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- Title
Results of the treatment of first carpometacarpal joint osteoarthritis: trapeziectomy alone versus trapeziectomy associated with suspensionplasty.
- Authors
Barthel, Louis; Hidalgo Diaz, Juan José; Vernet, Paul; Gouzou, Stéphanie; Facca, Sybille; Igeta, Yuka; Liverneaux, Philippe
- Abstract
Backgrounds: The goal of this study was to compare trapeziectomy alone to trapeziectomy associated with a technique of suspensionplasty using the abductor pollicis longus with a minimum of 6 years of follow-up in the treatment of osteoarthritis of the first carpometacarpal joint.Methods: Our series included 46 trapeziectomies in 35 patients, aged 69 years in average, among which 27 were women. In 27 cases group I, a trapeziectomy alone was performed, and in 19 cases group II, a trapeziectomy associated with an abductor pollicis longus suspensionplasty was performed.Results: At the last follow-up, the difference between pre- and postoperative Quick DASH was − 36.104 in average in group I and − 38.877 in average in group II p = 0.7717. The difference between pre- and postoperative pain was − 3.926 in average in group I and − 4.368 in average in group II p = 0.35. The difference of pre- and postoperative thumb opposition was 0.630 in group I and 0.421 in group II p = 0.3033. The average difference of pre- and postoperative key pinch was 0.389 in group I and 0.842 in group II p = 0.3303. No complication was reported.Conclusions: Our results suggest that it is unnecessary to perform a ligamentoplasty when a trapeziectomy is indicated.
- Subjects
OSTEOARTHRITIS treatment; WRIST surgery; TRAPEZIUS muscle; ABDUCTOR pollicis longus muscle; COMPARATIVE studies; PATIENT aftercare; THUMB; WRIST; TREATMENT effectiveness; DESCRIPTIVE statistics; SURGERY
- Publication
European Journal of Orthopaedic Surgery & Traumatology, 2018, Vol 28, Issue 8, p1555
- ISSN
1633-8065
- Publication type
Article
- DOI
10.1007/s00590-018-2173-3