Short term results of ligament reconstruction and tendon interposition resection arthroplasty for basal joint arthritis.
نویسندگان
چکیده
Carpometacarpal (CMC) joint of the thumb is the second most common site afflicted by osteoarthritis. Non surgical measures forms the first line of treatment with aim of preventing progression of disease, however, surgery becomes an option when symptoms are refractory to nonsurgical methods. Different procedures have been described in literature. Ligament reconstruction with tendon interposition (LRTI) is the most commonly performed procedure in North America for this problem. The Aim of study was to evaluate early results of ligament reconstruction and tendon interposition for CMC joint arthritis. This is a case series of ten patients operated in a tertiary care hospital from December 2006 to December 2008. All cases were operated by a single surgeon. All of the patients were followed up using Quick DASH questionnaire filled preoperatively and 3 and 6 months postoperatively. All of our patients were female. Mean duration of follow up was 34 weeks. Pain and residual laxity recorded at each clinical follow up visit after removal of thumb spica and Kirschner wire. Mean value for Quick DASH score is 31 in a 0-100 scale with 0 being no disability. Ligament reconstruction and tendon interposition resection arthroplasy is an effective method of controlling symptoms with preservation of motion at CMC joint axis.
منابع مشابه
Long-term outcome of trapeziectomy with ligament reconstruction and tendon interposition (LRTI) versus prosthesis arthroplasty for basal joint osteoarthritis of the thumb.
Several surgical techniques are available to treat thumb basal joint arthritis. In this study, we compare the long-term results of a thumb basal joint prosthesis (de la Caffinière or Roseland type prosthesis) with those of trapeziectomy with ligament reconstruction and tendon interposition (LRTI). We could not find any difference between both techniques with respect to impairment, pain reductio...
متن کاملThumb trapeziometacarpal arthritis: treatment with ligament reconstruction tendon interposition arthroplasty.
LEARNING OBJECTIVES After studying this article, the participant should be able to: 1. Understand the pathomechanical and biochemical basis for thumb trapeziometacarpal joint degeneration. 2. Diagnose and grade trapeziometacarpal joint disease based on presentation, physical examination (including provocative testing), and radiographic evidence. 3. Understand the principles of ligament reconstr...
متن کاملCME Thumb Trapeziometacarpal Arthritis: Treatment with Ligament Reconstruction Tendon Interposition Arthroplasty
Dallas, Texas Learning Objectives: After studying this article, the participant should be able to: 1. Understand the pathomechanical and biochemical basis for thumb trapeziometacarpal joint degeneration. 2. Diagnose and grade trapeziometacarpal joint disease based on presentation, physical examination (including provocative testing), and radiographic evidence. 3. Understand the principles of li...
متن کاملAbstract: An Expertise-Based Prospective Feasibility Study Comparing Trapeziectomy with Ligament Reconstruction and Tendon Interposition (T+LRTI) Versus Partial Trapeziectomy and Tendon Interposition Arthroplasty (PT) in Patients with Basal Thumb Joint Arthritis
متن کامل
Outcomes following "double Knot" Suspension Arthroplasty for Basal Joint Arthritis of the Thumb.
BACKGROUND Various surgical options used in the treatment of osteoarthritis of the basal joint of the thumb that are refractory to non-surgical management. This study was conducted to provide short term functional outcomes using the mentioned technique in treating basal joint arthritis of the thumb. METHODS We treated basal joint arthritis of the thumb by trapeziumectomy and volar oblique lig...
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ورودعنوان ژورنال:
- JPMA. The Journal of the Pakistan Medical Association
دوره 62 4 شماره
صفحات -
تاریخ انتشار 2012