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

Détails

ID Serval
serval:BIB_C269F6D08C38
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Trapeziectomy and tendon suspension with or without a mitek anchor fixation in the thumb basal joint osteoarthritis.
Périodique
Journal of Hand Surgery, European Volume
Auteur(s)
Nordback S., Erba P., Wehrli L., Raffoul W., Egloff D.V.
ISSN
2043-6289 (Electronic)
ISSN-L
0266-7681
Statut éditorial
Publié
Date de publication
2012
Volume
37
Numéro
7
Pages
625-631
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
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.
Mots-clé
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
Création de la notice
20/09/2012 19:01
Dernière modification de la notice
03/03/2018 21:09
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