidence of periarticular lesions and the risks of complications. The purpose of this prospective single-center study was to evaluate...

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Bibliographic Details
Published in:Hand surgery and rehabilitation 2019-04, Vol.38 (2), p.102-107
Main Authors: Lucet, A., Ligeard, M., Salle de Chou, E., Hulet, C., Malherbe, M.
Format: Article
Language:English
Subjects:
Adult
Aged
Arthritis - physiopathology
Arthritis - surgery
Arthroscopie
Arthroscopy
Carpometacarpal Joints - physiopathology
Carpometacarpal Joints - surgery
Disability Evaluation
Female
Hand Strength - physiology
Humans
Ligaments, Articular - surgery
Male
Middle Aged
Osteoarthritis
Partial trapeziectomy
Patient Satisfaction
Prospective Studies
Return to Work
Rhizarthrose
Tendon Transfer
Thumb - physiopathology
Thumb - surgery
Thumb carpometacarpal
Trapeziectomy
Trapeziometacarpal
Trapezium Bone - surgery
Trapézectomie
Trapézectomie partielle
Visual Analog Scale
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Summary:Partial trapeziectomy for basal joint arthritis is an alternative to total trapeziectomy that preserves the height of the thumb column. Using arthroscopy reduces the incidence of periarticular lesions and the risks of complications. The purpose of this prospective single-center study was to evaluate the results of arthroscopic partial trapeziectomy combined with suspension and interposition ligament reconstruction using half of the abductor pollicis longus tendon. Twenty patients (18 women, 2 men) with a mean age of 55 years (43–65 years) were operated using this technique between November 2013 to February 2015. Patients were evaluated clinically and radiologically at 1 month, 3 months, 6 months and 12 months after surgery. The 20 patients were reviewed after 12 months. The subjective QuickDASH score improved from the 3rd post-operative month (P = 0.0029) from 50.6 preoperatively to 30.3 after 3 months, 17.6 after 6 months and 9.6 after 12 months. Pain was reduced in the 1st month post-operative (P 
ISSN:2468-1229
2468-1210
DOI:10.1016/j.hansur.2018.11.002