gms | German Medical Science

14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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Trapeciectomy versus joint replacement in bassal thumb osteoarthritis. Prospective study

Meeting Abstract

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  • presenting/speaker Pilar Aparicio - Parc Sanitari Sant Joan de Déu, Barcelona, Spain
  • Òscar Izquierdo - Parc Sanitari Sant Joan de Déu, Barcelona, Spain
  • Enric Domínguez - Consorci Mar Parc de Salut, Barcelona, Spain
  • José Torres - Parc Sanitari Sant Joan de Déu, Barcelona, Spain
  • Juan Castellanos - Parc Sanitari Sant Joan de Déu, Barcelona, Spain

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-1225

doi: 10.3205/19ifssh0871, urn:nbn:de:0183-19ifssh08715

Veröffentlicht: 6. Februar 2020

© 2020 Aparicio et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.

Gliederung

Text

Objectives/Interrogation: Osteoarthritis of the base of the thumb is one of the most prevalent sites of osteoarthritis in the upper limb leading to pain and disability of the hand.

None of the available surgical treatments have proved to be superior to another.

We designed a prospective study in which we compared the clinical outcomes after performing two surgical techniques: joint replacement (Maïa prosthesis, MP) and trapeciectomy with ligament reconstruction and tendon interposition (following Burton-Pellegrini technique, BP).

Methods: Sixty-eight patients with first carpometacarpal joint osteoarthritis grade III of Eaton-Littler were included in this prospective one-year follow-up study comparing joint replacement (MP), n = 43, with trapeciectomy with ligament reconstruction and tendon interposition (BP), n=25.

Pain (using AVS), opposition (using Kapandji index), terminolateral pinch strength and grip strength (using dynamometer) disability and quality of life (using DASH and SF36 questionnaires), were assessed preoperatively and during the follow-up at 4 and 12 months.

Results and Conclusions:

Table 1 [Tab. 1]

We only found statistical differences (marked as * in the table) in the termino-lateral pinch strength at 4 and 12 months.

We suggest that the prosthesis should be indicated in patients who need a quick recovery.