Treatment of Subsesamoid Arthritis of the Metacarpophalangeal Joint of the Thumb: Volar Plate Reinforcing Technique after Sesamoid Excision / 대한정형외과학회잡지
The Journal of the Korean Orthopaedic Association
;
: 240-248, 2009.
Article
in Korean
| WPRIM
| ID: wpr-656054
ABSTRACT
PURPOSE:
To report the clinical outcomes of a volar plate reinforcing technique with free tendon grafts after sesamoid excision for the surgical treatment of subsesamoid arthritis of the metacarpophalangeal (MCP) joint of the thumb. MATERIALS ANDMETHODS:
Eleven consecutive patients that underwent sesamoid excision and volar plate reinforcement using a palmaris longus free tendon graft were enrolled. There were 7 males and 4 females, with an average age of 46 (range, 30-56 years). Post-traumatic arthritis after a hyperextension injury of the thumb was present in 9 patients. Two patients had idiopathic arthritis. All patients were evaluated by objective and subjective criteria, the mean follow-up duration was 19 months (range, 12-35 months).RESULTS:
The results were satisfactory overall (3 excellent, 7 good, 1 poor). The mean grip strength and pinch strength significantly improved from 63.0% and 51.3%, respectively, preoperatively, to 84.9% and 88.9%, postoperatively. The mean range of motion for the MCP joint was -5.9/50.9 degrees. The mean DASH and MHQ scores showed significant improvement compared to the preoperative scores.CONCLUSION:
The early clinical results suggest that the described technique is a safe and effective option for subsesamoid arthritis of the MCP joint of the thumb.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Arthritis
/
Reinforcement, Psychology
/
Tendons
/
Thumb
/
Follow-Up Studies
/
Range of Motion, Articular
/
Hand Strength
/
Transplants
/
Palmar Plate
/
Pinch Strength
Type of study:
Observational study
/
Prognostic study
Limits:
Female
/
Humans
/
Male
Language:
Korean
Journal:
The Journal of the Korean Orthopaedic Association
Year:
2009
Type:
Article
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