Arthroscopic Total Trapeziectomy for Thumb Carpometacarpal Arthrosis.

IF 1.8 Q2 ORTHOPEDICS

HAND Pub Date : 2025-10-01 Epub Date: 2024-07-24 DOI:10.1177/15589447241262055

Alexander J Adams, Alexis Kasper, Rick Tosti

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引用次数: 0

Abstract

Background: The purpose of this individual cohort study is to demonstrate safety and efficacy in removing the trapezium through minimally invasive arthroscopy.

Methods: A prospective case series was performed on all arthroscopic total trapeziectomy procedures for thumb basal joint arthrosis between 2018 and 2022. Patients were followed for up to 1 year. All patients received an examination at each visit to include pain, range of motion, strength, and metacarpal height. Complications, concomitant procedures, and revision procedures were recorded as well.

Results: A total of 49 arthroscopic trapeziectomy procedures were recorded for 46 patients. The average preoperative visual analog pain scale score was 8.8 out of 10, and the postoperative score was 1 out of 10. All patients had a resolution of the carpometacarpal grind test postoperatively. The average preoperative key pinch, 3-point chuck, and grip strength were 9.8 lbs/in², 7.8 lbs/in², and 45 lbs/in², respectively. Final 6-month postoperative key pinch, 3-point chuck, and grip strength were 11.0 lbs/in², 9.8 lbs/in², and 49.2 lbs/in², respectively. Metacarpal height subsided on average 50%. We report one revision and no cases of radial sensory neuritis or flexor tendon rupture.

Conclusions: Arthroscopic total trapeziectomy appears to be a safe and effective treatment for end-stage arthrosis of the thumb basal joint.

Level of evidence: 2b Therapeutic; Individual Cohort Study.

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关节镜下拇指掌骨关节全切除术

背景：这项个体队列研究旨在证明通过微创关节镜切除斜方肌的安全性和有效性：这项个体队列研究的目的是证明通过微创关节镜切除斜方肌的安全性和有效性：对2018年至2022年期间所有关节镜下拇指基关节关节病全梯形切除术进行了前瞻性病例系列研究。对患者进行了长达 1 年的随访。所有患者在每次就诊时均接受检查，包括疼痛、活动范围、力量和掌骨高度。同时记录并发症、伴随手术和翻修手术：46名患者共接受了49例关节镜下斜方肌切除术。术前平均视觉模拟疼痛量表评分为 8.8 分（满分为 10 分），术后评分为 1 分（满分为 10 分）。术后所有患者的腕掌磨擦试验均无异常。术前捏键、三点卡盘和握力的平均值分别为 9.8 磅/平方英寸、7.8 磅/平方英寸和 45 磅/平方英寸。术后 6 个月的最终捏键、三点卡盘和握力分别为 11.0 磅/英寸2、9.8 磅/英寸2 和 49.2 磅/英寸2。掌骨高度平均降低了 50%。我们报告了一例翻修病例，无桡骨感觉神经炎或屈肌腱断裂病例：结论：关节镜下全梯形关节切除术似乎是治疗拇指基关节终末期关节病的一种安全有效的方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

HAND Medicine-Surgery

CiteScore

3.30

自引率

0.00%

发文量

209

期刊介绍： HAND is the official journal of the American Association for Hand Surgery and is a peer-reviewed journal featuring articles written by clinicians worldwide presenting current research and clinical work in the field of hand surgery. It features articles related to all aspects of hand and upper extremity surgery and the post operative care and rehabilitation of the hand.