Suspensionplasty with the abductor pollicis longus tendon for osteoarthritis in the carpometacarpal joint of the thumb

The Journal of Hand Surgery
Osamu SoejimaMasatoshi Naito

Abstract

Many surgical procedures have been described for treating painful osteoarthritis at the carpometacarpal joint of the thumb. This article reports our clinical and radiographic results in performing suspensionplasty using the abductor pollicis longus (APL) tendon without tendon interposition after a complete trapeziectomy for patients with painful osteoarthritis in the carpometacarpal joint of the thumb. Eighteen patients (2 men, 16 women), including 21 thumbs with advanced arthritis of the first carpometacarpal joint, who were treated by suspensionplasty using the APL tendon after a complete trapeziectomy were evaluated both clinically and radiographically. Ten thumbs were classified as stage III and 11 were classified as stage IV (Eaton's classification). The average follow-up period was 33.3 months. All patients (18 patients, 21 thumbs) reported pain with daily use before surgery; after surgery 13 of the 21 thumbs had no pain, 5 thumbs had mild pain with strenuous activity, and the remaining 3 thumbs had mild pain with light work. At the final follow-up evaluation the radial and palmar abductions each were 56 degrees +/- 9 degrees and 56 degrees +/- 6 degrees. The grip and key-pinch strengths were 16 +/- 6 kg and 4 +/- 1 kg, r...Continue Reading

References

Sep 1, 1984·The Journal of Hand Surgery·R G EatonJ J Keyser
Nov 1, 2000·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·H J Belcher, J E Nicholl
Sep 19, 2001·The Journal of Hand Surgery·N D Downing, T R Davis
Feb 13, 2004·The Journal of Bone and Joint Surgery. American Volume·Gabriele Kriegs-AuIngrid Zachs

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Citations

May 22, 2013·Archives of Orthopaedic and Trauma Surgery·Silvan M KleinLukas Prantl
Dec 18, 2012·Current Reviews in Musculoskeletal Medicine·Tejas J PatelJonas L Matzon
Feb 19, 2013·Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand·Akio MinamiMakoto Motomiya
Sep 6, 2014·Hand : Official Journal of the American Association for Hand Surgery·Mark A YaffeDaniel J Nagle
Sep 30, 2008·Hand : Official Journal of the American Association for Hand Surgery·Eric P HofmeisterA Lee Osterman
Dec 4, 2012·Hand : Official Journal of the American Association for Hand Surgery·Robert BellAndrew K Palmer
Sep 15, 2012·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·Yaprak AtakerAyan Gulgonen
Nov 29, 2011·The Journal of Hand Surgery·Jennifer Moriatis Wolf, Steven Delaronde
Apr 15, 2011·The Journal of Hand Surgery·Dan A ZlotolowVincent D Pellegrini
Jul 31, 2010·Hand Clinics·Nathan D BodinJoseph J Thoder
Jul 9, 2010·The Journal of Hand Surgery·Douglas M Sammer, Peter C Amadio
Dec 20, 2015·Journal of Orthopaedic Surgery and Research·Min-Yao ChuangJui-Tien Shih
Sep 4, 2015·Hand : Official Journal of the American Association for Hand Surgery·Paul S ShapiroLynn M Givens
Aug 1, 2009·Orthopaedics & Traumatology, Surgery & Research : OTSR·G MoineauD Le Nen
Oct 27, 2016·Hand Surgery and Rehabilitation·A-M GayR Legré
Oct 22, 2008·The Journal of Hand Surgery, European Volume·R M Szabo, B Peterson
Mar 12, 2009·Techniques in Hand & Upper Extremity Surgery·Zinon T KokkalisDean G Sotereanos
Jan 10, 2008·Plastic and Reconstructive Surgery·Geoffrey S Cook, Donald H Lalonde
Feb 28, 2020·Hand : Official Journal of the American Association for Hand Surgery·Ellen S SattesonShruti Tannan
Jul 17, 2019·Journal of Nippon Medical School = Nippon Ika Daigaku Zasshi·Mitsuhiko NannoShinro Takai
Feb 2, 2021·Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Mikrochirurgie der Peripheren Nerven und Gefässe : Organ der Vereinigung der Deut·Ali CavitHaluk Özcanli
May 21, 2021·Clinical Orthopaedics and Related Research·Jennifer Moriatis WolfIsam Atroshi
Jun 10, 2021·Operative Orthopädie und Traumatologie·Martin Franz LangerSimon Oeckenpöhler
Oct 28, 2021·Plastic and Reconstructive Surgery·Jeffrey G TrostDavid T Netscher

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