Document Detail


Rehabilitation protocol after suspension arthroplasty of thumb carpometacarpal joint osteoarthritis.
MedLine Citation:
PMID:  22975741     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
STUDY DESIGN: Retrospective case series.
INTRODUCTION: When conservative modalities and therapies fail to control symptoms of thumb carpometacarpal (CMC) joint osteoarthritis, surgery may be indicated.
PURPOSE OF THE STUDY: To present a rehabilitation protocol used in a series of patient cases after suspension arthroplasty and to evaluate outcomes.
METHODS: Twenty-seven patients with CMC osteoarthritis were treated by the same arthroplasty technique and the same rehabilitation program. Patients were evaluated before and 12th week after surgery, and at the last follow-up using a visual analog scale; the Disability of the Arm, Shoulder, and Hand questionnaire; strength measurements; range of motion evaluations; and radiographic assessment.
RESULTS: Average follow-up period was 31.5 months. There was a decreasing trend in both subjective scores during follow-ups (p=0.0001). Thirty-three percent and 30% improvements on radial and palmar abductions, respectively, and 29% improvement on pinch strengths were recorded at the final follow-up. Postoperative grip improvement was not preserved at the last follow-up.
CONCLUSIONS: The results demonstrate a high degree of patient satisfaction suggesting the efficacy of this surgical technique and postoperative rehabilitation protocol.
LEVEL OF EVIDENCE: Level 4.
Authors:
Yaprak Ataker; Eftal Gudemez; Sibel Comert Ece; Nazan Canbulat; Ayan Gulgonen
Publication Detail:
Type:  Journal Article     Date:  2012-09-10
Journal Detail:
Title:  Journal of hand therapy : official journal of the American Society of Hand Therapists     Volume:  25     ISSN:  1545-004X     ISO Abbreviation:  J Hand Ther     Publication Date:    2012 Oct-Dec
Date Detail:
Created Date:  2012-10-19     Completed Date:  2013-05-27     Revised Date:  2013-07-22    
Medline Journal Info:
Nlm Unique ID:  8806591     Medline TA:  J Hand Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  374-82; quiz 383     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 Hanley & Belfus. Published by Elsevier Inc. All rights reserved.
Affiliation:
Department of Physical Medicine and Rehabilitation, Vehbi Koc Foundation, American Hospital, Istanbul, Turkey. yapraka@amerikanhastanesi.org
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Arthroplasty / methods*
Carpometacarpal Joints / physiopathology,  surgery*
Disability Evaluation
Female
Follow-Up Studies
Humans
Ligaments, Articular / surgery
Male
Middle Aged
Osteoarthritis / physiopathology,  rehabilitation*,  surgery*
Pain Measurement
Pinch Strength
Postoperative Care*
Range of Motion, Articular
Retrospective Studies
Tendon Transfer
Tendons / surgery
Trapezium Bone / surgery
Comments/Corrections
Comment In:
J Hand Ther. 2012 Oct-Dec;25(4):384-6   [PMID:  22959538 ]

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


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