Cargando…
Results of Abductor Pollicis Longus Suspension Ligamentoplasty for Treatment of Advanced First Carpometacarpal Arthritis
BACKGROUND: Suspension ligamentoplasty using abductor pollicis longus (APL) tendon without bone tunneling, was introduced as one of the techniques for treatment of advanced first carpometacarpal (CMC) arthritis. The purpose of this study was to evaluate the radiologic and clinical results of APL sus...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Orthopaedic Association
2015
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4553287/ https://www.ncbi.nlm.nih.gov/pubmed/26330961 http://dx.doi.org/10.4055/cios.2015.7.3.372 |
_version_ | 1782387860635123712 |
---|---|
author | Lee, Hyun-Joo Kim, Poong-Taek Deslivia, Maria Florencia Jeon, In-Ho Lee, Suk-Joong Nam, Sang-Jin |
author_facet | Lee, Hyun-Joo Kim, Poong-Taek Deslivia, Maria Florencia Jeon, In-Ho Lee, Suk-Joong Nam, Sang-Jin |
author_sort | Lee, Hyun-Joo |
collection | PubMed |
description | BACKGROUND: Suspension ligamentoplasty using abductor pollicis longus (APL) tendon without bone tunneling, was introduced as one of the techniques for treatment of advanced first carpometacarpal (CMC) arthritis. The purpose of this study was to evaluate the radiologic and clinical results of APL suspension ligamentoplasty. METHODS: The medical records of 19 patients who underwent APL suspension ligamentoplasty for advanced first CMC arthritis between January 2008 and May 2012 were reviewed retrospectively. The study included 13 female and 6 male patients, whose mean age was 62 years (range, 43 to 82 years). For clinical evaluation, we assessed the grip and pinch power, radial and volar abduction angle, thumb adduction (modified Kapandji index), including visual analogue scale (VAS) and Disabilities of the Arm, Shoulder and Hand (DASH) scores. Radiologic evaluation was performed using simple radiographs. RESULTS: The mean follow-up was 36 months (range, 19 to 73.7 months). Mean power improved from 18.3 to 27 kg for grip power, from 2.8 to 3.5 kg for tip pinch, and from 4.3 to 5.4 kg for power pinch. All patients showed decreased VAS from 7.2 to 1.7. Radial abduction improved from 71° preoperatively to 82° postoperatively. The modified Kapandji index showed improvement from 6 to 7.3, and mean DASH was improved from 41 to 17.8. The height of the space decreased from 10.8 to 7.1 mm. Only one case had a complication involving temporary sensory loss of the first dorsal web space, which resolved spontaneously. CONCLUSIONS: The APL suspension ligamentoplasty for treatment of advanced first CMC arthritis yielded satisfactory functional results. |
format | Online Article Text |
id | pubmed-4553287 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | The Korean Orthopaedic Association |
record_format | MEDLINE/PubMed |
spelling | pubmed-45532872015-09-01 Results of Abductor Pollicis Longus Suspension Ligamentoplasty for Treatment of Advanced First Carpometacarpal Arthritis Lee, Hyun-Joo Kim, Poong-Taek Deslivia, Maria Florencia Jeon, In-Ho Lee, Suk-Joong Nam, Sang-Jin Clin Orthop Surg Original Article BACKGROUND: Suspension ligamentoplasty using abductor pollicis longus (APL) tendon without bone tunneling, was introduced as one of the techniques for treatment of advanced first carpometacarpal (CMC) arthritis. The purpose of this study was to evaluate the radiologic and clinical results of APL suspension ligamentoplasty. METHODS: The medical records of 19 patients who underwent APL suspension ligamentoplasty for advanced first CMC arthritis between January 2008 and May 2012 were reviewed retrospectively. The study included 13 female and 6 male patients, whose mean age was 62 years (range, 43 to 82 years). For clinical evaluation, we assessed the grip and pinch power, radial and volar abduction angle, thumb adduction (modified Kapandji index), including visual analogue scale (VAS) and Disabilities of the Arm, Shoulder and Hand (DASH) scores. Radiologic evaluation was performed using simple radiographs. RESULTS: The mean follow-up was 36 months (range, 19 to 73.7 months). Mean power improved from 18.3 to 27 kg for grip power, from 2.8 to 3.5 kg for tip pinch, and from 4.3 to 5.4 kg for power pinch. All patients showed decreased VAS from 7.2 to 1.7. Radial abduction improved from 71° preoperatively to 82° postoperatively. The modified Kapandji index showed improvement from 6 to 7.3, and mean DASH was improved from 41 to 17.8. The height of the space decreased from 10.8 to 7.1 mm. Only one case had a complication involving temporary sensory loss of the first dorsal web space, which resolved spontaneously. CONCLUSIONS: The APL suspension ligamentoplasty for treatment of advanced first CMC arthritis yielded satisfactory functional results. The Korean Orthopaedic Association 2015-09 2015-08-13 /pmc/articles/PMC4553287/ /pubmed/26330961 http://dx.doi.org/10.4055/cios.2015.7.3.372 Text en Copyright © 2015 by The Korean Orthopaedic Association http://creativecommons.org/licenses/by-nc/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Lee, Hyun-Joo Kim, Poong-Taek Deslivia, Maria Florencia Jeon, In-Ho Lee, Suk-Joong Nam, Sang-Jin Results of Abductor Pollicis Longus Suspension Ligamentoplasty for Treatment of Advanced First Carpometacarpal Arthritis |
title | Results of Abductor Pollicis Longus Suspension Ligamentoplasty for Treatment of Advanced First Carpometacarpal Arthritis |
title_full | Results of Abductor Pollicis Longus Suspension Ligamentoplasty for Treatment of Advanced First Carpometacarpal Arthritis |
title_fullStr | Results of Abductor Pollicis Longus Suspension Ligamentoplasty for Treatment of Advanced First Carpometacarpal Arthritis |
title_full_unstemmed | Results of Abductor Pollicis Longus Suspension Ligamentoplasty for Treatment of Advanced First Carpometacarpal Arthritis |
title_short | Results of Abductor Pollicis Longus Suspension Ligamentoplasty for Treatment of Advanced First Carpometacarpal Arthritis |
title_sort | results of abductor pollicis longus suspension ligamentoplasty for treatment of advanced first carpometacarpal arthritis |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4553287/ https://www.ncbi.nlm.nih.gov/pubmed/26330961 http://dx.doi.org/10.4055/cios.2015.7.3.372 |
work_keys_str_mv | AT leehyunjoo resultsofabductorpollicislongussuspensionligamentoplastyfortreatmentofadvancedfirstcarpometacarpalarthritis AT kimpoongtaek resultsofabductorpollicislongussuspensionligamentoplastyfortreatmentofadvancedfirstcarpometacarpalarthritis AT desliviamariaflorencia resultsofabductorpollicislongussuspensionligamentoplastyfortreatmentofadvancedfirstcarpometacarpalarthritis AT jeoninho resultsofabductorpollicislongussuspensionligamentoplastyfortreatmentofadvancedfirstcarpometacarpalarthritis AT leesukjoong resultsofabductorpollicislongussuspensionligamentoplastyfortreatmentofadvancedfirstcarpometacarpalarthritis AT namsangjin resultsofabductorpollicislongussuspensionligamentoplastyfortreatmentofadvancedfirstcarpometacarpalarthritis |