Meniscal allograft arthroplasty for the treatment of trapeziometacarpal arthritis of the thumb

Hand : Official Journal of the American Association for Hand Surgery
Paul S ShapiroLynn M Givens

Abstract

Arthritis at the trapeziometacarpal joint of the thumb is common. Several surgical options exist showing favorable results. We report the outcomes after interposition of allograft knee meniscus for thumb trapeziometacarpal arthritis. Twenty-three patients (25 thumbs) had surgery for thumb trapeziometacarpal arthritis using knee meniscal allograft tissue. Eleven thumbs had a minimum follow-up of 24 months, 2 thumbs had a minimum of 12 months, and 12 thumbs had less than 6 months. Disabilities of arm, shoulder, and hand (DASH) questionnaire scores, pain levels, grip strength, pinch strength, range of motion, and radiographic measurements were performed. Between the preoperative and 24-month follow-up measurements, patient pain levels were reduced. There was a significant improvement in DASH scores. Comparisons between preoperative and postoperative strength measurements showed increase in grip strength and key pinch strength. Trapeziometacarpal subsidence was 5.5 %, and subluxation index measurements decreased 3.9 %. There was no clinical or radiographic evidence of foreign body reaction and no other complications occurred. The results of meniscal allograft arthroplasty are comparable to other surgical techniques for trapeziometa...Continue Reading

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Citations

May 2, 2017·Plastic and Reconstructive Surgery. Global Open·Don HoangDavid A Kulber
Feb 6, 2017·Hand : Official Journal of the American Association for Hand Surgery·Christina SalasMoheb S Moneim
Apr 2, 2021·Hand : Official Journal of the American Association for Hand Surgery·Meghan C McCulloughDavid Kulber
Apr 24, 2021·Plastic and Reconstructive Surgery. Global Open·Meghan C McCulloughDavid Kulber

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