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ISSN 2992-8559 (Electronic)
ISSN 1405-0625 (Print)

2014, Number 1

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Cir Plast 2014; 24 (1)

Rizartrosis treatment with Eaton’s arthroplasty

Sastré GH, Torres GB, Ugalde VA, Sastré N

Language: Spanish
References: 38
Page: 31-39
PDF size: 644.23 Kb.


ABSTRACT

Trapeziometacarpal osteoarthritis affects 10% of middle-aged women and it is more common in postmenopausal women. It is a degenerative disorder of the articular cartilage, which is the second joint most frequently affected. It is caused by the weakness of the deep palmar ligament, which normally prevents anomalous dorsal displacement of the first metacarpal in various movements. Pain is the first symptom; it appears with the thumb fully abducted and also when doing the lateral clamp. As the disease progresses it may present limitation of the thumb’s abduction and a radial deformity on the edge of the joint, due to the subluxation of the first metacarpal bone. Eaton distinguished four degrees of the disease, and each with a corresponding surgical treatment. The experience with 58 hands of different degrees is presented. On patients with grade 1 ligament reconstruction was performed, and on those with grades 2, 3 and 4 partial trapeziectomy, ligament reconstruction and tendinous interposition was carried out respectively. After three months and a year the pain and symptoms disappeared in 54 cases (93.86%). Only one case had to be reoperated.


REFERENCES

  1. Tomaino MM, King J, Leit M. Thumb basal joint arthritis. In: Green DP. Green’s Operative Hand Surgery. 5th Ed. New York: Churchill Livingstone 2005; Vol 1, pp. 461- 485.

  2. Ghavami A, Oishi S. Thumb trapeziometacarpal arthritis: treatment with ligament reconstruction tendon interposition arthroplasty. Plast Reconstr Surg. 2006; 117: 116-128.

  3. Cook GS, Lalonde DH. Management of thumb carpometacarpal joint arthritis. Plast Reconstr Surg. 2008; 121: 1-9.

  4. Armstrong AL. The prevalence of degenerative arthritis of the base of the thumb in post-menopausal women. J Hand Surg. 1994; 19B: 340-341.

  5. Egloff DV. Management of osteoarthritis of the hand. In: Mathes SJ. Plastic surgery. 2nd Ed. Philadelphia: Saunders Elsevier 2006; Vol 7, pp. 707-727.

  6. Hartigan BJ, Stern PJ, Kiefhaber TR. Thumb carpometacarpal osteoarthritis. Arthrodesis compared with ligament reconstruction and tendon transposition. J Bone Joint Surg. 2001; 83A: 1470-1478.

  7. Alnot JY, Saint Laurent Y. Total trapeciometacarpal arthroplasty. Ann Chir Main. 1998; 4: 11-21.

  8. Ashworth CR, Blatt G, Chuinard RD, Stark HH. Silicone rubber interposition arthroplasty of the carpometacarpal joint of the thumb. J Hand Surg. 1977; 2A: 345-357.

  9. Pellegrini VD. Osteoarthritis of the trapeziometacarpal joint: The pathophysiology of articular cartilage degeneration. I. Anatomy and pathology of the aging joint. J Hand Surg. 1991; 16A: 967-974.

  10. Kriegs GA, Petje G, Fojtl E, Ganger R, Zachs I. Ligament reconstruction with or without tendon interposition to treat primary thumb carpo-metacarpal osteoarthritis. J Bone Joint Surg. 2004; 86A: 209-218.

  11. Eaton RG, Littler JW. Ligament reconstruction for the painful thumb carpometacarpal joint. J Bone Joint Surg. 1973; 55A: 1655-1666.

  12. Bettinger P. Linschied RL, Berger R. An anatomic study of the stabilizing ligaments of the trapezium and trapezio-metacarpal joint. J Hand Surg. 1999; 24: 786-798.

  13. Burton RI, Pellegrini VD. Surgical management of basal joint arthritis of the thumb. Part II. Ligament reconstruction with tendon interposition arthroplasty. J Hand Surg. 1986; 11A: 324-332.

  14. Bednar MS, Light TR. Degenerative arthritis. In: Achauer B. Plastic surgery: indications, operations, and outcomes. St. Louis: Mosby 2000; Vol 4, pp. 2235-2248.

  15. Eaton RG, Lane LB, Littler JW, Keyser JJ. Ligament reconstruction for the painful thumb carpo-metacarpal joint. A long assessment. J Hand Surg. 1984; 9A: 692-698.

