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Surgical Approaches and Techniques

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Trapeziometacarpal Joint Osteoarthritis

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Abstract

Nowadays, in literature, there isn’t an evidence of a gold standard treatment in thumb osteoarthritis. In the last decade, a variety of surgical techniques have been described to obtain pain relief, strength, mobility and stability restoration: arthrodesis, trapezial excision, trapezial excision and ligament reconstruction with tendon interposition or without tendon interposition, silicone arthroplasty, Dacron interposition, and total joint implant arthroplasty.

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References

  1. Gervis WH (1949) Excision of the trapezium for osteoarthritis of the trapezial-metacarpal joint. J Bone Joint Surg Br 31:537–250

    Article  Google Scholar 

  2. Froimson AI (1970) Tendon arthroplasty of the trapeziometacarpal joint. Clin Orthop 70:191–199

    CAS  PubMed  Google Scholar 

  3. Peimer CA, Medige J, Eckert BS, Wright JR, Howard CS (1986) Reactive synovities after silicon arthroplasty. J Hand Surg Am 11:624–638

    Article  CAS  Google Scholar 

  4. Tomaino MM, Pellegrini VD Jr, Burton RI (1995) Arthroplasty of the basal joint of the thumb. Long term follow up after ligament reconstruction with tendon interposition. J Bone Joint Surg Am 77:346–355

    Article  CAS  Google Scholar 

  5. Illarramendi AA, Borretto JG, Gallucci GL, DeCarli P (2006) Trapeziecotmy and intermetacarpal ligament reconstruction with the extensor carpi radialis longus for osteoarthritis of the trapeziometacarpal joint: surgical technique and long term result. J Hand Surg Am 31:1315–1321

    Article  Google Scholar 

  6. Thompson JS (1986) Surgical treatment of trapeziometacarpal arthrosis. Adv Orthop Surg 10:105–120

    Google Scholar 

  7. Thompson JS (1989) Complication and salvage of trapeziometacarpal arthroplasties. Am Acad Orthop Surg 38:3–13

    CAS  Google Scholar 

  8. Brunelli L, Monini L, Brunelli F (1989) Stabilization of trapeziometacarpal joint. J Hand Surg Br 14:209–212

    Article  CAS  Google Scholar 

  9. Kochevar AJ, Adhams CN, Adham MN, Angel MF, Walkinshaw MD (2011) Thumb basal joint arthroplasty using abductor pollicis longus tendon: an average 5.5-year follow up. J Hand Surg Am 36:1326–1332

    Article  Google Scholar 

  10. Soejima O, Hanamura T, Kikuta T, Lida H, Nito M (2006) Suspensionplasty with the abductor pollicis longus tendon for osteoarthritis in the carpometacarpal joint of the thumb. J Hand Surg Am 31:425–428

    Article  Google Scholar 

  11. Belcher HJ, Nicholl JE (2000) A comparison of trapeziectomy with and without ligament reconstruction and tendon interposition. J Hand Surg Br 25:350–356

    Article  CAS  Google Scholar 

  12. Downing ND, Davis TR (2001) Trapezial space height after trapeziectomy: mechanism of formation and benefit. J Hand Surg Am 26:862–868

    Article  CAS  Google Scholar 

  13. Luria S, Waitayawinyu T, Nemechek N, Huber P, Tencer A, Trumble T (2007) Biomechanic analysis of trapeziectpmy ligament reconstruction with tendon interposition and tie-it trapezium implant arthropalsty fot thumb carpometacrpal arthritis: a cadver stady. J Hand Surg AM 32:697–706

    Article  Google Scholar 

  14. Vermeulen GM, Slijper H, Feitz R, Hovius SER, Moojen TM, Selles RW (2011) Surgical management of primary thumb carpometacrpal ostheoarthritis: a systematic review. J Hand Surg Am 36:157–169

    Article  Google Scholar 

  15. Martou G, Veltri K, Thomas A (2004) Surgical treatment of osteoarthritis of the carpo metacarpal joint of the thumb: a systematic review. Plast Reconstr Surg 114:421–432

    Article  Google Scholar 

  16. Wajon A, Ada L, Edmund I (2005) Surgery for thumb (trapeziometacarpal joint) osteoarthritis. Cochrane Database Syst Rev (4):CD004631

    Google Scholar 

  17. Wajon A, Carr E, Edmund I, Ada L (2009) Surgery for thumb (trapeziometacarpal joint) osteoarthritis. Cochrane Database Syst Rev (2):CD004631

    Google Scholar 

  18. Taylor EJ, Desari K, D’Arcy JC, Bonnici AV (2005) A comparison of fusion, trapeziectomy and silastic replacement for the treatment of osteoarthritis of the trapeziometacarpal joint. J Hand Surg Br 30:45–49

    Article  CAS  Google Scholar 

  19. Garcia-Mas R, Sole Molinas X (2005) Partial trapeziectomy with ligament reconstruction–tendon interposition and silastic replacement for the treatment of osteoarthritis of the trapeziometacarpal joint. J Hand Surg Br 30:45–49

