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Suspension arthroplasty versus interposition arthroplasty in the treatment of trapeziometacarpal osteoarthritis: a clinical and magnetic resonance imaging study

  • Matteo Guzzini
  • Dario Perugia
  • Lorenzo Proietti
  • Raffaele Iorio
  • Daniele Mazza
  • Vincenzo Masi
  • Andrea Ferretti
Original Paper
  • 10 Downloads

Abstract

Introduction

Biological arthroplasties are the most used surgical techniques, for the treatment of trapeziometacarpal osteoarthritis; all of them provide the reconstruction of trapeziometacarpal joint by a tendon graft. The aim of the study is to compare two surgical techniques: interposition arthroplasty and suspension arthroplasty at 12-month follow-up in order to evaluate the clinical and radiographic results.

Methods

Sixty-seven patients surgically treated for basal thumb osteoarthritis were divided into two groups: 36 patients, (8 M; 27 F) (39 hands), treated with interposition arthroplasty are included in group A and 31 patients, (6 M; 25 F) (34 hands), treated with suspension are included in group B. Both groups were radiographically evaluated with X-ray and MRI at 12 months and clinically evaluated with DASH score, VAS, Grind test, hand grip tests, Kapandji test and ROM before surgery and at final follow-up.

Results

At final follow-up about Kapandji test, in group A, 31 hands (79.4%) presented Kapandji score of 10 and eight hands (20.6%), a Kapandji score of 8. In group B, six hands (17.6%) reported a Kapandji score of 8 and 28 patients (82.4%), a Kapandji score of 10 (p < 0.05). Regarding the radial abduction, patients of group A recovered on average 79.5° of abduction and in group B recovered on average 78°. About DASH score and VAS score, group B shows better results. Mean decalage was 2.3 mm in group A and 0 mm in group B. Jamar dynamometer shows statistically better results for group B in all tests (hand grip test, pulp pinch and key pinch test).

Conclusions

Suspension arthroplasty seems to guarantee better outcomes in terms of pain reduction, clinical score and recovery of grip strength. Moreover, it seem to be associated with better results at MRI like absence of I ray decalage and minor scaphoid subchondral oedema at final follow-up.

Keywords

Osteoarthritis Surgical techniques Magnetic resonance imaging 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

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Copyright information

© SICOT aisbl 2019

Authors and Affiliations

  • Matteo Guzzini
    • 1
  • Dario Perugia
    • 1
  • Lorenzo Proietti
    • 1
  • Raffaele Iorio
    • 1
  • Daniele Mazza
    • 1
  • Vincenzo Masi
    • 1
  • Andrea Ferretti
    • 1
  1. 1.Sant’andrea Hospital, Traumatology Sports Center “Kilk Kilgour”“La Sapienza” UniversityRomeItaly

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