Poor results after interpositional arthroplasty with fascia lata allograft for arthritis of the trapezio-metacarpal joint

Poor results after interpositional arthroplasty with fascia lata allograft for arthritis of the... Arthrodesis or autologous tendon interposition can relieve pain associated with arthritis of the carpo-metacarpal joint of the first ray (CMC-I), but has its limitations. The aim of this study was to assess whether trapezium resection and fascia lata allograft (Tutoplast) interposition is a good alternative. Thirty-eight such combined CMC-I arthroplasties in 36 patients with a median age of 57 years and a median follow-up of 25 months were analysed for complications; Disabilities of Arm, Shoulder, and Hand questionnaire (DASH) scores; pain; and patient satisfaction. Complications occurred in 13 of the 36 patients (36%). The median DASH score was 25, and pain was reduced in 22 patients (85%). Thirteen of the 36 patients (36%) were not satisfied. Trapezium resection and fascia lata allograft interposition do not seem to be good alternatives for CMC-I arthritis. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

Poor results after interpositional arthroplasty with fascia lata allograft for arthritis of the trapezio-metacarpal joint

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Publisher
Springer Journals
Copyright
Copyright © 2007 by Springer-Verlag
Subject
Medicine & Public Health; Plastic Surgery
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s00238-006-0082-x
Publisher site
See Article on Publisher Site

Abstract

Arthrodesis or autologous tendon interposition can relieve pain associated with arthritis of the carpo-metacarpal joint of the first ray (CMC-I), but has its limitations. The aim of this study was to assess whether trapezium resection and fascia lata allograft (Tutoplast) interposition is a good alternative. Thirty-eight such combined CMC-I arthroplasties in 36 patients with a median age of 57 years and a median follow-up of 25 months were analysed for complications; Disabilities of Arm, Shoulder, and Hand questionnaire (DASH) scores; pain; and patient satisfaction. Complications occurred in 13 of the 36 patients (36%). The median DASH score was 25, and pain was reduced in 22 patients (85%). Thirteen of the 36 patients (36%) were not satisfied. Trapezium resection and fascia lata allograft interposition do not seem to be good alternatives for CMC-I arthritis.

Journal

European Journal of Plastic SurgerySpringer Journals

Published: Feb 1, 2007

References

  • Thumb carpometacarpal osteoarthritis: arthrodesis compared with ligament reconstruction and tendon interposition
    Hartigan, BJ; Stern, PJ; Kiefhaber, TR

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