    Article  Google Scholar 

  20. Forseth MJ, Stern PJ (2003) Complication of trapeziometacarpal Arthrodesis using plate and screws fixation. J Hand Surg Am 28:342–345

    Article  Google Scholar 

  21. Ulrich-Vinther M, Puggard H, Lange B (2008) Prospective 1-year follow up study comparing joint prosthesis with tendon interposition arhroplasty in treatment of trapeziometacarpal osteoarthritis. J Hand Surg Am 33:1369–1377

    Article  CAS  Google Scholar 

  22. Wilson JN (1973) Basal osteotomy of the first metacarpal in the treatment of arthritis of the carpometacarpal joint of the thumb. Br J Surg 60:854–858

    Article  CAS  Google Scholar 

  23. Eaton RG, Littler JW (1973) Ligament reconstruction for the painful thumb carpometacrpal joint. J Bone Joint Surg Am 55:1655–1666

    Article  CAS  Google Scholar 

  24. Raven EEJ, Kerkhoffs GMMJ, Rutten S, Marsman AJW, Mrti RK, Albers GHR (2007) Long term results of surgical intervention for osteoarthritis of the trapezio metacarpal joint. Int Orthop (SICOT) 31:547–554

    Article  CAS  Google Scholar 

  25. Dacatra U, Odella S, Torretta F (2008) Artrosi trapezio-metacarpale: inquadramento clinico e impostazione di un algoritmo di trattamento. Archivio di ortopedia e traumatologia 118(4):19

    Google Scholar 

  26. Scroder J, Kertkhoffs GMMJ, Voerman HJ (2002) Surgical treatment of the thumb: comparison between resection-interposition arthroplasty and trapezio-metacarpal arthrodesis. Arch Orthop Trauma Surg 122:35–38

    Article  Google Scholar 

  27. Woodward JF, Heller JB, Jones e F (2013) Pyrocarbon implant hemiarthroplasty for trapeziometacarpal arthritis. Tech Hand Up Extrem Surg 17:7–12

    Article  Google Scholar 

  28. Pérez-Úbeda M-J, Garćia-López A, Marco Martinez F, Junyent Vilanova E, Molina Martos M, López-Duran Stern L (2003) Results of the cemented SR trapeziometacarpal prosthesis in the treatment of thumb carpometacarpal osteoarthritis. J Hand Surg Am 28:917–925

    Article  Google Scholar 

  29. Nicholas RM, Calderwood JW (1992) De la caffinière arthroplasty for basal thumb joint osteoarthritis. J Bone Joint Surg Br 74:309–312

    Article  CAS  Google Scholar 

  30. Glickel SZ (2001) Clinical assessment of the thumb trapeziometacarpal joint. Hand Clin 17:185–195

    CAS  PubMed  Google Scholar 

  31. Linscheid RL (2000) Implant arthroplasty of the hand: retrospec- tive and prospective considerations. J Hand Surg Am 25:796–816

    Article  CAS  Google Scholar 

  32. Badia A (2008) Total joint arthroplasty for the arthritic thumb carpometacarpal joint. Am J Orthop 37(8 suppl):4–7

    PubMed  Google Scholar 

  33. Cook T, Kester J (1989) Wear characteristics of the canine acetabulum against different femoral prosthesis. J Bone Joint Surg Br 71(2):189–197

    Article  CAS  Google Scholar 

  34. Igoe D, Middelton C, Hammert W (2014) Evolution of basal joint arthroplasty and technology in hand surgery. J Hand Ther 27:115–121

    Article  Google Scholar 

  35. Bellemère P, Gaisne E, Loubersac T, Ardouin L, Collon S, Maes C (2011) L’implant Pyrocardan: interposition libre en pyrocarbone pour resurfaçage de l’articulation trapézométacarpienne. Chirurgie de la main 30:S28–S35

    Article  Google Scholar 

  36. Stabler D (2011) Pyrodisk trapezium replacement. In: Abstract book Australian Hand Surgery Society Annual Meeting, Bunker Bay, Australia

    Google Scholar 

  37. Odella S, Querenghi AM, Sartore R, DeFelice A, Dacatra U (2014) Trapeziometacarpal osteoarthritis: pyrocarbon interposition implants. Joints 2(4):154–158

    PubMed  Google Scholar 

  38. Mohamed A, Yousef A, Pegoli L (2013) Arthroscopic-assisted arthrodesis of the trapeziometacarpal joint. Tech Hand Up Extrem Surg 17:116–119

    Google Scholar 

  39. Leach RE, Bolton PE (1968) Arthritis of the caprometacarpal joint of the thumb: results of arthrodesis. J Bone Joint Surg Am 50:1171–1177

    Article  CAS  Google Scholar 

  40. Abe Y, Tokunaga S (2015) Surgical technique and clinical results for trapeziometacarpal arthrodesis using locking plate fixation in women aged 50 years or older. Plast Reconstr Surg 136:521–528

