Guus M Vermeulen1, Kim R Spekreijse2, Harm Slijper2, Reinier Feitz2, Steven E R Hovius2, Ruud W Selles2. 1. Department of Hand and Wrist Surgery, Diakonessenhuis Utrecht; Department of Plastic Surgery and Hand Surgery, Erasmus MC University Medical Center, Rotterdam; Department of Rehabilitation Medicine, Rotterdam; Xpert Clinic Hilversum, Hilversum, The Netherlands. Electronic address: g.vermeulen@xpertclinic.nl. 2. Department of Hand and Wrist Surgery, Diakonessenhuis Utrecht; Department of Plastic Surgery and Hand Surgery, Erasmus MC University Medical Center, Rotterdam; Department of Rehabilitation Medicine, Rotterdam; Xpert Clinic Hilversum, Hilversum, The Netherlands.
Abstract
PURPOSE: To compare the results for treatment of basal thumb osteoarthritis with and without the use of a bone tunnel at the base of the first metacarpal. METHODS:Women aged 40 years or older with stage IV osteoarthritis were randomized to 1 of 2 treatments. Patients were evaluated preoperatively and postoperatively at 3 and 12 months by assessing pain, outcome function measures, range of motion, strength, time to return to work or activities, satisfaction with the results, and complication rate. RESULTS: A total of 79 patients were enrolled in this study. Three months after surgery, Patient-Rated Wrist and Hand Evaluation pain and total scores were significantly improved in the bone tunnel group compared with the tunnel-free group. At 12 months, however, we found no significant differences for all outcome scores between groups. In addition, we observed no significant differences between groups in strength, duration to return to work or activities, patient satisfaction, and complication rates. CONCLUSIONS: After the bone tunnel technique, patients have better function and less pain 3 months after surgery than do those in the non-bone tunnel group, which indicates faster recovery. However, 12 months after surgery, the functional outcome was similar. Because of faster recovery, we prefer the bone tunnel technique in the treatment of stage IV osteoarthritis. TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic I.
RCT Entities:
PURPOSE: To compare the results for treatment of basal thumb osteoarthritis with and without the use of a bone tunnel at the base of the first metacarpal. METHODS:Women aged 40 years or older with stage IV osteoarthritis were randomized to 1 of 2 treatments. Patients were evaluated preoperatively and postoperatively at 3 and 12 months by assessing pain, outcome function measures, range of motion, strength, time to return to work or activities, satisfaction with the results, and complication rate. RESULTS: A total of 79 patients were enrolled in this study. Three months after surgery, Patient-Rated Wrist and Hand Evaluation pain and total scores were significantly improved in the bone tunnel group compared with the tunnel-free group. At 12 months, however, we found no significant differences for all outcome scores between groups. In addition, we observed no significant differences between groups in strength, duration to return to work or activities, patient satisfaction, and complication rates. CONCLUSIONS: After the bone tunnel technique, patients have better function and less pain 3 months after surgery than do those in the non-bone tunnel group, which indicates faster recovery. However, 12 months after surgery, the functional outcome was similar. Because of faster recovery, we prefer the bone tunnel technique in the treatment of stage IV osteoarthritis. TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic I.
Authors: Ricardo Lucca Cabarite Saheb; Breno Alves DE Sousa Vaz; Thabata Pasquini Soeira; Filipe Jun Shimaoka; Carlos Fernando Pereira DA Silva Herrero; Nilton Mazzer Journal: Acta Ortop Bras Date: 2022-01-28 Impact factor: 0.513
Authors: Vinícius Ynoe DE Moraes; Priscila Frantz Ruff; Carlos Henrique Fernandes; João Baptista Gomes Dos Santos; João Carlos Belloti; Flávio Faloppa Journal: Acta Ortop Bras Date: 2018 May-Jun Impact factor: 0.513