[Base-of-thumb osteoarthritis: aspects to be considered with the indication of trapeziectomy and CMC I prosthesis]. / Die Daumensattelgelenksarthrose Aspekte zur Indikationsstellung von Resektionsarthroplastik und Daumensattelgelenksprothese.
Handchir Mikrochir Plast Chir
; 56(3): 192-200, 2024 Jun.
Article
in De
| MEDLINE
| ID: mdl-38861974
ABSTRACT
Base-of-thumb osteoarthritis is the most frequent osteoarthritis of the hand requiring surgical treatment, although conservative treatment options should be exhausted before surgery. If the wear process progresses with continuing pain-related loss of thumb function, thus leading to a loss of function of the whole hand, surgical treatment is indicated. In 1947, Gervis published results after trapeziectomy and heralded the development of a multitude of different surgical procedures. The long time needed for rehabilitation is a major problem of trapeziectomy with or without tendon interposition and/or suspension. After the implementation of the first CMC I prosthesis by De la Caffiniere 50 years ago, a rapid development took place, leading to the current modular bipolar implants. Especially in the German-speaking world, there is still some scepticism regarding these prostheses, which is why this review aims to illuminate both surgical procedures with a special focus placed on the aspects of indication.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Osteoarthritis
/
Prosthesis Design
/
Thumb
/
Trapezium Bone
/
Carpometacarpal Joints
/
Joint Prosthesis
Limits:
Humans
Language:
De
Journal:
Handchir Mikrochir Plast Chir
Year:
2024
Document type:
Article
Affiliation country:
Austria