    Article  CAS  Google Scholar 

  41. Stussi JD, Dap F, Merle M (2000) Étude rétrospective de 69 rhizarthroses primitives opérées par trapézectomie totale suivie dans 34 cas de tendino-plastie d’interposition et dans 35 cas de suspensioplastie. Chir Main 19:116–127

    Article  CAS  Google Scholar 

  42. Camus E, Farez E, Rtaimate M, Millot F, Bouretz JC (2000) Traitement chirurgical de la rhizarthrose par trapézectomie-interposition-ligamento-plastie. Chir Main 19:36–43

    Article  CAS  Google Scholar 

  43. Gedda KO, Moberg E (1953) Open reduction and osteosynthesis of the so-called Bennett’s fracture in the carpo-metacarpal joint of the thumb. Acta Orthop Scand 22:249–257

    Article  Google Scholar 

  44. Maffulli N, Ierwin I, Buchan CR (1997) Modified Burton and pellegrini procedure for trapezium excision, ligament reconstruction and interposition arthroplasty of the tendon of flexor carpi radialis. Oper Orthop Traumatol 9:69–79

    Article  CAS  Google Scholar 

  45. Weilby A (1988) Tendon interposition arthroplasty of the first carpo-metacarpal joint. J Hand Surg Br 13:421–425

    Article  CAS  Google Scholar 

  46. Carroll RE (1987) Arthrodesis of the carpometacarpal joint of the thumb. A review of patients with a long postoperative period. Clin Orthop Relat Res 220:106–110

    Google Scholar 

  47. Caruso. M. Innocenti M, Angelini R, Laoui G, Bufalini C. L’artrosi del primo raggio digitale. riv Chir Mano 1991;28:67–75

    Google Scholar 

  48. Brunelli G, Monini L, Brunelli F. Stabilizzazione della trapeziometacarpale nella rizoartrosi G.I.O.T. 1988;16;371–376

    Google Scholar 

  49. Kuhns CA, Emerson ET, Meals RA (2003) Hematoma and distraction arthroplasty for thumb basal joint osteoarthritis: a prospective, single-surgeon study including outcomes measures. J Hand Surg Am 28(3):381–389

    Article  Google Scholar 

  50. Sandvall BK, Cameron TE, Netscher DT, Epstein MJ, Staines KG, Petersen NJ (2010) Basal joint osteoarthritis of the thumb: ligament reconstruction and tendon interposition versus hematoma distraction arthroplasty. J Hand Surg Am 35:1968–1975

    Article  Google Scholar 

  51. Sammer DM, Amadio PC (2010) Description and outcomes of a new technique for thumb basal joint arthroplasty. J Hand Surg Am 35:1198–1205

    Article  Google Scholar 

  52. Burton R, Pellegrini V (1986) Surgical management for basal thumb osteoarthritis: part II. Ligament reconstruction with tendon interposition arthroplasty. J Hand Surg Am 11:324–332

    Article  CAS  Google Scholar 

  53. Koff MF, Shao KD, Mierisch CM, Chen M-Y, An K-N, Cooney WP III (2007) Jpint kinematics after thumb carpometacrpal joint reconstruction: an in vitro comparison of various constructs. J Hand Surg Am 32:688–696

    Article  Google Scholar 

  54. Brunelli GR. Instabilità della articolazione trapeziometacarpale, rizartrosi. La Mano, manuale di chirurgia. Edi.erms. 20:337–49.

    Google Scholar 

  55. Colegate-Stone TJ, Garg S, Subramanian A, Mani GV (2011) Outcome analysis of trapeziectomy with and without pyrocarbon interposition to treat primary arthrosis of the trapeziometacarpal joint. Hand Surg 16:49–54

    Article  CAS  Google Scholar 

  56. Szalay G, Schleicher I, Alt V, Pavlidis T, Schnettler R (2011) Operativetreatment of rhizarthritis: comparison of ligament reconstruction according to Epping with trapeziectomy and interposition of pyrocarbon spacers as replacement of the trapezium. Orthopade 40:237–246

    Article  CAS  Google Scholar 

  57. Cheval D, Sauleau V, Moineau G, Le Jacques B, Le Nen D (2013) Trapézectomie totale et ligamentoplastie de suspension: une interposition par un implant Pi21 en pyrocarbone a-t-elle un intérêt? Chirurgie de la main 32:169–175

    Article  CAS  Google Scholar 

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Authors and Affiliations

  1. Istituto Ortopedico Gaetano Pini, Milan, Italy

    Simona Odella

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  1. Simona Odella
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Odella, S. (2018). Surgical Approaches and Techniques. In: Trapeziometacarpal Joint Osteoarthritis. Springer, Cham. https://doi.org/10.1007/978-3-319-44336-2_7

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  • DOI: https://doi.org/10.1007/978-3-319-44336-2_7

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