Trapeziectomy and tendon suspension with or without a Mitek anchor fixation in the thumb basal joint osteoarthritis
| Autor: | Wassim Raffoul, L. Wehrli, Paolo Erba, S. Nordback, D. V. Egloff |
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| Rok vydání: | 2012 |
| Předmět: |
Male
medicine.medical_specialty media_common.quotation_subject Osteoarthritis Thumb Tendons Fixation (surgical) Postoperative Complications Suture Anchors Thumb osteoarthritis medicine Humans Aged Pain Measurement Retrospective Studies media_common business.industry Convalescence Carpometacarpal Joints Recovery of Function Middle Aged medicine.disease Tendon Surgery Radiography Trapezium Bone Treatment Outcome medicine.anatomical_structure Patient Satisfaction Residual pain Female business |
| Zdroj: | Journal of Hand Surgery (European Volume). 37:625-631 |
| ISSN: | 2043-6289 1753-1934 |
| DOI: | 10.1177/1753193412439678 |
| Popis: | Partial trapeziectomy with suspension ligamentoplasty is a commonly performed treatment of thumb osteoarthritis. Nevertheless, the post-operative recovery remains long and critical reason for which different modifications of the surgical technique have been proposed. To compare two suspension ligamentoplasty techniques, one with a mitek anchor and another without, a retrospective study of 55 consecutive operated patients was performed. A detailed clinical analysis of pain, function and a radiologic assessment of the trapeziometacarpal space were performed. Mitek anchor fixation was associated with a shorter convalescence period. However, in spite of an improved radiological maintenance of the scaphometacarpal space, mitek anchor fixation was associated with an impaired postoperative function and residual pain when compared with the conventional suspension ligamentoplasty procedure. Patient’s satisfaction was comparable in both groups. In our series stabilization of the suspension ligamentoplasty procedure by the insertion of a mitek anchor did not bring the hoped benefits to the patients with a trapeziometacarpal arthritis. |
| Databáze: | OpenAIRE |
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