Abstract
We describe a technique that arose from the observation of the clinical outcome of failed arthrodeses of the thumb carpometacarpal joint. In these cases a pseudoarthrosis developed which, surprisingly, rarely lead to a poor clinical outcome. Thus we developed a simple technique which deliberately caused the formation of a narrow pseudoarthrosis in the carpometacarpal joint. We present a retrospective review of 248 consecutive patients treated for Eaton stages II and III osteoarthritis. We observed a statistically significant improvement in mean appositional and oppositional pinch strength, mean DASH score (63.8 pre-operatively to 10.5 at final follow-up), and the mean pain score (8.3 to 0.2). We conclude that trapeziometacarpal limited excision arthroplasty is a simple and reliable alternative to existing surgical techniques for treating Stage II or III thumb carpometacarpal joint arthritis.
| Original language | English |
|---|---|
| Pages (from-to) | 844-850 |
| Number of pages | 7 |
| Journal | Journal of Hand Surgery: European Volume |
| Volume | 38 |
| Issue number | 8 |
| DOIs | |
| Publication status | Published - Oct 2013 |
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Keywords
- pseudoarthrodesis
- pseudoarthrosis
- Thumb carpometacarpal joint osteoarthritis
- trapeziometacarpal joint arthritis
ASJC Scopus subject areas
- Surgery
- Medicine(all)
Cite this
Trapeziometacarpal narrow pseudarthrosis : A new surgical technique to treat thumb carpometacarpal joint arthritis. / Rubino, M.; Civani, A.; Pagani, D.; Sansone, V.
In: Journal of Hand Surgery: European Volume, Vol. 38, No. 8, 10.2013, p. 844-850.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Trapeziometacarpal narrow pseudarthrosis
T2 - A new surgical technique to treat thumb carpometacarpal joint arthritis
AU - Rubino, M.
AU - Civani, A.
AU - Pagani, D.
AU - Sansone, V.
PY - 2013/10
Y1 - 2013/10
N2 - We describe a technique that arose from the observation of the clinical outcome of failed arthrodeses of the thumb carpometacarpal joint. In these cases a pseudoarthrosis developed which, surprisingly, rarely lead to a poor clinical outcome. Thus we developed a simple technique which deliberately caused the formation of a narrow pseudoarthrosis in the carpometacarpal joint. We present a retrospective review of 248 consecutive patients treated for Eaton stages II and III osteoarthritis. We observed a statistically significant improvement in mean appositional and oppositional pinch strength, mean DASH score (63.8 pre-operatively to 10.5 at final follow-up), and the mean pain score (8.3 to 0.2). We conclude that trapeziometacarpal limited excision arthroplasty is a simple and reliable alternative to existing surgical techniques for treating Stage II or III thumb carpometacarpal joint arthritis.
AB - We describe a technique that arose from the observation of the clinical outcome of failed arthrodeses of the thumb carpometacarpal joint. In these cases a pseudoarthrosis developed which, surprisingly, rarely lead to a poor clinical outcome. Thus we developed a simple technique which deliberately caused the formation of a narrow pseudoarthrosis in the carpometacarpal joint. We present a retrospective review of 248 consecutive patients treated for Eaton stages II and III osteoarthritis. We observed a statistically significant improvement in mean appositional and oppositional pinch strength, mean DASH score (63.8 pre-operatively to 10.5 at final follow-up), and the mean pain score (8.3 to 0.2). We conclude that trapeziometacarpal limited excision arthroplasty is a simple and reliable alternative to existing surgical techniques for treating Stage II or III thumb carpometacarpal joint arthritis.
KW - pseudoarthrodesis
KW - pseudoarthrosis
KW - Thumb carpometacarpal joint osteoarthritis
KW - trapeziometacarpal joint arthritis
UR - http://www.scopus.com/inward/record.url?scp=84884789504&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84884789504&partnerID=8YFLogxK
U2 - 10.1177/1753193412469127
DO - 10.1177/1753193412469127
M3 - Article
C2 - 23221183
AN - SCOPUS:84884789504
VL - 38
SP - 844
EP - 850
JO - Hand
JF - Hand
SN - 1753-1934
IS - 8
ER -