Partial arthroscopic trapeziectomy with ligament reconstruction to treat primary thumb basal joint osteoarthritis
Summary Since the outcome of partial trapeziectomy is not always satisfactory, we proposed using arthroscopy to perform partial trapeziectomy and to perform ligament reconstruction with the abductor pollicis longus tendon. A tendon strip was left intact at its insertion at the base of the first meta...
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| Veröffentlicht in: | Orthopaedics & traumatology, surgery & research surgery & research, 2012-11, Vol.98 (7), p.834-839 |
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| creator | Desmoineaux, P Delaroche, C Beaufils, P |
| description | Summary Since the outcome of partial trapeziectomy is not always satisfactory, we proposed using arthroscopy to perform partial trapeziectomy and to perform ligament reconstruction with the abductor pollicis longus tendon. A tendon strip was left intact at its insertion at the base of the first metacarpal and then slipped into the trapeziectomy space. It was fixed into a blind tunnel at the base of the second metacarpal with a bioabsorbable interference screw. Forty-nine patients were surgically treated between 2006 and 2009. With an average follow-up of 3.6 years, 83.5% of patients were satisfied with the procedure; 96% of thumbs were stable and 74% were pain free. The average recovery time was 4.5 months. There were four cases of radial nerve branch irritation and one case of flexor carpi radialis tendinitis; there were no cases of complex regional pain syndrome. This minimally-invasive technique is a less-aggressive treatment approach for thumb carpometacarpal joint arthritis, which simplify postoperative recovery. |
| doi_str_mv | 10.1016/j.otsr.2012.05.018 |
| format | Article |
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A tendon strip was left intact at its insertion at the base of the first metacarpal and then slipped into the trapeziectomy space. It was fixed into a blind tunnel at the base of the second metacarpal with a bioabsorbable interference screw. Forty-nine patients were surgically treated between 2006 and 2009. With an average follow-up of 3.6 years, 83.5% of patients were satisfied with the procedure; 96% of thumbs were stable and 74% were pain free. The average recovery time was 4.5 months. There were four cases of radial nerve branch irritation and one case of flexor carpi radialis tendinitis; there were no cases of complex regional pain syndrome. This minimally-invasive technique is a less-aggressive treatment approach for thumb carpometacarpal joint arthritis, which simplify postoperative recovery.</description><identifier>ISSN: 1877-0568</identifier><identifier>EISSN: 1877-0568</identifier><identifier>DOI: 10.1016/j.otsr.2012.05.018</identifier><identifier>PMID: 23098774</identifier><language>eng</language><publisher>France: Elsevier Masson SAS</publisher><subject>Aged ; Arthroscopy ; Carpometacarpal Joints ; Humans ; Ligaments, Articular - surgery ; Middle Aged ; Orthopedics ; Osteoarthritis - surgery ; Range of Motion, Articular ; Recovery of Function ; Surgery ; Tendon Transfer ; Thumb ; Thumb carpometacarpal joint arthritis ; Thumb ligament reconstruction ; Trapeziectomy ; Trapezium Bone - surgery ; Treatment Outcome</subject><ispartof>Orthopaedics & traumatology, surgery & research, 2012-11, Vol.98 (7), p.834-839</ispartof><rights>2012</rights><rights>Copyright © 2012. Published by Elsevier Masson SAS.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c455t-ed2033dd5333bf572e5756728e5b1467d1888e23057f9a3e63ed41c5ac19c1e83</citedby><cites>FETCH-LOGICAL-c455t-ed2033dd5333bf572e5756728e5b1467d1888e23057f9a3e63ed41c5ac19c1e83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.otsr.2012.05.018$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>315,781,785,3551,27929,27930,46000</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23098774$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Desmoineaux, P</creatorcontrib><creatorcontrib>Delaroche, C</creatorcontrib><creatorcontrib>Beaufils, P</creatorcontrib><title>Partial arthroscopic trapeziectomy with ligament reconstruction to treat primary thumb basal joint osteoarthritis</title><title>Orthopaedics & traumatology, surgery & research</title><addtitle>Orthop Traumatol Surg Res</addtitle><description>Summary Since the outcome of partial trapeziectomy is not always satisfactory, we proposed using arthroscopy to perform partial trapeziectomy and to perform ligament reconstruction with the abductor pollicis longus tendon. A tendon strip was left intact at its insertion at the base of the first metacarpal and then slipped into the trapeziectomy space. It was fixed into a blind tunnel at the base of the second metacarpal with a bioabsorbable interference screw. Forty-nine patients were surgically treated between 2006 and 2009. With an average follow-up of 3.6 years, 83.5% of patients were satisfied with the procedure; 96% of thumbs were stable and 74% were pain free. The average recovery time was 4.5 months. There were four cases of radial nerve branch irritation and one case of flexor carpi radialis tendinitis; there were no cases of complex regional pain syndrome. This minimally-invasive technique is a less-aggressive treatment approach for thumb carpometacarpal joint arthritis, which simplify postoperative recovery.