SIMPLE EXCISION OF THE TRAPEZIUM FOR OSTEOARTHRITIS OF THE CARPOMETACARPAL JOINT OF THE THUMB

被引：57

作者：

DHAR, S

GRAY, ICM

JONES, WA

BEDDOW, FH

机构：

[1] Departments of Orthopaedic Surgery, Royal Liverpool University, Hospital and Broagreen Hospital, Liverpool

来源：

JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME | 1994年 / 19B卷 / 04期

关键词：

D O I：

10.1016/0266-7681(94)90214-3

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

We have reviewed the results in 34 patients (39 operations) following simple excision of the trapezium for osteoarthritis of the basal joint of the thumb. The average age at operation was 57 years and the average follow-up was 6 years. All the patients were graded clinically and radiologically and were asked their opinion of the procedure. There was dramatic relief of pain following this procedure. Stability of the thumb was not compromised. When compared to the unoperated side, thumb length, thumb abduction and first web span were similar. There was a reduction in pinch strength (operated 8.1 k.p.a., non-operated 9.6 k.p.a.) and grip strength (operated 15.5 k.p.a., non-operated 19.5 k.p.a.) and an increase in MP extension (operated 5.4 degrees, non-operated 2.9 degrees) following this procedure but the differences were not statistically significant. 11 patients (32%) had scar hyperaesthesia on testing but this was a clinical problem in two patients only (5%). Simple excision of the trapezium is a satisfactory procedure for the majority of patients with this disorder, but has a long post-operative rehabilitation period.

引用

页码：485 / 488

页数：4

共 17 条

[1]

Aune, Osteoarthritis of the first carpometacarpal joint, Acta Chir Scand, 109, pp. 449-456, (1955)

[2]

Burton, Basal joint arthritis — fusion, implant or soft tissue reconstruction, Orthopedic Clinics of North America, 17, 3, pp. 493-503, (1986)

[3]

Carroll, Hill, Arthrodesis of the carpometacarpal joint of the thumb, Journal of Bone and Joint Surgery, 55 B, 2, pp. 292-295, (1973)

[4]

Carroll, Fascial arthroplasty for the carpometacarpal joint of the thumb, Orthopaedic Transcripts, 1, (1977)

[5]

Carroll, Arthrodesis of the carpometacarpal joint of the thumb, Clinical Orthopaedics and Related Research, 220, pp. 106-110, (1987)

[6]

Cooney, Linscheid, Askew, Total arthroplasty of the thumb trapeziometacarpal joint, Clinical Orthopaedics and Related Research, 220, pp. 35-45, (1987)

[7]

Eaton, Littler, A study of the basal joint of the thumb: Treatment of its disabilities by fusion, Journal of Bone and Joint Surgery, 51 A, 4, pp. 661-668, (1969)

[8]

Eaton, Littler, Ligament reconstruction for the painful thumb carpometacarpal joint, Journal of Bone and Joint Surgery, 55 A, pp. 1655-1666, (1973)

[9]

Froimson, Tendon arthroplasty of the trapeziometacarpal joint, Clinical Orthopaedics and Related Research, 70, pp. 191-199, (1970)

[10]

Gervis, Excision of the trapezium for osteoarthritis of the trapeziometacarpal joint, Journal of Bone and Joint Surgery, 31 B, 4, pp. 537-539, (1949)

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