Outcome of trapeziectomy with ligament reconstruction tendon interposition for the treatment of advanced thumb carpometacarpal arthritis: a prospective study

نویسندگان

چکیده

<p><strong>Background</strong>: The purpose of this study is to assess the functional outcome cases with advanced thumb carpometacarpal (CMC) arthritis treated trapeziectomy and ligament reconstruction tendon interposition (LRTI) in terms visual analogue scale (VAS), disabilities arm, shoulder hand (DASH) score, Kapandji range motion (ROM) radial volar abduction thumb, grip power, key pinch height trapezial space.</p><p><strong>Methods</strong>: In a prospective before after interventional 30 patients CMC joint underwent procedure. An average follows up period was 17.9 months.</p><p><strong>Results:</strong> mean VAS decreased from 8.17 2.70. score DASH improved 3.47 71.62 preoperative 8.23 14.46 postoperative. Mean ROM for increased 42.57° 48° 61°and 64.73° respectively. power 2.80 kg 4.70 9.01 There significant decrease space. Three patient complaint persistent pain at surgical site not much improvement score.</p><p><strong>Conclusions:</strong> Trapeziectomy LRTI using flexor carpi radialis (FCR) transfer an effective treatment arthritis. This procedure stabilizes metacarpal provide enough support which prevents collapse into dead space.</p>

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Modified trapeziectomy with ligament reconstruction tendon interposition for the treatment of advanced thumb carpometacarpal arthritis

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ژورنال

عنوان ژورنال: International Journal of Research in Orthopaedics

سال: 2021

ISSN: ['2455-4510']

DOI: https://doi.org/10.18203/issn.2455-4510.intjresorthop20210616