Osteotomy versus tendon arthroplasty in trapeziometacarpal arthrosis: 17 patients followed for 1 year.
Acta Orthop Scand
; 69(3): 287-90, 1998 Jun.
Article
en En
| MEDLINE
| ID: mdl-9703405
ABSTRACT
We evaluated 2 consecutive cohorts of patients with primary trapeziometacarpal arthrosis 1 year after either first metacarpal osteotomy or trapezial excision with abductor pollicis longus tendon arthroplasty. At follow-up, 4 of 7 patients treated with osteotomy had pain at rest and/or with light activities and were dissatisfied with the results of surgery, all 4 had advanced (stage III) preoperative trapeziometacarpal arthrosis. 1 of 10 patients (5 having stage III arthrosis) treated with abductor pollicis longus arthroplasty had pain with light activities, and no patient was dissatisfied. Our findings indicate that first metacarpal osteotomy as a surgical option in trapeziometacarpal arthrosis should be limited to patients with early disease.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Osteoartritis
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Osteotomía
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Artroplastia
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Tendones
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Articulación de la Muñeca
Tipo de estudio:
Clinical_trials
/
Etiology_studies
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Incidence_studies
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Observational_studies
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Prognostic_studies
/
Risk_factors_studies
Límite:
Adult
/
Aged
/
Female
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Humans
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Male
/
Middle aged
Idioma:
En
Revista:
Acta Orthop Scand
Año:
1998
Tipo del documento:
Article
País de afiliación:
Suecia