Suspension arthroplasty using the palmaris longus tendon with a suture button for thumb trapeziometacarpal arthritis: a retrospective observational study |
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| Affiliation: | 1. College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia;2. King Abdullah International Medical Research Center, Jeddah, Saudi Arabia;3. Department of Surgery/Orthopedic Section, King Abdulaziz Medical City, Jeddah, Saudi Arabia;1. Department of Orthopaedic Surgery, Aichi Medical University, Japan;2. Department of Orthopaedic Surgery, Ichinomiya Nishi Hospital, Japan;3. Department of Orthopaedic Surgery, Asahi Hospital, Japan;4. Department of Orthopaedic Surgery, Hiroshima University, Japan;1. Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland;2. Orthopaedic and Traumatology Unit, ASST-Settelaghi, 21100, Varese, Italy;3. Interdisciplinary Research Center for Pathology and Surgery of the Musculoskeletal System, Dept. of Biotechnology and Life Sciences, University of Insubria, 21100, Varese, Italy;4. Dipartimento di scienze biotecnologe medico chirurgiche (DSBMC), Polo Pontino, Sapienza Università di Roma, 00185, Roma, Italy;5. Orthopaedic and Traumatology Unit, Istituto Chirurgico Ortopedico Traumatologico (I.C.O.T.) “Marco Pasquali Lasagni”, 04100, Latina, Italy;6. Faculty of Biomedical Sciences, Università della Svizzera Italiana, Via Buffi 13, 6900, Lugano, Switzerland;1. Department of Orthopaedics, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, 510515, China;2. First Clinical Medical School, Southern Medical University, Guangzhou, Guangdong, 510515, China;3. Department of Plastic and Cosmetic Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, 510515, China |
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| Abstract: | BackgroundThis study was performed to assess the clinical and radiographic results at a minimum of 2 years after ligament reconstruction suspension arthroplasty (LRSA) that comprised full trapeziectomy and suspensionplasty using the palmaris longus tendon and the Mini TightRope (Arthrex, Naples, FL) for advanced thumb carpometacarpal arthritis.MethodsWe clinically and radiographically evaluated 26 thumbs in 26 patients who had undergone LRSA at least 2 years previously. The mean follow-up period was 35.9 months. We evaluated the subjective clinical outcomes (visual analogue scale and Quick Disabilities of the Arm, Shoulder, and Hand scores) and objective clinical outcomes (range of motion, pinch strength, grip strength, and trapezial space height ratio).ResultsAt the final follow-up evaluation, the mean visual analogue scale score was 11.1 (standard deviation (SD) 13.4) and the mean Quick Disabilities of the Arm, Shoulder, and Hand questionnaire score was 9.39 (SD 10.1). The mean palmar and radial abduction were 62.3° (SD 11.8°) and 63.8° (SD 9.09°), respectively. The mean key pinch and grip strength were 3.92 (SD 1.07) kg and 19.7 (SD 7.77) kg, respectively. The mean trapezial space ratio was 0.21 (SD 0.10). The subjective clinical outcomes, range of motion, and pinch strength were significantly improved compared with preoperatively.ConclusionsLRSA for advanced-stage thumb carpometacarpal osteoarthritis relieves pain, improves range of motion and strength, and obtains favourable subjective patient-reported clinical outcomes. |
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| Keywords: | Abductor pollicis longus Arthroplasty Palmaris longus Suspensionplasty Thumb Tightrope |
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