Chirurgie de la rhizarthrose: étude rétrospective et recherche d'un algorithme. [Surgery for root arthrosis: retrospective study and search for an algorithm]

Details

Serval ID
serval:BIB_7EF08340465E
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Chirurgie de la rhizarthrose: étude rétrospective et recherche d'un algorithme. [Surgery for root arthrosis: retrospective study and search for an algorithm]
Journal
Chirurgie de la Main
Author(s)
Parvex P. O., Egloff D. V.
ISSN
1297-3203 (Print)
Publication state
Published
Issued date
10/2001
Volume
20
Number
5
Pages
351-61
Notes
English Abstract Journal Article --- Old month value: Oct
Abstract
Several treatments, conservative or surgical, have been proposed for painful arthritis of the base of the thumb with various outcomes. Swanson trapezium implant, arthrodesis of the trapezio-metacarpal (T.M.) joint and suspension arthroplasty are three of the most used techniques for treatment of this condition. Two hundred patients operated on using one of the three techniques were reviewed for a retrospective study to assess the advantages and disadvantages of each method of treatment and their indications. Patient satisfaction rate is high whatever the technique used. Complete pain relief was obtained more often with the Swanson implant (Alnot 0) but differences between the three methods decrease when patients with pain only for particular strains (Alnot 1) are included. Swanson implants (patient satisfaction Alnot 0 and 1: 85.5%) provide excellent subjective and objective results for patients with light activity of daily living causing little stress to the implant. Complication rate with reoperation is equal to other techniques. Surgical treatment is well come through and recovery is fast and not painful. Suspensioplasty (patient satisfaction Alnot 0 and 1: 78.2%) have a low complication and reoperation rate when the technique is well applied. Patient satisfaction rate is high but duration of recovery is long (strength, nimbleness). T.M. arthrodesis is the only type of surgery providing a good strength identical to the opposite side at the price of a limited decrease of range of motion. In conclusion, we propose the following algorithm: for patients over years of age: Swanson trapezium implant; for young and active patients presenting a radiological stage less than Dell III and an intact Scaphotrapezial joint: T.M. arthrodesis; for other patients: suspensioplasty using the A.P.L.
Keywords
Adult Aged *Algorithms Arthritis/pathology/*surgery Arthrodesis/*methods Arthroplasty/*methods Female Humans Male Middle Aged Pain/etiology/surgery Patient Satisfaction Prostheses and Implants Range of Motion, Articular Retrospective Studies Thumb/*pathology/surgery Treatment Outcome
Pubmed
Create date
18/01/2008 10:43
Last modification date
20/08/2019 14:39
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