Zusammenfassung
Hintergrund
Zur definitiven, operativen Behandlung der manifesten Rhizarthrose im späteren Stadium haben sich Trapezektomie und Sattelgelenksarthrodese durchgesetzt, aber ihr Stellenwert wird weiterhin kontrovers diskutiert.
Material und Methoden
In einer retrospektiven, vergleichenden Studie und mittels Durchsicht der Literatur sollte überprüft werden, ob die bisherigen Konzepte in der operativen Differenzialtherapie der Rhizarthrose bezüglich dieser beiden Operationsverfahren noch Gültigkeit besitzen. Dazu wurden die eigenen Ergebnisse der Operation von 80 Trapezektomien und 38 Sattelgelenksarthrodesen ausgewertet.
Ergebnisse
Statistisch war kein signifikanter Unterschied der beiden Operationsverfahren festzustellen.
Schlussfolgerung
Beide Operationsverfahren besitzen niedrige Komplikationsraten und führen zu vergleichbar guten Ergebnissen.
Abstract
Operative treatment of late-stage rhizarthrosis commonly includes either trapeziectomy or carpometacarpal (CMC) joint arthrodesis. However, both treatments are controversially discussed. It was the aim of this comparative, retrospective study to determine whether there are advantages of one procedure over the other. The outcomes of 80 hands, treated at our hospital with trapeziectomy, and 38 hands, treated with CMC-I arthrodesis, were reviewed. Statistically no significant differences between the two methods were found. Complication rates in both treatments were low, and both operative methods led to comparable results.
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Literatur
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Klenner, A., Klenner, K. & Towfigh, AH. Die Differenzialtherapie der fortgeschrittenen Rhizarthrose. Obere Extremität 5, 53–59 (2010). https://doi.org/10.1007/s11678-010-0063-3
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DOI: https://doi.org/10.1007/s11678-010-0063-3