Outcomes of cementless joint prosthesis versus tendon interposition for trapeziometacarpal osteoarthritis: a prospective study

The Journal of Hand Surgery, European Volume
Roman Cebrian-GomezFernando A Lopez-Prats

Abstract

We compared 84 patients with the Ivory trapeziometacarpal prosthesis versus 62 with ligament reconstruction and tendon interposition arthroplasty performed for osteoarthritis. There were 134 women and 12 men with a mean age of 60 years. Prospective clinical assessment was made using the Quick Disability of the Arm, Shoulder and Hand (DASH) questionnaire, visual analogue scale for pain, range of motion, and grip and pinch strength. The mean follow-up was 4 years (range 2-5). Prosthetic replacement provided significantly better thumb abduction, adduction, pinch strength, QuickDASH, pain relief, satisfaction and a faster return to daily activities and previous work. Revision surgery was required for two patients in the prosthesis group, two for dislocation and one cup loosening, while in the ligament reconstruction group there were no revisions. We conclude that trapeziometacarpal prosthesis provides better mid-term results in terms of function compared with ligament reconstruction and tendon interposition for patients with Stages 2 and 3 osteoarthritis of the trapeziometacarpal joint. Level of evidence: II.

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Citations

Jul 5, 2019·Journal of Plastic Surgery and Hand Surgery·Rasmus D Thorkildsen, Magne Røkkum
Nov 7, 2019·The Journal of Hand Surgery, European Volume·Grey Giddins
Apr 28, 2020·The Journal of Hand Surgery, European Volume·Torben Bæk Hansen
Sep 13, 2019·The Journal of Hand Surgery, European Volume·Stefan M FroschauerDominik Duscher
Jul 23, 2020·Hand : Official Journal of the American Association for Hand Surgery·Bert VanmierloJean Goubau
May 14, 2020·The Journal of Hand Surgery, European Volume·Lene DremstrupMaiken Stilling
Mar 8, 2019·Der Orthopäde·Stephan Deiler
Sep 10, 2019·The Journal of Hand Surgery, European Volume·Miguel Martin-FerreroAgustín Mayo-Iscar
Jul 6, 2019·Hand : Official Journal of the American Association for Hand Surgery·Alain TchurukdichianDavid Guillier
Oct 7, 2020·Journal of Plastic Surgery and Hand Surgery·Matthias HolzbauerStefan M Froschauer
Feb 1, 2021·Hand Surgery and Rehabilitation·B Lussiez
Mar 13, 2021·The Journal of Hand Surgery, European Volume·Lone KirkebyTorben B Hansen
May 19, 2021·Operative Orthopädie und Traumatologie·Anton BorgersFrederik Verstreken
Jun 22, 2021·EFORT Open Reviews·Thomas J HolmeNajab Ellahee
Jul 11, 2021·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Siddarth RajShalin Shaunak
Aug 20, 2021·The Journal of Hand Surgery, European Volume·Alexandre CerlierRégis Legré
Aug 23, 2021·Hand Surgery and Rehabilitation·Pauline Gonzalez-EspinoDaniel Goffin

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