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 |
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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 |
Keywords
- pseudoarthrodesis
- pseudoarthrosis
- Thumb carpometacarpal joint osteoarthritis
- trapeziometacarpal joint arthritis
ASJC Scopus subject areas
- Surgery
- Medicine(all)