Minimum 10-year clinical and radiological follow-up of trapeziectomy with interposition or suspensionplasty for basal thumb arthritis
| Autor: | D. Delgrande, Gilles Dautel, François Dap, Germain Pomares |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Arthritis Osteoarthritis 030230 surgery Thumb Metacarpophalangeal Joint Arthroscopy 03 medical and health sciences 0302 clinical medicine medicine Humans Orthopedics and Sports Medicine Aged 030222 orthopedics Hand Strength business.industry Evidence-based medicine Middle Aged Hand medicine.disease Surgery Radiography Trapezium Bone Treatment Outcome medicine.anatomical_structure Radiological weapon Female business Follow-Up Studies |
| Zdroj: | Orthopaedics & Traumatology: Surgery & Research. 102:995-1000 |
| ISSN: | 1877-0568 |
| DOI: | 10.1016/j.otsr.2016.08.014 |
| Popis: | Hypothesis The aim of this article is to analyze clinical and radiological outcomes of trapeziectomy performed for basal thumb arthritis after a minimum follow-up of 10 years to gain further insight from shorter and medium-term studies reporting satisfactory evolution. Methods We reviewed 67 trapeziectomies, operated on by the same senior surgeon after a minimum follow-up of 10 years. The sample included 16 cases of suspensionplasty and 51 interpositions. Clinical outcome evaluated strength, pain, joint amplitude, Kapandji opposition score, Disabilities of the Arm, Shoulder and Hand score, complications and revision surgery. Radiological evaluation criteria included osteoarthritis and collapse of the trapezial void. Results After a 10-year follow-up, clinical results remained stable despite radiological degradations. Long-term clinical outcomes of trapeziectomy for basal thumb arthritis are very positive, with interpositioning as an isolated procedure appearing, clinically, to be the preferred treatment despite greater radiological degradation when compared to suspensionplasty. Conclusion In addition to offering insight into minimum 10-year follow-up, this study also pinpoints this paradoxical dissociation of clinical-radiological outcomes. Type of study/level of evidence Therapeutic III. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect