| Autor: |
Barthel, Louis, Hidalgo Diaz, Juan José, Vernet, Paul, Gouzou, Stéphanie, Facca, Sybille, Igeta, Yuka, Liverneaux, Philippe |
| Předmět: |
|
| Zdroj: |
European Journal of Orthopaedic Surgery & Traumatology; Dec2018, Vol. 28 Issue 8, p1555-1561, 7p |
| Abstrakt: |
Backgrounds: The goal of this study was to compare trapeziectomy alone to trapeziectomy associated with a technique of suspensionplasty using the abductor pollicis longus with a minimum of 6 years of follow-up in the treatment of osteoarthritis of the first carpometacarpal joint.Methods: Our series included 46 trapeziectomies in 35 patients, aged 69 years in average, among which 27 were women. In 27 cases group I, a trapeziectomy alone was performed, and in 19 cases group II, a trapeziectomy associated with an abductor pollicis longus suspensionplasty was performed.Results: At the last follow-up, the difference between pre- and postoperative Quick DASH was − 36.104 in average in group I and − 38.877 in average in group II p = 0.7717. The difference between pre- and postoperative pain was − 3.926 in average in group I and − 4.368 in average in group II p = 0.35. The difference of pre- and postoperative thumb opposition was 0.630 in group I and 0.421 in group II p = 0.3033. The average difference of pre- and postoperative key pinch was 0.389 in group I and 0.842 in group II p = 0.3303. No complication was reported.Conclusions: Our results suggest that it is unnecessary to perform a ligamentoplasty when a trapeziectomy is indicated. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
|
Full text from SpringerLink