Treatment of trapeziometacarpal osteoarthritis by partial trapeziectomy and costal cartilage autograft. A review of 100 cases

Chirurgie de la main
Y TropetL Obert

Abstract

Trapeziectomy remains the surgery of choice in the treatment of trapeziometacarpal osteoarthritis. Some authors consider the collapse of the trapezial space responsible for a loss of strength and intracarpal deformities. We report our experience of partial trapeziectomy with chondrocostal autograft as an interposition material. The study included100 thumbs in 82 patients with a mean age of 64.6 years (47-82). Mean follow-up was 68 months (4-159). Partial trapeziectomy was carried out through a dorsal approach. The graft was harvested through a direct approach of the 9th rib. Our results were similar to those obtained with alternative techniques, except for strength where the gain is improved. No intracarpal deformities were seen. There was no sign of graft wear; the length of the thumb ray is preserved. The results are stable over time, and the morbidity of the costal donor site is negligible. The interposition of a hardwearing biological material and its association with partial trapeziectomy enable to restore the thumb stability and strength.

References

May 1, 1978·The Journal of Hand Surgery·E B CrosbyJ H Dobyns
May 1, 1978·The Journal of Hand Surgery·P C DellR J Smith
Jul 1, 1985·The Journal of Hand Surgery·J J DrewnianyA E Flatt
May 1, 1981·Plastic and Reconstructive Surgery·F Ortiz-MonasterioL O Oscoy
Aug 1, 1993·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·W B Conolly, S Rath
Oct 1, 1995·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·J Menon
Jun 2, 1998·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·M J Sandow
Nov 1, 2000·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·H J Belcher, J E Nicholl
Nov 12, 2002·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Timo PeltomäkiOlli Rönning
Aug 25, 2006·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·P-J Regnard

❮ Previous
Next ❯

Citations

Mar 13, 2013·Clinical Orthopaedics and Related Research·Julie E Adams
Jul 25, 2015·Journal of Plastic Surgery and Hand Surgery·Anne J SpaansAebele B Mink van der Molen
Apr 28, 2016·Hand Surgery and Rehabilitation·Philippe WillekensNadine Hollevoet
May 25, 2016·The Journal of Hand Surgery·Panagiotis GivissisAnastasios Christodoulou
Oct 27, 2016·Hand Surgery and Rehabilitation·A-M GayR Legré
May 14, 2020·The Journal of Hand Surgery, European Volume·Nadja A Zechmann-MuellerWolfgang Heiss-Dunlop
Jan 1, 2015·SICOT-J·Laurent ObertDaniel Lepage
Oct 4, 2019·Therapeutic Advances in Musculoskeletal Disease·Youshui GaoChangqing Zhang
Aug 21, 2020·The Journal of Hand Surgery·Andrea CopelandAchilleas Thoma
Jan 18, 2021·Hand Surgery and Rehabilitation·I PluvyF Loisel
Feb 26, 2021·Hand Surgery and Rehabilitation·L ObertF Loisel
Apr 2, 2021·Hand : Official Journal of the American Association for Hand Surgery·Meghan C McCulloughDavid Kulber
Mar 21, 2020·Orthopaedics & Traumatology, Surgery & Research : OTSR·Javier Zurriaga-CardaAntonio Silvestre-Muñoz

❮ 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.

Related Papers

The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand
R AnwarJ E Nicholl
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
Toby Vinycomb, John Crock
© 2021 Meta ULC. All rights reserved