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Arthroscopic partial trapeziectomy and tendon interposition for thumb carpometacarpal arthritis
BACKGROUND: The purpose of this study was to introduce arthroscopic partial trapeziectomy and tendon interposition for the treatment of symptomatic thumb carpometacarpal arthritis of Eaton stage II or III. METHODS: From August 2001 to April 2009, 23 patients with thumb carpometacarpal arthritis were...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4683864/ https://www.ncbi.nlm.nih.gov/pubmed/26684740 http://dx.doi.org/10.1186/s13018-015-0329-y |
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author | Chuang, Min-Yao Huang, Chang-Hung Lu, Yung-Chang Shih, Jui-Tien |
author_facet | Chuang, Min-Yao Huang, Chang-Hung Lu, Yung-Chang Shih, Jui-Tien |
author_sort | Chuang, Min-Yao |
collection | PubMed |
description | BACKGROUND: The purpose of this study was to introduce arthroscopic partial trapeziectomy and tendon interposition for the treatment of symptomatic thumb carpometacarpal arthritis of Eaton stage II or III. METHODS: From August 2001 to April 2009, 23 patients with thumb carpometacarpal arthritis were treated using this technique. Pain score, range of motion, and pinch strength were clinically evaluated and compared with the preoperative values after a minimum follow-up duration of 24 months. RESULTS: Significant reduction in pain score and increases in range of motion and pinch strength were found (all p < 0.001) after a 2-year follow-up. The mean ± SD (median) postoperative pain score was 1.0 ± 0.7 (1.0) at rest and 1.3 ± 0.9 (1.0) during daily activities. The postoperative range of motion was 19.1° ± 4.2° (20°) for extension and 35.7° ± 7.1° (35.0°) for flexion, and the postoperative pinch strength was 86.5 % ± 19.9 % (90.0 %). No complications were observed in our patient series. CONCLUSIONS: Arthroscopic partial trapeziectomy and soft tissue interposition could be an alternative treatment method for patients with symptomatic thumb carpometacarpal arthritis of Eaton stage II or III. |
format | Online Article Text |
id | pubmed-4683864 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-46838642015-12-19 Arthroscopic partial trapeziectomy and tendon interposition for thumb carpometacarpal arthritis Chuang, Min-Yao Huang, Chang-Hung Lu, Yung-Chang Shih, Jui-Tien J Orthop Surg Res Research Article BACKGROUND: The purpose of this study was to introduce arthroscopic partial trapeziectomy and tendon interposition for the treatment of symptomatic thumb carpometacarpal arthritis of Eaton stage II or III. METHODS: From August 2001 to April 2009, 23 patients with thumb carpometacarpal arthritis were treated using this technique. Pain score, range of motion, and pinch strength were clinically evaluated and compared with the preoperative values after a minimum follow-up duration of 24 months. RESULTS: Significant reduction in pain score and increases in range of motion and pinch strength were found (all p < 0.001) after a 2-year follow-up. The mean ± SD (median) postoperative pain score was 1.0 ± 0.7 (1.0) at rest and 1.3 ± 0.9 (1.0) during daily activities. The postoperative range of motion was 19.1° ± 4.2° (20°) for extension and 35.7° ± 7.1° (35.0°) for flexion, and the postoperative pinch strength was 86.5 % ± 19.9 % (90.0 %). No complications were observed in our patient series. CONCLUSIONS: Arthroscopic partial trapeziectomy and soft tissue interposition could be an alternative treatment method for patients with symptomatic thumb carpometacarpal arthritis of Eaton stage II or III. BioMed Central 2015-12-18 /pmc/articles/PMC4683864/ /pubmed/26684740 http://dx.doi.org/10.1186/s13018-015-0329-y Text en © Chuang et al. 2015 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Chuang, Min-Yao Huang, Chang-Hung Lu, Yung-Chang Shih, Jui-Tien Arthroscopic partial trapeziectomy and tendon interposition for thumb carpometacarpal arthritis |
title | Arthroscopic partial trapeziectomy and tendon interposition for thumb carpometacarpal arthritis |
title_full | Arthroscopic partial trapeziectomy and tendon interposition for thumb carpometacarpal arthritis |
title_fullStr | Arthroscopic partial trapeziectomy and tendon interposition for thumb carpometacarpal arthritis |
title_full_unstemmed | Arthroscopic partial trapeziectomy and tendon interposition for thumb carpometacarpal arthritis |
title_short | Arthroscopic partial trapeziectomy and tendon interposition for thumb carpometacarpal arthritis |
title_sort | arthroscopic partial trapeziectomy and tendon interposition for thumb carpometacarpal arthritis |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4683864/ https://www.ncbi.nlm.nih.gov/pubmed/26684740 http://dx.doi.org/10.1186/s13018-015-0329-y |
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