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Swanson versus apl arthroplasty in the treatment of osteoarthritis of the trapeziometacarpal joint: a prospective and randomized study in 26 patients.

Tägil, Magnus LU and Kopylov, Philippe LU (2002) In Journal of Hand Surgery (British Volume) 27(5). p.452-456
Abstract
Twenty-six patients were operated because of osteo-arthritis of the trapeziometacarpal joint. After excision of the trapezium, they were randomized to receive either a Swanson silicone trapezium implant or a tendon interposition arthroplasty using a strip of the abductor pollicis longus tendon (APL). No infection or clinical silicone synovitis occurred and no major radiographic cyst formation was found. Two endoprostheses dislocated early. All 13 patients in the Swanson group and 11 of the 13 in the APL group were subjectively satisfied at 2-5 year (mean, 43 months) follow-up. All patients were free of pain at rest and at light work, but half of the patients in each group still experienced pain with heavy work. Thumb pinch strength and... (More)
Twenty-six patients were operated because of osteo-arthritis of the trapeziometacarpal joint. After excision of the trapezium, they were randomized to receive either a Swanson silicone trapezium implant or a tendon interposition arthroplasty using a strip of the abductor pollicis longus tendon (APL). No infection or clinical silicone synovitis occurred and no major radiographic cyst formation was found. Two endoprostheses dislocated early. All 13 patients in the Swanson group and 11 of the 13 in the APL group were subjectively satisfied at 2-5 year (mean, 43 months) follow-up. All patients were free of pain at rest and at light work, but half of the patients in each group still experienced pain with heavy work. Thumb pinch strength and range of motion were not significantly different in the two groups. The trapezial space decreased both with load and length of follow-up in both groups. Five endoprostheses subluxed during stressed pinch.In conclusion, both methods gave good, but not complete, pain relief and neither produced better results than the other in the short term. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Journal of Hand Surgery (British Volume)
volume
27
issue
5
pages
452 - 456
publisher
SAGE Publications Inc.
external identifiers
  • pmid:12367545
  • wos:000178866900013
  • scopus:0036798516
ISSN
0266-7681
DOI
10.1054/jhsb.2002.0836
language
English
LU publication?
yes
id
6874d9a7-99db-4601-87c1-524890b225ac (old id 110731)
alternative location
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=12367545&dopt=Abstract
date added to LUP
2007-07-04 09:50:48
date last changed
2017-08-27 05:16:32
@article{6874d9a7-99db-4601-87c1-524890b225ac,
  abstract     = {Twenty-six patients were operated because of osteo-arthritis of the trapeziometacarpal joint. After excision of the trapezium, they were randomized to receive either a Swanson silicone trapezium implant or a tendon interposition arthroplasty using a strip of the abductor pollicis longus tendon (APL). No infection or clinical silicone synovitis occurred and no major radiographic cyst formation was found. Two endoprostheses dislocated early. All 13 patients in the Swanson group and 11 of the 13 in the APL group were subjectively satisfied at 2-5 year (mean, 43 months) follow-up. All patients were free of pain at rest and at light work, but half of the patients in each group still experienced pain with heavy work. Thumb pinch strength and range of motion were not significantly different in the two groups. The trapezial space decreased both with load and length of follow-up in both groups. Five endoprostheses subluxed during stressed pinch.In conclusion, both methods gave good, but not complete, pain relief and neither produced better results than the other in the short term.},
  author       = {Tägil, Magnus and Kopylov, Philippe},
  issn         = {0266-7681},
  language     = {eng},
  number       = {5},
  pages        = {452--456},
  publisher    = {SAGE Publications Inc.},
  series       = {Journal of Hand Surgery (British Volume)},
  title        = {Swanson versus apl arthroplasty in the treatment of osteoarthritis of the trapeziometacarpal joint: a prospective and randomized study in 26 patients.},
  url          = {http://dx.doi.org/10.1054/jhsb.2002.0836},
  volume       = {27},
  year         = {2002},
}