Ligament Suspensionplasty With Suture Tape Augmentation for Basal Thumb Arthritis.
| Autor: | Shen V; University of Southern Florida Health Morsani College of Medicine, Tampa, FL., Kuruvilla D; University of Southern Florida Health Morsani College of Medicine, Tampa, FL., Ladehoff L; University of Southern Florida Health Morsani College of Medicine, Tampa, FL., Talsania A; Lewis Katz School of Medicine at Temple University, Philadelphia., Talsania J; University of Southern Florida Health Morsani College of Medicine, Tampa, FL.; OAA Orthopaedic Specialists, Allentown, PA. |
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| Jazyk: | angličtina |
| Zdroj: | Techniques in hand & upper extremity surgery [Tech Hand Up Extrem Surg] 2024 Dec 01; Vol. 28 (4), pp. 201-207. Date of Electronic Publication: 2024 Dec 01. |
| DOI: | 10.1097/BTH.0000000000000489 |
| Abstrakt: | Thumb carpometacarpal arthritis is common with aging, more common in women than men, and usually occurs after age 40. If a patient fails conservative treatments such as splinting, medications, and corticosteroid injections, then surgical intervention may be appropriate. Currently, there is no consensus on the best surgical treatment. By limiting metacarpal subsidence, ligament suspensionplasty with suture tape augmentation offers great pain relief, excellent functional outcomes, and limited postoperative immobilization. With this technique, trapeziectomy is first performed. A portion of the abductor pollicis longus tendon is resected and loaded onto the SwiveLock anchor using 4-0 FiberLoop, in addition to suture tape. The prepared graft and tape construct is anchored into the lateral first metacarpal (MC) base and index metacarpal base. After surgery, patients are put in a short arm thumb spica splint, interphalangeal (IP) joints free. Active motion is initiated at the first postoperative visit, usually within 1 week. All patients who had thumb arthritis treated with carpometacarpal suspensionplasty and suture tape augmentation between 2015 and 2022 by a single hand surgeon at our institution were queried. A total of 110 patients were invited to take part in this study, and 61 patients consented and were included in this study. Mean last in-office follow up was at 7.5±4.0 months, which showed significant improvements in pinch strength ( P =0.011). A survey taken at a mean 2.8±1.3 years (range: 0.5 to 5.2 y) after surgery reports a postoperative DASH score of 7.3±7.7 (range: 0 to 23.3), and VAS pain score of 0.7±1.1 (range: 0 to 5). Competing Interests: Conflicts of Interest and Source of Funding: The authors report no conflicts of interest and no source of funding. (Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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