Comparison of arthrodesis and arthroplasty of Chinese thumb carpometacarpal osteoarthritis
Abstract Background The thumb carpometacarpal (CMC) osteoarthritis is very common. Multiple methods are used to treat progressive thumb CMC osteoarthritis, among which trapeziometacarpal arthrodesis and trapezial excision with ligament reconstruction and tendon interposition (LRTI) are the most comm...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2019-11-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13018-019-1469-2 |
| _version_ | 1798034110153752576 |
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| author | Jianfeng Li Dacun Li Guanglei Tian Wentong Zhang |
| author_facet | Jianfeng Li Dacun Li Guanglei Tian Wentong Zhang |
| author_sort | Jianfeng Li |
| collection | DOAJ |
| description | Abstract Background The thumb carpometacarpal (CMC) osteoarthritis is very common. Multiple methods are used to treat progressive thumb CMC osteoarthritis, among which trapeziometacarpal arthrodesis and trapezial excision with ligament reconstruction and tendon interposition (LRTI) are the most common. These two surgical treatment methods have received mixed reviews in previous studies in the west patients. This retrospective study studied the effects, advantages, and disadvantages of arthrodesis and arthroplasty for treating thumb carpometacarpal osteoarthritis in Chinese patients. Methods Between February 2012 and September 2017, 39 Chinese patients with stage II or III thumb carpometacarpal osteoarthritis underwent surgery (trapeziometacarpal arthrodesis in 22, trapezial excision with ligament reconstruction and tendon interposition in 17). Postoperative objective and subjective evaluations were performed. The objective evaluation involved grip strength, pinch strength, thumb abduction degree (palmar and radial), and Kapandji opposition scores. The subjective evaluation involved visual analog scale (VAS) and Disabilities of the Arm, Shoulder, and Hand (DASH) scores. Results Intergroup differences in pinch strength, thumb abduction degrees (palmar and radial), and Kapandji opposition scores were obvious, whereas those in grip strength, VAS score, and DASH score were not. Conclusion In Chinese patients, both techniques relieved pain and improve grip strength. Arthrodesis displayed better pinch strength, while arthroplasty displayed better motor function. Patients were satisfied with the effects of both techniques. |
| first_indexed | 2024-04-11T20:38:50Z |
| format | Article |
| id | doaj.art-592f51e5660c4a4491a2da88e8a20f2b |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-11T20:38:50Z |
| publishDate | 2019-11-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-592f51e5660c4a4491a2da88e8a20f2b2022-12-22T04:04:16ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2019-11-011411710.1186/s13018-019-1469-2Comparison of arthrodesis and arthroplasty of Chinese thumb carpometacarpal osteoarthritisJianfeng Li0Dacun Li1Guanglei Tian2Wentong Zhang3Department of Upper Limb Surgery, Beijing Shunyi District HospitalDepartment of Upper Limb Surgery, Beijing Shunyi District HospitalDepartment of Upper Limb Surgery, Beijing Shunyi District HospitalDepartment of Upper Limb Surgery, Beijing Shunyi District HospitalAbstract Background The thumb carpometacarpal (CMC) osteoarthritis is very common. Multiple methods are used to treat progressive thumb CMC osteoarthritis, among which trapeziometacarpal arthrodesis and trapezial excision with ligament reconstruction and tendon interposition (LRTI) are the most common. These two surgical treatment methods have received mixed reviews in previous studies in the west patients. This retrospective study studied the effects, advantages, and disadvantages of arthrodesis and arthroplasty for treating thumb carpometacarpal osteoarthritis in Chinese patients. Methods Between February 2012 and September 2017, 39 Chinese patients with stage II or III thumb carpometacarpal osteoarthritis underwent surgery (trapeziometacarpal arthrodesis in 22, trapezial excision with ligament reconstruction and tendon interposition in 17). Postoperative objective and subjective evaluations were performed. The objective evaluation involved grip strength, pinch strength, thumb abduction degree (palmar and radial), and Kapandji opposition scores. The subjective evaluation involved visual analog scale (VAS) and Disabilities of the Arm, Shoulder, and Hand (DASH) scores. Results Intergroup differences in pinch strength, thumb abduction degrees (palmar and radial), and Kapandji opposition scores were obvious, whereas those in grip strength, VAS score, and DASH score were not. Conclusion In Chinese patients, both techniques relieved pain and improve grip strength. Arthrodesis displayed better pinch strength, while arthroplasty displayed better motor function. Patients were satisfied with the effects of both techniques.https://doi.org/10.1186/s13018-019-1469-2ThumbCarpometacarpal jointArthrodesisArthroplasty |
| spellingShingle | Jianfeng Li Dacun Li Guanglei Tian Wentong Zhang Comparison of arthrodesis and arthroplasty of Chinese thumb carpometacarpal osteoarthritis Journal of Orthopaedic Surgery and Research Thumb Carpometacarpal joint Arthrodesis Arthroplasty |
| title | Comparison of arthrodesis and arthroplasty of Chinese thumb carpometacarpal osteoarthritis |
| title_full | Comparison of arthrodesis and arthroplasty of Chinese thumb carpometacarpal osteoarthritis |
| title_fullStr | Comparison of arthrodesis and arthroplasty of Chinese thumb carpometacarpal osteoarthritis |
| title_full_unstemmed | Comparison of arthrodesis and arthroplasty of Chinese thumb carpometacarpal osteoarthritis |
| title_short | Comparison of arthrodesis and arthroplasty of Chinese thumb carpometacarpal osteoarthritis |
| title_sort | comparison of arthrodesis and arthroplasty of chinese thumb carpometacarpal osteoarthritis |
| topic | Thumb Carpometacarpal joint Arthrodesis Arthroplasty |
| url | https://doi.org/10.1186/s13018-019-1469-2 |
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