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. 2011 Winter;19(4):134-8.
doi: 10.1177/229255031101900409.

Review of thumb carpometacarpal arthritis classification, treatment and outcomes

Joshua Gillis  1 , Kevin Calder, Jason Williams
Affiliations

Review of thumb carpometacarpal arthritis classification, treatment and outcomes

Joshua Gillis et al. Can J Plast Surg. 2011 Winter.

Abstract
in English, French

Thumb carpometacarpal osteoarthritis (CMC OA) is a common disease, affecting up to 11% and 33% of men and women in their 50s and 60s, respectively, which leads to pain, laxity and weakness of the CMC joint. Based on the staging of the CMC OA, different forms of treatment can be used, including both conservative and surgical measures. Surgical options include osteotomy, trapezial excision, ligament reconstruction with or without tendon interposition, and various prosthetic interpositional implants with or without trapezial excision. The present article reviews the staging of CMC OA, the evaluation of hand function using patient-reported questionnaires, and outcomes of both conservative and surgical treatments. The present review also introduces a commercially available interpositional spacer surgical technique for CMC OA and the early evidence that the literature has shown for improving hand function, strength and stability of the thumb CMC joint postoperatively.

L’arthrose carpométacarpienne (A-CMC) du pouce est une maladie courante, qui touche de 11 % à 33 % des hommes et des femmes dans la cinquantaine et la soixantaine, respectivement, et qui entraîne de la douleur, une laxité et une faiblesse de l’articulation CMC. Selon l’évolution de l’A-CMC, on peut utiliser diverses formes de traitement, y compris des mesures classiques et chirurgicales. Les possibilités chirurgicales incluent l’ostéotomie, l’excision du trapèze, la reconstruction ligamentaire avec ou sans interposition du tendon et divers implants interpositionnels prosthé-tiques. Le présent article expose l’évolution de l’A-CMC, l’évaluation de la fonction de la main au moyen de questionnaires déclarés par les patients et les issues des traitements classiques et chirurgicaux. La présente analyse expose également une technique chirurgicale d’espacement interposition-nel de l’A-CMC offerte sur le marché, et les données probantes promet-teuses publiées ont révélé une amélioration de la fonction de la main, de la force et de la stabilité de l’articulation CMC du pouce après l’opération.

Keywords: Artelon; Carpometacarpal joint; Interpositional spacer; Ligament reconstruction; Osteoarthritis.

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References

    1. Ghavami A, Oishi SN. Thumb trapeziometacarpal arthritis: Treatment with ligament reconstruction tendon interposition arthroplasty. Plast Reconstr Surg. 2006;117:116e–28e. - PubMed
    1. Kriegs-Au G, Petje G, Fojtl E, Ganger R, Zachs I. Ligament reconstruction with or without tendon interposition to treat primary thumb carpometacarpal osteoarthritis. Surgical technique. J Bone Joint Surg Am. 2005;87(Suppl 1):78–85. - PubMed
    1. Fitzgerald BT, Hofmeister EP. Treatment of advanced carpometacarpal joint disease: Trapeziectomy and hematoma arthroplasty. Hand Clin. 2008;24:271–6. vi. - PubMed
    1. Badia A. Trapeziometacarpal arthroscopy: A classification and treatment algorithm. Hand Clin. 2006;22:153–63. - PubMed
    1. Eaton RG, Lane LB, Littler JW, Keyser JJ. Ligament reconstruction for the painful thumb carpometacarpal joint: A long-term assessment. J Hand Surg Am. 1984;9:692–99. - PubMed

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