  16. Eaton RG, Glinkel SZ. Trapeziometacarpal osteoarthritis: staging as a rationale for treatment. Hand Clin. 1987; 3: 455-459.

  17. Pellegrini VD. Osteoarthritis of the thumb trapeziometacarpal joint: A study of the pathophysiology of articular cartilage degeneration: II. Articular wear patterns in the osteoarthritic joint. J Hand Surg. 1991; 16: 975-982.

  18. Eaton RG, Glickel SZ, Littler JW. Tendon interposition arthroplasty for degenerative arthritis of the trapeziometacarpal joint of the thumb. J Hand Surg. 1985; 10: 645-654.

  19. Tomaino MM. Treatment of Eaton stage I trapeziometacarpal disease with metacarpal extension osteotomy. J Hand Surg. 2000; 25: 1100-1106.

  20. Horlock N, Belcher HJCR. Early versus late mobilization after simple excision of the trapezium. J Bone Joint Surg. 2002; 84B: 1111-1115.

  21. Glickel SZ, Kornstein AN, Eaton RG. Long-term follow-up of trapeziometacarpal arthroplasty with coexisting scaphotrapezial disease. J Hand Surg. 1992; 17A: 612-620.

  22. Crosby BE, Linscheid RL, Dobyns JH. Scaphotrapezial trapezoidal arthrosis. J Hand Surg. 1978; 3: 223-234.

  23. Froimson AI. Tendon arthroplasty of the trapeziometacarpal joint. Clin Orthop. 1970; 70: 191-199.

  24. Wollstein R, Watson K, Martin R, Taieb A, Pankonin D, Carlson L. Long-term Durability of tendon arthroplasty with excision of the trapezium in stage 1 osteoarthritis of the thumb CMC Joint. Ann Plast Surg. 2009; 62: 358-360.

  25. Weilby A. Tendon interposition arthroplasty of the first carpometacarpal joint. J Hand Surg. 1988; 13B: 421-425.

  26. Kaarela O, Raatikainen T. Abductor pollicis longus tendon interposition arthroplasty for carpometacarpal osteoarthritis of the thumb. J Hand Surg. 1999; 24A: 469-475.

  27. Chang EY, Chung KC. Outcomes of trapeziectomy with a modified abductor pollicis longus suspension arthroplasty for the treatment of thumb metacarpal join osteoarthritis. Plast Reconstr Surg. 2008; 122: 505-515.

  28. Taghinia AH, Al-Sheikh AA, Upton J. Suture anchor suspension and fascia lata interposition arthroplasty for basal joint arthritis of the thumb. Plast Reconstr Surg. 2008; 122: 497-504.

  29. Sakai N. Interposition arthroplasty using trapezium tendon ball for osteoarthritis of the carpometacarpal joint of the thumb. Tech Hand Upper Extremity Surg. 2006; 10: 68-72.

  30. Swanson AB, Swanson G. Reconstruction of the thumb basal joints. Development and current status of implant techniques. Clin Orthop. 1987; 220: 68-85.

  31. Swanson AB, De Groot F, Swanson G, Watermeier JJ. Trapezium implant arthroplasty: long-term evaluation of 150 cases. J Hand Surg. 1981; 6A: 125-141.

  32. Swanson AB. Disabling arthritis at the base of the thumb. Treatment by resection of the trapezium and flexible (silicone) implant arthroplasty. J Bone Joint Surg. 1972; 54A: 456-471.

  33. Badia A. Arthroscopic indications and technique for artelon interposition arthroplasty of the thumb trapeziometacarpal joint. Tech Hand Upper Extremity Surg. 2008; 12: 236-241.

  34. Gervis WH. A review of excision of the trapezium for osteoarthritis of the Trapeziometacarpal joint. J Bone Joint Surg. 1949; 31B: 537-539.

  35. Tomaino MM, Vogt M, Weiser R. Scaphotrapezoid arthritis: prevalence in thumbs undergoing Trapezium excision arthroplasty and efficacy of proximal Trapezoid excision. J Hand Surg. 1999; 24: 1220-1224.

  36. Dhar S, Gray ICM, Jones A, Beddow FH. Simple excision of the trapezium for osteoarthritis of the carpometacarpal joint of the thumb. J Hand Surg. 1994; 19B: 485-488.

  37. Forthman CL. Management of advanced trapeziometacarpal arthrosis. Hand Surg. 2009; 34A: 331-334.

  38. Li YK, White C, Ignacy TA, Thoma A. Comparison of trapeziectomy and trapeziectomy with ligament reconstruction and tendon interposition: a systematic literature review. Plast Reconstr Surg. 2011; 128: 199-207.




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