Suspensionplasty for Revision Thumb Carpometacarpal Osteoarthritis Surgery: Comparing Suture Button Suspensionplasty to Ligament Reconstruction and Tendon Interposition.

Autor:	Guerrero EM; From the Department of Orthopaedic Surgery, Duke University Medical Center., Ferlauto HR; From the Department of Orthopaedic Surgery, Duke University Medical Center., Grier AJ; From the Department of Orthopaedic Surgery, Duke University Medical Center., Wahl EP; From the Department of Orthopaedic Surgery, Duke University Medical Center., Richard MJ; From the Department of Orthopaedic Surgery, Duke University Medical Center., Ruch DS; From the Department of Orthopaedic Surgery, Duke University Medical Center.
Jazyk:	angličtina
Zdroj:	Plastic and reconstructive surgery [Plast Reconstr Surg] 2022 Sep 01; Vol. 150 (3), pp. 601-605. Date of Electronic Publication: 2022 Jul 01.
DOI:	10.1097/PRS.0000000000009408
Abstrakt:	Summary: Several surgical procedures have been described to treat thumb carpometacarpal osteoarthritis, including suture button suspensionplasty and ligament reconstruction and tendon interposition. To date, no single procedure has demonstrated clinical superiority. Suture button suspensionplasty has achieved favorable outcomes at 5 years in primary cases, but has not been validated in revision surgery. In this study, it was evaluated for revision of failed thumb carpometacarpal osteoarthritis surgery, and outcomes were compared to ligament reconstruction and tendon interposition outcomes. A retrospective chart review identified patients who underwent suture button suspensionplasty or ligament reconstruction and tendon interposition after failure of previous thumb carpometacarpal osteoarthritis surgery since 2010. Eighteen patients were included, with nine patients in each group. Eighteen patients had mean final follow-up of 35 months. There were two complications in the ligament reconstruction and tendon interposition group and none in the suture button suspensionplasty group. No patients required additional surgery. The suture button suspensionplasty group had an average visual analogue scale pain score improvement of 2.9, compared to 2.4 in the ligament reconstruction and tendon interposition group. Average final Quick Disabilities of the Arms, Shoulder and Hand questionnaire score was 15.1 in the suture button suspensionplasty group, compared to 22.6 in the ligament reconstruction and tendon interposition group. Mean operative time of 86.3 minutes in the suture button suspensionplasty group was significantly shorter than the 121-minute mean in the ligament reconstruction and tendon interposition group. Suture button suspensionplasty is an effective treatment option for revision of previous thumb carpometacarpal osteoarthritis surgery, with outcomes comparable to revision using ligament reconstruction and tendon interposition, and the added benefit of shorter operative times and early mobilization. Clinical Question/level of Evidence: Therapeutic, III. Competing Interests: Disclosure : Dr. Richard is a consultant for Acumed, Depuy Synthes, and Medartis. Dr. Ruch is a consultant for Acumed. The remaining authors have no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. No financial support was received for this work . (Copyright © 2022 by the American Society of Plastic Surgeons.)
Databáze:	MEDLINE
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