Document Detail


Prospective functional analysis of trapeziectomy combined with intermetacarpal tendon stabilisation in trapeziometacarpal arthritis.
MedLine Citation:
PMID:  15587028     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We conducted a prospective study to evaluate the functional status of patients surgically treated by trapeziectomy with intermetacarpal tendon stabilisation. Pain relief, the height of the trapezial cavity, hand impairment, and manual ability were measured in a group of 18 patients at a mean of 2.3 years after surgery. Complete relief of pain was achieved in 89% of our patients. The height of the trapezial cavity was significantly reduced. Hand strength and digital dexterity were not impaired after the operation. Manual ability was significantly improved by the trapeziectomy as demonstrated by the median VAS values of 53.5 before and 95.5 after surgery. The ABILHAND questionnaire revealed that most of the patients were satisfied with the functional results of the trapeziectomy. Based on our findings in this prospective study, it appears that trapeziectomy with intermetacarpal tendon stabilisation relieved pain in almost 90% of patients suffering from trapeziometacarpal osteoarthritis, at no functional cost.
Authors:
Olivier Barbier; Areti-Markella Chryssagi; Sébastien Hugon; Jean-Jacques Rombouts; Jean-Louis Thonnard
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Acta orthopaedica Belgica     Volume:  70     ISSN:  0001-6462     ISO Abbreviation:  Acta Orthop Belg     Publication Date:  2004 Oct 
Date Detail:
Created Date:  2004-12-10     Completed Date:  2005-01-06     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  2985165R     Medline TA:  Acta Orthop Belg     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  410-6     Citation Subset:  IM    
Affiliation:
Saint-Luc University Clinics, Catholic University of Louvain, Brussels, Belgium. olivier.barbier@orto.ucl.ac.be
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MeSH Terms
Descriptor/Qualifier:
Arthroplasty / methods*
Combined Modality Therapy
Female
Hand Strength / physiology
Humans
Male
Metacarpophalangeal Joint / physiopathology,  surgery*
Osteoarthritis / diagnosis,  surgery*
Pain Measurement
Probability
Prospective Studies
Risk Assessment
Sampling Studies
Severity of Illness Index
Statistics, Nonparametric
Tendons / surgery*
Thumb / physiopathology,  surgery
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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