Comparative Study of Trapeziectomy with Weilby Suspensionplasty versus Implant Arthroplasty for Thumb Carpometacarpal Joint Arthritis in an Asian Population.

IF 0.5 Q4 SURGERY Journal of Hand Surgery-Asian-Pacific Volume Pub Date : 2024-10-01 Epub Date: 2024-08-30 DOI:10.1142/S2424835524500401
Tuan Hao Tan, Hui Ying Gavrielle Kang
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Abstract

Background: This retrospective study compares the outcomes of trapeziectomy and Weilby suspensionplasty procedure versus implant arthroplasty using the TOUCH® prosthesis for basilar thumb arthritis in an Asian population. Methods: A total of 15 consecutive thumbs in 13 patients were included in this study. Six patients (2 male, 4 female, mean age of 62 years old) underwent trapeziectomy and Weilby suspensionplasty procedure. Seven patients (4 male, 3 female, mean age 63 years old) underwent implant CMCJ arthroplasty using the TOUCH® prosthesis. Data collected include demographics, severity of arthritis on plain radiographs of the thumb basilar joint, length of follow-up, pre- and postoperative pain levels, Kapandji thumb opposition score, grip and pinch strength and the time taken to return to work. Results: Patients in the trapeziectomy and Weilby suspensionplasty group had a mean follow-up of 4.5 months, while those in the TOUCH® implant arthroplasty group had a mean follow-up of 14 months. TOUCH® implant arthroplasty patients showed significantly higher grip strengths at 3 months post-surgery and a shorter return to work. There were no differences in pinch strength at 3 months, pinch or grip strength at 6 months or pain scores. Complications included prolonged scar hypersensitivity in two patients who underwent the Weilby suspensionplasty and a dislocated TOUCH® implant cup in one patient. Conclusions: Our study suggests that in the short term, CMCJ implant arthroplasty with the TOUCH® prosthesis produces results comparable to trapeziectomy and Weilby suspensionplasty. Level of Evidence: Level III (Therapeutic).

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亚洲人拇指腕掌关节炎的梯形切除术与魏尔比悬吊成形术和植入关节成形术的比较研究
背景:这项回顾性研究比较了在亚洲人群中使用梯形切除术和 Weilby 悬吊成形术与使用 TOUCH® 假体的植入关节成形术治疗基底拇指关节炎的疗效。方法:本研究共纳入了 13 名患者的 15 根连续拇指。6名患者(2男4女,平均年龄62岁)接受了梯形切除术和Weilby悬吊成形术。7名患者(4男3女,平均年龄63岁)使用TOUCH®假体接受了植入式CMCJ关节成形术。收集的数据包括人口统计学、拇指基底关节平片显示的关节炎严重程度、随访时间、术前和术后疼痛程度、Kapandji拇指对立评分、握力和捏力以及恢复工作所需的时间。结果梯形切除术和Weilby悬吊成形术组患者的平均随访时间为4.5个月,而TOUCH®植入体关节成形术组患者的平均随访时间为14个月。TOUCH®人工关节置换术患者在术后3个月的握力明显提高,重返工作岗位的时间也缩短了。3个月时的捏力,6个月时的捏力或握力以及疼痛评分均无差异。并发症包括两名接受Weilby悬吊成形术的患者瘢痕长期过敏,以及一名患者的TOUCH®假体杯脱位。结论:我们的研究表明,在短期内,使用 TOUCH® 假体进行 CMCJ 假体关节成形术的效果可与梯形切除术和 Weilby 悬吊成形术相媲美。证据等级:三级(治疗)。
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CiteScore
0.90
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发文量
304
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