Arthrodesis for the Trapeziometacarpal Arthritis
Journal of the Korean Society for Surgery of the Hand
;
: 53-58, 2010.
Article
in Korean
| WPRIM
| ID: wpr-38794
ABSTRACT
PURPOSE:
We evaluated clinical outcomes of the trapeziometacarpal arthrodesis as a treatment for trapeziom-etacarpal arthritis. MATERIALS ANDMETHODS:
Nineteen patients that received trapeziometacarpal arthrodesis for Eaton & Litter stage III(n=18) and IV(n=1) arthritis were enrolled in this study. Mean age was 45.8(43~67) and mean follow up duration was 2.3 years(1~4 years). Posttraumatic arthritis and idiopathic arthritis were 9 and 10 cases, respectively. The assessment included a preoperative and postoperative Visual Analogue Scales (VAS) (0~10) and overall satisfaction with Roles & Maudsley score. Functional outcomes were assessed by measuring of grip and pinch strength and range of thumb motion. The evaluation also included postoperative complications.RESULTS:
Mean preoperative VAS score was 6.6 points and improved to average 1.4 points postoperatively. Mean grip and pinch strength was improved from 12.1 kg to 26.5 kg and from 2.7 kg to 5.2 kg, respectively. The mean radial abduction arc of motion was 42.9 degrees. Metacarpophalangeal and thumb interphalangeal joint arc of motion was averaged 63.3 degrees and 73 degrees, respectively. Complications consisted of scaphotrapezoidal arthritis(n=1) and nonunion(n=1).CONCLUSION:
The trapeziometacarpal arthrodesis could afford good functional results, pain relief in advanced arthritis patient.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Postoperative Complications
/
Arthritis
/
Arthrodesis
/
Thumb
/
Weights and Measures
/
Follow-Up Studies
/
Hand Strength
/
Pinch Strength
/
Joints
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
Language:
Korean
Journal:
Journal of the Korean Society for Surgery of the Hand
Year:
2010
Type:
Article
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