Advanced

Osteotomy versus tendon arthroplasty in trapeziometacarpal arthrosis: 17 patients followed for 1 year

Atroshi, Isam LU ; Axelsson, Gertrud and Nilsson, Eva-Lena (1998) In Acta Orthopaedica Scandinavica 69(3). p.287-290
Abstract
We evaluated 2 consecutive cohorts of patients with primary trapeziometacarpal arthrosis 1 year after either first metacarpal osteotomy or trapezial excision with abductor pollicis longus tendon arthroplasty. At follow-up, 4 of 7 patients treated with osteotomy had pain at rest and/or with light activities and were dissatisfied with the results of surgery, all 4 had advanced (stage III) preoperative trapeziometacarpal arthrosis. 1 of 10 patients (5 having stage III arthrosis) treated with abductor pollicis longus arthroplasty had pain with light activities, and no patient was dissatisfied. Our findings indicate that first metacarpal osteotomy as a surgical option in trapeziometacarpal arthrosis should be limited to patients with early... (More)
We evaluated 2 consecutive cohorts of patients with primary trapeziometacarpal arthrosis 1 year after either first metacarpal osteotomy or trapezial excision with abductor pollicis longus tendon arthroplasty. At follow-up, 4 of 7 patients treated with osteotomy had pain at rest and/or with light activities and were dissatisfied with the results of surgery, all 4 had advanced (stage III) preoperative trapeziometacarpal arthrosis. 1 of 10 patients (5 having stage III arthrosis) treated with abductor pollicis longus arthroplasty had pain with light activities, and no patient was dissatisfied. Our findings indicate that first metacarpal osteotomy as a surgical option in trapeziometacarpal arthrosis should be limited to patients with early disease. (Less)
Please use this url to cite or link to this publication:
author
publishing date
type
Contribution to journal
publication status
published
subject
in
Acta Orthopaedica Scandinavica
volume
69
issue
3
pages
287 - 290
publisher
Taylor & Francis
external identifiers
  • scopus:0031824630
ISSN
0001-6470
DOI
10.3109/17453679809000932
language
English
LU publication?
no
id
f545f818-ae82-4337-8f9d-e0d350096958 (old id 1296556)
date added to LUP
2009-07-31 12:42:19
date last changed
2017-04-23 04:29:09
@article{f545f818-ae82-4337-8f9d-e0d350096958,
  abstract     = {We evaluated 2 consecutive cohorts of patients with primary trapeziometacarpal arthrosis 1 year after either first metacarpal osteotomy or trapezial excision with abductor pollicis longus tendon arthroplasty. At follow-up, 4 of 7 patients treated with osteotomy had pain at rest and/or with light activities and were dissatisfied with the results of surgery, all 4 had advanced (stage III) preoperative trapeziometacarpal arthrosis. 1 of 10 patients (5 having stage III arthrosis) treated with abductor pollicis longus arthroplasty had pain with light activities, and no patient was dissatisfied. Our findings indicate that first metacarpal osteotomy as a surgical option in trapeziometacarpal arthrosis should be limited to patients with early disease.},
  author       = {Atroshi, Isam and Axelsson, Gertrud and Nilsson, Eva-Lena},
  issn         = {0001-6470},
  language     = {eng},
  number       = {3},
  pages        = {287--290},
  publisher    = {Taylor & Francis},
  series       = {Acta Orthopaedica Scandinavica},
  title        = {Osteotomy versus tendon arthroplasty in trapeziometacarpal arthrosis: 17 patients followed for 1 year},
  url          = {http://dx.doi.org/10.3109/17453679809000932},
  volume       = {69},
  year         = {1998},
}