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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

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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

Published: February 6, 2020

© 2020 Aparicio et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

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.