</description><subject>Aged</subject><subject>Arthroscopy</subject><subject>Carpometacarpal Joints</subject><subject>Humans</subject><subject>Ligaments, Articular - surgery</subject><subject>Middle Aged</subject><subject>Orthopedics</subject><subject>Osteoarthritis - surgery</subject><subject>Range of Motion, Articular</subject><subject>Recovery of Function</subject><subject>Surgery</subject><subject>Tendon Transfer</subject><subject>Thumb</subject><subject>Thumb carpometacarpal joint arthritis</subject><subject>Thumb ligament reconstruction</subject><subject>Trapeziectomy</subject><subject>Trapezium Bone - surgery</subject><subject>Treatment Outcome</subject><issn>1877-0568</issn><issn>1877-0568</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU-LFDEQxYO4uH_0C3iQHL1Mm0o63T0ggizqCgsu7AreQjpd41Tb3ZlN0ivjpzftjCIePFVBvffg_Yqx5yAKEFC96gufYiikAFkIXQhoHrEzaOp6JXTVPP5rP2XnMfZCVBUo-YSdSiXW-VaesfsbGxLZgeexDT46vyPHU7A7_EHokh_3_DulLR_oqx1xSjyg81NMYXaJ_MSTz2q0ie8CjTbsedrOY8tbG3No7yk7fEzof-VToviUnWzsEPHZcV6wz-_f3V1era4_ffh4-fZ65Uqt0wo7KZTqOq2Uaje6lqhrXdWyQd1CWdUdNE2DuYiuN2ursFLYleC0dbB2gI26YC8Pubvg72eMyYwUHQ6DndDP0QCUoEtRqTJL5UHqMoEYcGOOZQwIs6A2vVlQmwW1Edpk1Nn04pg_tyN2fyy_2WbB64MAc8sHwmCiI5wcdpQZJtN5-n_-m3_sbqCJnB2-4R5j7-cwZX4GTMwec7s8e_k1SCGgXn9RPwFzI6fn</recordid><startdate>20121101</startdate><enddate>20121101</enddate><creator>Desmoineaux, P</creator><creator>Delaroche, C</creator><creator>Beaufils, P</creator><general>Elsevier Masson SAS</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20121101</creationdate><title>Partial arthroscopic trapeziectomy with ligament reconstruction to treat primary thumb basal joint osteoarthritis</title><author>Desmoineaux, P ; Delaroche, C ; Beaufils, P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c455t-ed2033dd5333bf572e5756728e5b1467d1888e23057f9a3e63ed41c5ac19c1e83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Aged</topic><topic>Arthroscopy</topic><topic>Carpometacarpal Joints</topic><topic>Humans</topic><topic>Ligaments, Articular - surgery</topic><topic>Middle Aged</topic><topic>Orthopedics</topic><topic>Osteoarthritis - surgery</topic><topic>Range of Motion, Articular</topic><topic>Recovery of Function</topic><topic>Surgery</topic><topic>Tendon Transfer</topic><topic>Thumb</topic><topic>Thumb carpometacarpal joint arthritis</topic><topic>Thumb ligament reconstruction</topic><topic>Trapeziectomy</topic><topic>Trapezium Bone - surgery</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Desmoineaux, P</creatorcontrib><creatorcontrib>Delaroche, C</creatorcontrib><creatorcontrib>Beaufils, P</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Orthopaedics & traumatology, surgery & research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Desmoineaux, P</au><au>Delaroche, C</au><au>Beaufils, P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Partial arthroscopic trapeziectomy with ligament reconstruction to treat primary thumb basal joint osteoarthritis</atitle><jtitle>Orthopaedics & traumatology, surgery & research</jtitle><addtitle>Orthop Traumatol Surg Res</addtitle><date>2012-11-01</date><risdate>2012</risdate><volume>98</volume><issue>7</issue><spage>834</spage><epage>839</epage><pages>834-839</pages><issn>1877-0568</issn><eissn>1877-0568</eissn><abstract>Summary Since the outcome of partial trapeziectomy is not always satisfactory, we proposed using arthroscopy to perform partial trapeziectomy and to perform ligament reconstruction with the abductor pollicis longus tendon. A tendon strip was left intact at its insertion at the base of the first metacarpal and then slipped into the trapeziectomy space. It was fixed into a blind tunnel at the base of the second metacarpal with a bioabsorbable interference screw. Forty-nine patients were surgically treated between 2006 and 2009. With an average follow-up of 3.6 years, 83.5% of patients were satisfied with the procedure; 96% of thumbs were stable and 74% were pain free. The average recovery time was 4.5 months. There were four cases of radial nerve branch irritation and one case of flexor carpi radialis tendinitis; there were no cases of complex regional pain syndrome. This minimally-invasive technique is a less-aggressive treatment approach for thumb carpometacarpal joint arthritis, which simplify postoperative recovery.</abstract><cop>France</cop><pub>Elsevier Masson SAS</pub><pmid>23098774</pmid><doi>10.1016/j.otsr.2012.05.018</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Access via ScienceDirect (Elsevier); EZB-FREE-00999 freely available EZB journals |
| subjects | Aged Arthroscopy Carpometacarpal Joints Humans Ligaments, Articular - surgery Middle Aged Orthopedics Osteoarthritis - surgery Range of Motion, Articular Recovery of Function Surgery Tendon Transfer Thumb Thumb carpometacarpal joint arthritis Thumb ligament reconstruction Trapeziectomy Trapezium Bone - surgery Treatment Outcome |
| title | Partial arthroscopic trapeziectomy with ligament reconstruction to treat primary thumb basal joint osteoarthritis |
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