First metacarpal osteotomy for trapeziometacarpal osteoarthritis

Autor:	J. L. Hobby, H. A. Lyall, B. F. Meggitt
Rok vydání:	1998
Předmět:	body regions Orthopedics and Sports Medicine Surgery
Zdroj:	The Journal of Bone and Joint Surgery. British volume. :508-512
ISSN:	2044-5377 0301-620X
DOI:	10.1302/0301-620x.80b3.0800508
Popis:	We report a long-term follow-up of abduction-extension osteotomy of the first metacarpal, performed for painful trapeziometacarpal osteoarthritis. Of a consecutive series of 50 operations, 41 thumbs (82%) were reviewed at a mean follow-up of 6.8 years. Good or excellent pain relief was achieved in 80%, and 93% considered that surgery had improved hand function, while 82% had normal grip and pinch strength, with restoration of thumb abduction. Metacarpal osteotomy was equally successful in relieving symptoms of those with early (grade 2) and moderate (grade 3) degenerative changes. This simple procedure provides lasting pain relief, corrects adduction contracture and restores grip and pinch strength, giving good results with few complications.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::5a1e9f22e6f9491f456f2897591928d0 https://doi.org/10.1302/0301-620x.80b3.0800508 Zobrazit plný text záznamu