Total joint arthroplasty versus trapeziectomy in the treatment of trapeziometacarpal joint arthritis: a randomized controlled trial.
| Autor: | de Jong TR; Department of Plastic Surgery, Isala Hand-Wrist Centre, Zwolle, the Netherlands., Bonhof-Jansen EEDJ; Department of Hand Therapy, Isala Hand-Wrist Centre Zwolle, the Netherlands., Brink SM; Department of Rehabilitation Medicine, Isala Hand-Wrist Centre Zwolle, the Netherlands., de Wildt RP; Department of Plastic Surgery, Leeuwarden Medical Centre, the Netherlands., van Uchelen JH; Xpert Clinics Apeldoorn, Velp, the Netherlands., Werker PMN; University Medical Center Groningen and University of Groningen, Department of Plastic Surgery, Groningen, the Netherlands. |
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| Jazyk: | angličtina |
| Zdroj: | The Journal of hand surgery, European volume [J Hand Surg Eur Vol] 2023 Oct; Vol. 48 (9), pp. 884-894. Date of Electronic Publication: 2023 Jul 17. |
| DOI: | 10.1177/17531934231185245 |
| Abstrakt: | The aim of this double anonymized, randomized controlled trial was to determine whether total joint arthroplasty has superior outcomes than trapeziectomy 1 year after surgery for trapeziometacarpal osteoarthritis. A total of 62 women aged 40 years and older, scheduled for surgery for stage II or III osteoarthritis of the trapeziometacarpal joint, were included and randomized to trapeziectomy or total joint arthroplasty. The primary outcome was the total score of the Michigan Hand Outcomes Questionnaire. Secondary outcomes were the Michigan Hand Outcomes Questionnaire subscale scores, Disability of the Arm, Shoulder and Hand Questionnaire, active range of motion, strength, return to work, patient satisfaction and complications. Data were collected at baseline and at 3 and 12 months. At 1 year, we found no superiority of total joint arthroplasty over trapeziectomy regarding the total score of the Michigan Hand Outcomes Questionnaire. The total joint arthroplasty did show a significant advantage in strength and range of motion. Level of evidence: I. Competing Interests: Declaration of conflicting interestsThe authors declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: PMNW was a SERB member and is now DMC member for Fidia Ltd, Milan, Italy. |
| Databáze: | MEDLINE |
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