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Is single trapeziectomy sufficient in grade III and IV carpometacarpal (CMC) osteoarthritis?

Mesut Tahta, Eyup Cagatay Zengin, Fırat Erpala, Tugrul Bulut, Muhittin Sener.

Abstract
Objectives: The aim of this study was to compare the efficacy of simple trapeziectomy (ST) with trapeziectomy and flexor carpi radialis tendon interposition (T+LRTI) for grade III and IV CMC osteoarthritis in terms of clinical and radiological findings.
Methods: Of the selected 13 patients, ST alone was applied to 7 (Group 1) and T+LRTI was applied to 6 (Group 2) by a single surgeon. Quick DASH and VAS scoring were used in the clinical evaluation; the grip, palmar pinch, key pinch and tip pinch were measured with a pinchmeter; the trapezial space ratio (TSR) was measured on the standard AP hand radiographs taken at the final follow-up. Clinical and radiological results of both groups were compared.
Results: The mean follow-up period was 12 months in Group 1 and 17 months in Group 2. The postoperative final follow-up examination mean VAS values of Group 1 and 2 were 2 and 2.5, respectively; the Quick DASH scores were 23.2 and 27.4, respectively. Mean grip strength of Group 1 and 2 was measured as 13.2 and 12; palmar pinch strength as 3.9 and 4.6; key pinch strength as 5.6 and 4.3; and tip pinch strength as 8 and 5, respectively. The trapezial space ratio was measured with the final follow-up radiographs as mean 0.22 in Group 1 and 0.18 in Group 2.
Conclusion: ST and T+LRTI have similar results and we believe that T+LRTI has no clinical or radiological benefits over ST in short-term follow-up.

Key words: Ligament reconstruction, osteoarthritis, thumb, trapeziectomy


 
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How to Cite this Article
Pubmed Style

Mesut Tahta, Eyup Cagatay Zengin, Fırat Erpala, Tugrul Bulut, Muhittin Sener. Is single trapeziectomy sufficient in grade III and IV carpometacarpal (CMC) osteoarthritis?. Hand Microsurg. 2017; 6(1): 28-33. doi:10.5455/handmicrosurg.221098

Web Style

Mesut Tahta, Eyup Cagatay Zengin, Fırat Erpala, Tugrul Bulut, Muhittin Sener. Is single trapeziectomy sufficient in grade III and IV carpometacarpal (CMC) osteoarthritis?. https://handmicrosurgeryjournal.com/?mno=221098 [Access: January 14, 2024]. doi:10.5455/handmicrosurg.221098

AMA (American Medical Association) Style

Mesut Tahta, Eyup Cagatay Zengin, Fırat Erpala, Tugrul Bulut, Muhittin Sener. Is single trapeziectomy sufficient in grade III and IV carpometacarpal (CMC) osteoarthritis?. Hand Microsurg. 2017; 6(1): 28-33. doi:10.5455/handmicrosurg.221098


Vancouver/ICMJE Style

Mesut Tahta, Eyup Cagatay Zengin, Fırat Erpala, Tugrul Bulut, Muhittin Sener. Is single trapeziectomy sufficient in grade III and IV carpometacarpal (CMC) osteoarthritis?. Hand Microsurg. (2017), [cited January 14, 2024]; 6(1): 28-33. doi:10.5455/handmicrosurg.221098


Harvard Style

Mesut Tahta, Eyup Cagatay Zengin, Fırat Erpala, Tugrul Bulut, Muhittin Sener (2017) Is single trapeziectomy sufficient in grade III and IV carpometacarpal (CMC) osteoarthritis?. Hand Microsurg, 6 (1), 28-33. doi:10.5455/handmicrosurg.221098


Turabian Style

Mesut Tahta, Eyup Cagatay Zengin, Fırat Erpala, Tugrul Bulut, Muhittin Sener. 2017. Is single trapeziectomy sufficient in grade III and IV carpometacarpal (CMC) osteoarthritis?. Hand and Microsurgery, 6 (1), 28-33. doi:10.5455/handmicrosurg.221098


Chicago Style

Mesut Tahta, Eyup Cagatay Zengin, Fırat Erpala, Tugrul Bulut, Muhittin Sener. "Is single trapeziectomy sufficient in grade III and IV carpometacarpal (CMC) osteoarthritis?." Hand and Microsurgery 6 (2017), 28-33. doi:10.5455/handmicrosurg.221098


MLA (The Modern Language Association) Style

Mesut Tahta, Eyup Cagatay Zengin, Fırat Erpala, Tugrul Bulut, Muhittin Sener. "Is single trapeziectomy sufficient in grade III and IV carpometacarpal (CMC) osteoarthritis?." Hand and Microsurgery 6.1 (2017), 28-33. Print. doi:10.5455/handmicrosurg.221098


APA (American Psychological Association) Style

Mesut Tahta, Eyup Cagatay Zengin, Fırat Erpala, Tugrul Bulut, Muhittin Sener (2017) Is single trapeziectomy sufficient in grade III and IV carpometacarpal (CMC) osteoarthritis?. Hand and Microsurgery, 6 (1), 28-33. doi:10.5455/handmicrosurg.221098




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    Hand and Microsurgery, the official journal of Turkish Society for Surgery of Hand and Upper Extremity, is a peer-reviewed scientific journal published th ... Read more.



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