medigraphic.com
ISSN 1561-3100 (Print)

2015, Number 1

<< Back Next >>

Revista Cubana de Ortopedia y Traumatología 2015; 29 (1)

Partial tendon trapezoidectomía interpositional arthroplasty in treating rizoarthrosis

Díaz QJM, Tabares NH

Language: Spanish
References: 31
Page: 24-39
PDF size: 484.83 Kb.


ABSTRACT

Introduction: Osteoarthritis of the basal joint of the thumb is the most common degenerative joint disease of the hand. Trapezoidectomy, with or without interposition and with or without ligamentoplasty, is one of the surgical treatment options.
Objective: Show the results obtained with the technique of partial trapezoidectomy and interposition arthroplasty and characterize some variables that may be related to this disease.
Methods: A prospective longitudinal intervention study was carried out with patients diagnosed and treated for hand rizoarthrosis from January 2009 to January 2013, and they were assessed a year later. The sample was composed of 45 patients: 29 women and 16 men.
Results: There was predominance of females, and the age group between 51 and 60 years, mostly in patients who performed manual labor with advanced stages of degeneration and disruption of the dominant right hand. A few minor complications and significant changes occurred in the perception of pain, thumb opposition and the present level of disability before surgery.
Conclusions: partial tendon interpositional trapezoidectomy with arthroplasty resulted highly effective in tretaing osteoarthritis of the thumb carpometacarpal shown through QuickDASH index.


REFERENCES

  1. Bozentka DJ. Implant Arthroplasty of the Carpometacarpal Joint of the Thumb. Hand Clin. 2010;26:327-37.

  2. Yao J, Song Y. Suture-Button Suspensionplasty for the Treatment of Thumb Carpometacarpal Joint Arthritis. Oper Tech Orthop. 2012;22:136-41.

  3. Cooney WP, Chao EY. Biomechanical analysis of static forces in the thumb during hand function. J Bone Joint Surg Am. 1977;59:27-36.

  4. Kokkalis ZT, Zanaros G, Weiser RW, Sotereanos DG. Trapezium resection with suspension and interposition arthroplasty using acellular dermal allograft for thumb carpometacarpal arthritis. J Hand Surg. 2009;34A:1029-36.

  5. Kochevar AJ, Adham CN, Adham MN, Angel MF, Walkinshaw MD. Thumb Basal Joint Arthroplasty Using Abductor Pollicis Longus Tendon: An Average 5.5-Year Follow-Up. J Hand Surg. 2011;36A:1326-32.

  6. Forestier J. L’ostéoarthrite sèche trapézo-métacarpienne (rhizarthrose du pouce). Presse Med. 1937;45:315-7.

  7. Alnot JY, Muller GP. A retrospective review of 115 cases of surgically-treated trapeziometacarpal osteoarthritis. Rev Rhum Engl. 1998;65:95-108.

  8. Forthman C. Management of advanced trapeziometacarpal arthrosis. J Hand Surg. 2009;34A:331-4.

  9. Matullo KS, Ilyas A, Thoder JJ. CMC Arthroplasty of the thumb: a review. Hand. 2007;2:232-9.

  10. Eaton RG, Glickel SZ. Trapeziometacarpal osteoarthritis: staging as a rationale for treatment. Hand Clin. 1987;3:455-71.

  11. Dell PC, Brushart TM, Smith RJ. Treatment of trapeziometacarpal arthritis: results of resection-arthroplasty. J Hand Surg. 1978;3A:243-9.

  12. Wysocki RW, Cohen MS, Shott S, Fernandez JJ. Thumb carpometacarpal suspension arthroplasty using interference screw fixation: Surgical technique and clinical results. J Hand Surg. 2010;35A:913-20.

  13. Weng Wong K, Chung CR, Cheng SC, Chung-Da W. Distraction arthroplasty of the trapeziometacarpal joint without trapeziectomy. Asian J Surg. 2011;34(1):41-5.

