Trapeziometacarpal Arthroplasty Using the Entire Flexor Carpi Radialis Tendon
Autor: | Dean G. Sotereanos, John S. Taras, Sokratis E. Varitimidis, John A. King, Ross J. Fox |
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Rok vydání: | 2000 |
Předmět: |
Adult
Male musculoskeletal diseases medicine.medical_specialty medicine.medical_treatment Thumb Grip strength Carpometacarpal joint Preoperative Care medicine Humans Orthopedics and Sports Medicine Arthroplasty Replacement Carpal Bones Aged Retrospective Studies Aged 80 and over business.industry Arthritis General Medicine Middle Aged musculoskeletal system Arthroplasty Tendon Surgery Radiography body regions Carpal bones Treatment Outcome medicine.anatomical_structure Orthopedic surgery Ligament Female Metacarpus business |
Zdroj: | Clinical Orthopaedics and Related Research. 370:164-170 |
ISSN: | 0009-921X |
DOI: | 10.1097/00003086-200001000-00015 |
Popis: | Fifty-eight patients (62 joints) with arthritis of the thumb carpometacarpal joint were treated with resection arthroplasty, ligament reconstruction, and tendon interposition with the entire flexor carpi radialis tendon. The mean age of the patients at the time of surgery was 58.4 years (range, 28-80 years), and the average followup was 42.5 months (range, 21-86 months). The entire flexor carpi radialis tendon was used for reconstruction and interposition. In 32 of the 62 joints, a partial trapezoidectomy was performed for scaphotrapezoidal arthritis. Finger-tip pinch improved by 88%, key pinch improved by 86%, and grip strength improved by 69%. Palmar and radial abduction also improved by 8% and 10%, respectively. Fifty-five (95%) patients reported excellent pain relief, whereas three patients reported only mild pain. No patients experienced an increase in pain. All thumbs were stable radiographically. This study indicated ligament reconstruction with tendon interposition, accompanied by partial trapezoidectomy when indicated, provides excellent pain relief and restoration of function. No morbidity was observed with use of the entire flexor carpi radialis tendon. |
Databáze: | OpenAIRE |
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