Abstract
Backgrounds
The goal of this study was to compare trapeziectomy alone to trapeziectomy associated with a technique of suspensionplasty using the abductor pollicis longus with a minimum of 6 years of follow-up in the treatment of osteoarthritis of the first carpometacarpal joint.
Methods
Our series included 46 trapeziectomies in 35 patients, aged 69 years in average, among which 27 were women. In 27 cases group I, a trapeziectomy alone was performed, and in 19 cases group II, a trapeziectomy associated with an abductor pollicis longus suspensionplasty was performed.
Results
At the last follow-up, the difference between pre- and postoperative Quick DASH was − 36.104 in average in group I and − 38.877 in average in group II p = 0.7717. The difference between pre- and postoperative pain was − 3.926 in average in group I and − 4.368 in average in group II p = 0.35. The difference of pre- and postoperative thumb opposition was 0.630 in group I and 0.421 in group II p = 0.3033. The average difference of pre- and postoperative key pinch was 0.389 in group I and 0.842 in group II p = 0.3303. No complication was reported.
Conclusions
Our results suggest that it is unnecessary to perform a ligamentoplasty when a trapeziectomy is indicated.
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Acknowledgements
Mickaël Schaeffer, Public Health Department, Hôpitaux Universitaires de Strasbourg, is gratefully acknowledged for performing the statistical analysis.
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Philippe Liverneaux has conflicts of interest with Newclip Technics, Argomedical, Biomodex, Zimmer Biomet. Louis Barthel, Juan José Hidalgo Diaz, Paul Vernet, Stéphanie Gouzou, Sybille Facca and Yuka Igeta have no conflicts of interest.
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Barthel, L., Hidalgo Diaz, J.J., Vernet, P. et al. Results of the treatment of first carpometacarpal joint osteoarthritis: trapeziectomy alone versus trapeziectomy associated with suspensionplasty. Eur J Orthop Surg Traumatol 28, 1555–1561 (2018). https://doi.org/10.1007/s00590-018-2173-3
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DOI: https://doi.org/10.1007/s00590-018-2173-3