  14. White J, Coppola L, Mitchell-Rekrut E, Skomurski A. The Influence of age and gender on normative range of motion values of the carpometacarpal joint of the thumb. Journal of Hand Therapy. 2014;27:e1-ee4.

  15. Villafañe J, Silva G, Fernandez-Carnero J. Effect of thumb joint mobilization on pressure pain threshold in elderly patients with thumb carpometacarpal osteoarthritis. J Manipulative Physiol Ther. 2012;35:110-20.

  16. Vermeulen GM, Brink SM, Sluiter J, Elias SG, Hovius SER, Moojen TM. Ligament reconstruction arthroplasty for primary thumb carpometacarpal osteoarthritis (Weilby technique): Prospective cohort study. J Hand Surg. 2009; 34A:1393-1401.

  17. Spaans AJ, van Laarhoven M, Schuurman AH, van Minnen LP. Interobserver agreement of the Eaton-Littler classification system and treatment strategy of thumb carpometacarpal joint osteoarthritis. J Hand Surg. 2011;36A:1467-70.

  18. Kapandji A. Cotation clinique de l’opposition et de la contreopposition du pouce. Ann Chir Main. 1986;5:67-73.

  19. Borrás Cebrían JC, López Valenciano J, Montaner Alonso D. Valoración clínica de resultados en artrodesis trapecio-metacarpiana: placa atornillada vs agujas de kirschner. Revista Española de Cirugía Osteoarticular. 2010;244(45):130-6.

  20. Kochevar A, Adham C, Adham M, Angel M, Walkinshaw M. Thumb basal joint arthroplasty using abductor pollicis longus tendon: An average 5.5-year follow-up. J Hand Surg. 2011;36A:1326-32.

  21. Mallinson PI, Tun JK, Farnell RD, Campbell DA, Robinson P. Osteoarthritis of the thumb carpometacarpal joint: Correlation of ultrasound appearances to disability and treatment response. Clinical Radiol. 2013;68:461-5.

  22. Rizzo M, Moran SL, Shin AY. Long-Term outcomes of trapeziometacarpal arthrodesis in the management of trapeziometacarpal arthritis. J Hand Surg. 2009;34A:20-6.

  23. Lemoine S, Wavreille G, Alnot JY, Fontaine C, Chantelot C. Second generation Guepar total arthroplasty of the thumb basal joint: 50 months follow-up in 84 cases. Orthopaedics & Traumatology: Surgery & Research. 2009;95:63-9.

  24. Sammer D, Amadio P. Description and outcomes of a new technique for thumb basal joint arthroplasty. J Hand Surg. 2010;35A:1198-1205.

  25. Sandvall B, Cameron T, Netscher D, Epstein M, Staines KG, Petersen NJ. Basal joint osteoarthritis of the thumb: Ligament reconstruction and tendon interposition versus hematoma distraction arthroplasty. J Hand Surg. 2010;35A:1968-75.

  26. Birman M, Strauch R. Update on nonautogenous interposition arthroplasty for thumb basilar joint arthritis. J Hand Surg. 2011;36A:2056-9.

  27. Halilaj E, Rainbow M, Got CG, Moore D, Crisco JJ. A thumb carpometacarpal joint coordinate system based on articular surface geometry. J Biomech. 2013;46:1031-4.

  28. Rosenfeld JF, Nicholson JJ. History and design considerations for arthroplasty around the wrist. Hand Clin. 2013;29:1-13.

  29. Bodin ND, Spangler R, Thoder JJ. Interposition arthroplasty options for carpometacarpal arthritis of the thumb. Hand Clin. 2010;26:339-50.

  30. Davis D, Catalano L. Treatment of advanced carpometacarpal joint disease: Carpometacarpal arthroplasty with ligament interposition. Hand Clin. 2008;24:263-9.

  31. O’Brien V, Giveans MR. Effects of a dynamic stability approach in conservative intervention of the carpometacarpal joint of the thumb: A retrospective study. J Hand Th. 2013;26:44-52.




2020     |     www.medigraphic.com