Trapeziometacarpal narrow pseudarthrosis: A new surgical technique to treat thumb carpometacarpal joint arthritis

M. Rubino, A. Civani, D. Pagani, V. Sansone

Research output: Contribution to journalArticle

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 languageEnglish
Pages (from-to)844-850
Number of pages7
JournalJournal of Hand Surgery: European Volume
Volume38
Issue number8
DOIs
Publication statusPublished - Oct 2013

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Keywords

  • pseudoarthrodesis
  • pseudoarthrosis
  • Thumb carpometacarpal joint osteoarthritis
  • trapeziometacarpal joint arthritis

ASJC Scopus subject areas

  • Surgery
  • Medicine(all)

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