A promising thumb Basal joint hemiarthroplasty for treatment of trapeziometacarpal osteoarthritis.

Clinical Orthopaedics and Related Research
James W Pritchett, Louis S Habryl

Abstract

Trapeziometacarpal joint osteoarthritis is a painful, disabling condition that primarily affects women who are postmenopausal. Arthroplasty has been performed to treat this condition; however, subluxation has been a problem with all previous implants. We report the results of hemiarthroplasty using a prosthesis designed to address the problems associated with previous implants. We wished to (1) determine if this prosthesis results in pain relief and functional improvement and preserves the appearance of the thumb, (2) assess the prosthetic reconstruction during followup, (3) assess complications that occur with the use of this prosthesis, and (4) determine the survivorship of this prosthesis. We performed 159 basal joint hemiarthroplasties (138 patients) to treat osteoarthritis of the trapeziometacarpal joint. The mean age of the patients was 63 years, 78% were women, and all had Eaton-Littler Stage II or III changes. Only the damaged articular surfaces of the metacarpal and trapezium were excised; no tendon grafts or transfers were performed. Seven patients (seven thumbs) were lost to followup and seven (nine thumbs) died, leaving 124 patients (143 thumbs) for review. Clinical and radiographic assessments were made preoperativ...Continue Reading

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Citations

Dec 28, 2016·Plastic and Reconstructive Surgery·Richard H J BakerTim R C Davis
May 3, 2014·The Journal of Hand Surgery, European Volume·Y KrukhaugG Hallan
Nov 20, 2013·Clinical Orthopaedics and Related Research·Terri WolfeJohn D Lubahn
Sep 24, 2016·Journal of Clinical Rheumatology : Practical Reports on Rheumatic & Musculoskeletal Diseases·Oscar RilloMaritza Quintero
Apr 28, 2020·The Journal of Hand Surgery, European Volume·Torben Bæk Hansen
Aug 21, 2020·The Journal of Hand Surgery·Andrea CopelandAchilleas Thoma
Jan 29, 2020·The Journal of Hand Surgery·Augustin LereboursAlain-Charles Masquelet

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