Addition of an Oblique Interfragmentary Screw to T-plate Fixation Decreases Nonunion Rate in Trapeziometacarpal Arthrodesis

Hand : Official Journal of the American Association for Hand Surgery
Lacey R PflibsenAnthony A Smith

Abstract

Background: T-plate fixation is a popular method for trapeziometacarpal arthrodesis in patients with osteoarthritis. Previous studies report an 8% to 18% rate of symptomatic nonunion and a 26% rate of radiographic nonunion. In this study, we present our surgical technique of trapeziometacarpal arthrodesis using the addition of an oblique interfragmentary screw to T-plate fixation on the rate of symptomatic and radiographic nonunion. Methods: A retrospective review of all trapeziometacarpal arthrodeses for osteoarthritis was completed by a single surgeon between 2010 and 2018. Preoperative demographics, pain, and Eaton classification were included. The technique was identical in all surgical cases, using a T-plate and oblique interfragmentary screw across the arthrodesis site from the metacarpal to the trapezium. Postoperative nonunion rate and time to clinical healing (absence of pain) and radiographic union were reviewed. Results: A total of 22 trapeziometacarpal arthrodeses were performed on 17 patients using the above technique. The average age was 53 years, 71% were women, and 53% involved the dominant hand. Mean preoperative Eaton classification was 2.74 (±0.73). Mean time to clinical healing was 34 days (±12 days), and me...Continue Reading

References

Jul 1, 1992·The Journal of Hand Surgery·H B BambergerR M Cantor
Jun 1, 1986·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·R M Cavallazzi, G Spreafico
Feb 15, 2001·The Journal of Hand Surgery·D B Fulton, P J Stern
Oct 27, 2001·The Journal of Bone and Joint Surgery. American Volume·B J HartiganT R Kiefhaber
Apr 3, 2003·The Journal of Hand Surgery·Michael J Forseth, Peter J Stern
Jul 28, 2004·Plastic and Reconstructive Surgery·Glyka MartouAchilleas Thoma
Dec 29, 2004·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·E J TaylorA V Bonnici
Mar 8, 2006·Techniques in Hand & Upper Extremity Surgery·Charles A Goldfarb, Peter J Stern
Jan 6, 2009·The Journal of Hand Surgery·Marco RizzoAlexander Y Shin
Oct 13, 2009·The Cochrane Database of Systematic Reviews·Anne WajonLouise Ada
Jan 5, 2011·The Journal of Hand Surgery·Guus M VermeulenRuud W Selles
Jun 12, 2014·The Journal of Hand Surgery, European Volume·H P SinghM Hayton
Oct 1, 2014·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Adolfo GalánPablo Andrés-Cano
Dec 20, 2014·The Journal of Hand Surgery, European Volume·F SmeragliaM Pacelli
Jan 30, 2015·Plastic and Reconstructive Surgery·Karim Bakri, Steven L Moran
Mar 11, 2015·The Journal of Hand Surgery·Aaron J Berger, Roy A Meals
Feb 9, 2017·HSS Journal : the Musculoskeletal Journal of Hospital for Special Surgery·Nikolas H KazmersDaniel A Osei

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.