| Trapezial space height after trapeziectomy: mechanism of formation and benefits. | |
| | |
MedLine Citation:
|
PMID: 11561239 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Seventy-three thumbs in 67 women with osteoarthritis of the trapeziometacarpal joint were assessed prospectively. The patients were randomly allocated for treatment by either trapeziectomy alone (n = 26) or trapeziectomy with tendon interposition (n = 23) or ligament reconstruction (n = 24). A K-wire was passed through the thumb metacarpal base and across the trapezial space into the distal pole of the scaphoid in all procedures; this held the base of the metacarpal away from the scaphoid for 4 weeks. Standard thumb radiographs were used to calculate the trapezial space ratio before surgery and at 1-year follow-up examination. The trapezial space ratio decreased significantly from a preoperative mean of 0.40 (range, 0.20-0.56) to a mean of 0.18 (range, 0.08-0.30) after trapeziectomy, 0.16 (range, 0.07-0.30) after trapeziectomy with tendon interposition, and 0.20 (range, 0.00-0.33) after trapeziectomy with ligament reconstruction. There was no significant difference between these 1-year follow-up trapezial space ratios, suggesting that the placement of a K-wire across the trapezial void is as effective as tendon interposition or ligament reconstruction in creating a trapezial space in the short term at least. However, the need to create a trapezial space and maintain thumb length is questioned because the trapezial space height did not correlate with thumb strength at 1-year follow-up examination. |
| | |
Authors:
|
N D Downing; T R Davis |
Related Documents
:
|
23490109 - Re-evaluating the diagnostic accuracy of the tongue blade test: still useful as a scree... 3623359 - Crossover second toe deformity. 3704009 - The paperclip splint for finger injuries. 8294759 - Soft tissue reconstruction for rheumatoid swan-neck and boutonniere deformities: long-t... 1767639 - Functional splinting versus plaster cast for ruptures of the ulnar collateral ligament ... 20841999 - Modified pull-out wire suture technique for the treatment of chronic bony mallet finger. 15862369 - Sagittal wrist motion of carpal bones following intraarticular fractures of the distal ... 18034139 - External fracture fixation in terms of the capability to monitor and simulate bone unio... 20652719 - Evaluation by ultrasound of traumatic rib fractures missed by radiography. |
Publication Detail:
|
Type: Clinical Trial; Journal Article; Randomized Controlled Trial |
Journal Detail:
|
Title: The Journal of hand surgery Volume: 26 ISSN: 0363-5023 ISO Abbreviation: J Hand Surg Am Publication Date: 2001 Sep |
Date Detail:
|
Created Date: 2001-09-18 Completed Date: 2001-10-18 Revised Date: 2009-06-08 |
Medline Journal Info:
|
Nlm Unique ID: 7609631 Medline TA: J Hand Surg Am Country: United States |
Other Details:
|
Languages: eng Pagination: 862-8 Citation Subset: IM |
Affiliation:
|
Department of Trauma and Orthopaedic Surgery, Queen's Medical Centre, University Hospital, Nottingham, England. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Female Finger Joint / radiography, surgery* Humans Ligaments, Articular / surgery* Orthopedic Procedures* Osteoarthritis / surgery* Tendons / transplantation* Thumb / radiography, surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Effect of A3 pulley and adjacent sheath integrity on tendon excursion and bowstringing.
Next Document: Tendon interposition arthroplasty versus arthrodesis for the treatment of trapeziometacarpal arthrit...