Trapeziectomy and tendon suspension with or without a mitek anchor fixation in the thumb basal joint osteoarthritis.

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State: Public
Version: Final published version
License: Not specified
Serval ID
serval:BIB_C269F6D08C38
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Trapeziectomy and tendon suspension with or without a mitek anchor fixation in the thumb basal joint osteoarthritis.
Journal
Journal of Hand Surgery, European Volume
Author(s)
Nordback S., Erba P., Wehrli L., Raffoul W., Egloff D.V.
ISSN
2043-6289 (Electronic)
ISSN-L
0266-7681
Publication state
Published
Issued date
2012
Volume
37
Number
7
Pages
625-631
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Partial trapeziectomy with suspension ligamentoplasty is a commonly performed treatment of thumb osteoarthritis. Nevertheless, the post-operative recovery remains long and critical reason for which different modifications of the surgical technique have been proposed. To compare two suspension ligamentoplasty techniques, one with a mitek anchor and another without, a retrospective study of 55 consecutive operated patients was performed. A detailed clinical analysis of pain, function and a radiologic assessment of the trapeziometacarpal space were performed. Mitek anchor fixation was associated with a shorter convalescence period. However, in spite of an improved radiological maintenance of the scaphometacarpal space, mitek anchor fixation was associated with an impaired postoperative function and residual pain when compared with the conventional suspension ligamentoplasty procedure. Patient's satisfaction was comparable in both groups. In our series stabilization of the suspension ligamentoplasty procedure by the insertion of a mitek anchor did not bring the hoped benefits to the patients with a trapeziometacarpal arthritis.
Keywords
Aged, Carpometacarpal Joints/surgery, Female, Humans, Male, Middle Aged, Osteoarthritis/radiography, Osteoarthritis/surgery, Pain Measurement, Patient Satisfaction, Postoperative Complications, Recovery of Function, Retrospective Studies, Suture Anchors, Tendons/radiography, Tendons/surgery, Thumb/radiography, Thumb/surgery, Trapezium Bone/radiography, Trapezium Bone/surgery, Treatment Outcome
Pubmed
Web of science
Create date
20/09/2012 19:01
Last modification date
27/03/2020 7:19
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