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J Hand Surg Am. 2011 Nov;36(11):1748-52. doi: 10.1016/j.jhsa.2011.07.026.

Ligament reconstruction of the Trapezial-metacarpal joint for early arthritis: a preliminary report.

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1
Victorian Hand Surgery Associates, St. Vincents Hand Clinic, Melbourne, Australia.

Abstract

PURPOSE:

To evaluate the results and determine the efficacy of an alternative ligament reconstruction technique in patients with a symptomatic trapezial-metacarpal joint associated with subluxation and early or limited chondral damage.

METHODS:

This retrospective, nonrandomized study was composed of 6 patients, all women with ages between 31-46 years, treated by arthroscopic evaluation and reconstruction of the intermetacarpal and reverse anterior oblique ligament of the trapezial-metacarpal joint, using a strip of flexor carpi radialis tendon. Evaluation at an average follow-up of 18 months (range,12-28 mo) consisted of interview, examination, and computed tomography.

RESULTS:

The visual analog pain score, preoperative rest pain, and activity pain improved significantly after surgery. Tip and lateral pinch strength measured 92% compared to the contralateral thumb, and computed tomography showed improved alignment of all joints.

CONCLUSIONS:

Our results indicate that ligament reconstruction using the technique described reduced pain, increased strength, and improved the trapezial-metacarpal joint alignment in patients with early symptomatic trapezial-metacarpal joint osteoarthritis associated with joint subluxation.

TYPE OF STUDY/LEVEL OF EVIDENCE:

Therapeutic IV.

PMID:
22036274
DOI:
10.1016/j.jhsa.2011.07.026
[Indexed for MEDLINE]
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