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

Arthroscopic STT osteoarthrosis treatment

Meeting Abstract

  • presenting/speaker Pau Lopez Osornio - Traumaunit, Centro Medico Teknon, Sant Cugat del Valles, Spain
  • Joaquim Casanas - Traumaunit, Centro Medico Teknon, Sant Cugat del Valles, Spain
  • Cristobal Martinez Andrade - Traumaunit, Centro Medico Teknon, Sant Cugat del Valles, 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. DocIFSSH19-1552

doi: 10.3205/19ifssh1022, urn:nbn:de:0183-19ifssh10224

Veröffentlicht: 6. Februar 2020

© 2020 Lopez Osornio 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: STT osteoarthritis is the second most frequent localization of degenerative disease of the wrist. Open distal pole resection with or without interposition was the classical treatment. We introduce the STT osteoarthritis treatment performing an arthroscopic distal scaphoid resection.

Methods: From 2012 to 2016, 32 patients have been surgically treated by arthroscopic distal pole resection.

Midcarpal radial, volar and dorsal STT portals have been used, age ranges from 42 to 75 yo, 4 males and 28 females. Three cases were associated with a volar cyst. Thumb traction was done in all cases, no tissue or tendon interposition was done. Midcarpal and SL instability was checked and treated when found.

Three cases had previously been treat by complete trapecectomy but STrapezid remained clinically affected.

Results and Conclusions: All cases were completely done arthroscopically, mean time for surgery was 42 min. Mean follow up is 2.8 years

Three months postoperative pain relief was achieved in 71% of the cases. Pinch strength was restored between 120 and 80% compared to the contralateral hand in 87% of cases. Grade III and IV Geisler SL instability was surgically detected in 11 cases and shrinkage and cast immobilization was performed. Four cases had recurrences for impairment of SL instability and needed further treatment. Three cases needed secondary surgery because of incomplete volar pole resection.

STT osteoarthritis when is properly diagnosed it can be treated successfully by arthroscopic distal pole of the scaphoid resection. Better control for SL instability is a clear pearl andsimultaneous treatment that can be done. Volar and complete distal pole resection is a challenge for successful results.