Short-Term Outcomes of Trapeziometacarpal Artelon Implant Compared With Tendon Suspension Interposition Arthroplasty for Osteoarthritis: A Matched Cohort Study.
Jörheim, Maria ; Isaxon, Ingrid ; Flondell, Magnus LU
; Kalén, Peter
LU
and Atroshi, Isam
LU
(2009)
In The Journal of Hand Surgery
34A(8).
p.1381-1387
- Abstract
- PURPOSE: To compare the short-term efficacy of the Artelon trapeziometacarpal (TMC) implant with that of total trapeziectomy and abductor pollicis longus (APL) tendon suspension interposition arthroplasty in TMC osteoarthritis. METHODS: A single-center matched cohort study was designed. The Artelon cohort comprised 13 consecutive patients (10 women, 3 men; mean age, 54 years) operated on with Artelon implant arthroplasty. The APL cohort comprised 40 patients (33 women, 7 men; mean age, 58 years) randomly selected among 88 consecutive age-matched patients operated on with APL arthroplasty during the same period. The mean follow-up time was 13 (SD, 4) months for the Artelon group and 12 (SD, 3) months for the APL group. All patients... (More)
- PURPOSE: To compare the short-term efficacy of the Artelon trapeziometacarpal (TMC) implant with that of total trapeziectomy and abductor pollicis longus (APL) tendon suspension interposition arthroplasty in TMC osteoarthritis. METHODS: A single-center matched cohort study was designed. The Artelon cohort comprised 13 consecutive patients (10 women, 3 men; mean age, 54 years) operated on with Artelon implant arthroplasty. The APL cohort comprised 40 patients (33 women, 7 men; mean age, 58 years) randomly selected among 88 consecutive age-matched patients operated on with APL arthroplasty during the same period. The mean follow-up time was 13 (SD, 4) months for the Artelon group and 12 (SD, 3) months for the APL group. All patients completed the short-form Disabilities of the Arm, Shoulder, and Hand (QuickDASH) survey and a scale measuring thumb pain and related activity limitation, both scored 0 (best) to 100 (worst). Patient satisfaction was recorded. Physical examination was performed by a blinded therapist. RESULTS: The median QuickDASH score was 25 for the Artelon group and 20 for the APL group; the median pain scores were 38 and 28, respectively; the differences were not statistically significant. In the Artelon group, 8 patients were satisfied, compared with 32 in the APL group; the adjusted odds ratio of not being satisfied following Artelon implant compared to APL arthroplasty was 4. The median grip strength as a percentage of the contralateral hand was 82% in the Artelon group and 95% in the APL group; the median pinch strength was 61% and 86%, respectively. No statistically significant differences were found in thumb palmar or radial abduction. Two Artelon patients had revision to APL arthroplasty. CONCLUSIONS: The short-term outcomes of the Artelon TMC implant were not superior to those of tendon suspension interposition arthroplasty, a factor to be considered when comparing treatment cost effectiveness. TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic III. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1469679
- author
- Jörheim, Maria
; Isaxon, Ingrid
; Flondell, Magnus
LU
; Kalén, Peter
LU
and Atroshi, Isam
LU
- organization
- publishing date
- 2009
- type
- Contribution to journal
- publication status
- published
- subject
- in
- The Journal of Hand Surgery
- volume
- 34A
- issue
- 8
- pages
- 1381 - 1387
- publisher
- Elsevier
- external identifiers
-
- wos:000270757500001
- pmid:19683881
- scopus:70349558530
- ISSN
- 1531-6564
- DOI
- 10.1016/j.jhsa.2009.04.016
- language
- English
- LU publication?
- yes
- id
- a9fe022e-669f-499f-b8b6-7b58bdd67b29 (old id 1469679)
- alternative location
- http://www.ncbi.nlm.nih.gov/pubmed/19683881?dopt=Abstract
- date added to LUP
- 2016-04-01 12:16:30
- date last changed
- 2022-01-27 01:22:59
@article{a9fe022e-669f-499f-b8b6-7b58bdd67b29,
abstract = {{PURPOSE: To compare the short-term efficacy of the Artelon trapeziometacarpal (TMC) implant with that of total trapeziectomy and abductor pollicis longus (APL) tendon suspension interposition arthroplasty in TMC osteoarthritis. METHODS: A single-center matched cohort study was designed. The Artelon cohort comprised 13 consecutive patients (10 women, 3 men; mean age, 54 years) operated on with Artelon implant arthroplasty. The APL cohort comprised 40 patients (33 women, 7 men; mean age, 58 years) randomly selected among 88 consecutive age-matched patients operated on with APL arthroplasty during the same period. The mean follow-up time was 13 (SD, 4) months for the Artelon group and 12 (SD, 3) months for the APL group. All patients completed the short-form Disabilities of the Arm, Shoulder, and Hand (QuickDASH) survey and a scale measuring thumb pain and related activity limitation, both scored 0 (best) to 100 (worst). Patient satisfaction was recorded. Physical examination was performed by a blinded therapist. RESULTS: The median QuickDASH score was 25 for the Artelon group and 20 for the APL group; the median pain scores were 38 and 28, respectively; the differences were not statistically significant. In the Artelon group, 8 patients were satisfied, compared with 32 in the APL group; the adjusted odds ratio of not being satisfied following Artelon implant compared to APL arthroplasty was 4. The median grip strength as a percentage of the contralateral hand was 82% in the Artelon group and 95% in the APL group; the median pinch strength was 61% and 86%, respectively. No statistically significant differences were found in thumb palmar or radial abduction. Two Artelon patients had revision to APL arthroplasty. CONCLUSIONS: The short-term outcomes of the Artelon TMC implant were not superior to those of tendon suspension interposition arthroplasty, a factor to be considered when comparing treatment cost effectiveness. TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic III.}},
author = {{Jörheim, Maria and Isaxon, Ingrid and Flondell, Magnus and Kalén, Peter and Atroshi, Isam}},
issn = {{1531-6564}},
language = {{eng}},
number = {{8}},
pages = {{1381--1387}},
publisher = {{Elsevier}},
series = {{The Journal of Hand Surgery}},
title = {{Short-Term Outcomes of Trapeziometacarpal Artelon Implant Compared With Tendon Suspension Interposition Arthroplasty for Osteoarthritis: A Matched Cohort Study.}},
url = {{http://dx.doi.org/10.1016/j.jhsa.2009.04.016}},
doi = {{10.1016/j.jhsa.2009.04.016}},
volume = {{34A}},
year = {{2009}},
}