Kristopher R Avant1, Jason A Nydick2, Brian D White3, Lisa Vaccaro4, Alfred V Hess1, Jeffrey D Stone1. 1. Florida Orthopaedic Institute, 13020 N Telecom Pkwy, Tampa, FL 33637 USA. 2. Department of Orthopaedic Surgery, Naval Hospital Pensacola, 6000 West Hwy 98, Pensacola, FL 32512 USA. 3. Department of Orthopaedic Surgery, University of South Florida, Tampa, FL USA. 4. Foundation for Orthopaedic Research and Education (FORE), 13020 N Telecom Pkwy, Tampa, FL 33637 USA.
Abstract
BACKGROUND: Our purpose was to compare the outcomes of patients with severe basilar thumb osteoarthritis treated with trapeziectomy and suspensionplasty using abductor pollicis longus (APL) tendon versus a suture button device. METHODS: A retrospective study was performed for patients undergoing trapeziectomy and suspensionplasty with APL tendon or suture button fixation. Outcome measures included disabilities of the arm, shoulder, and hand (DASH); visual analog score (VAS); grip strength; key pinch; tip pinch; and thumb opposition. Radiographic measurements, surgical times, and complications were recorded. RESULTS: Thirty-three patients in the APL tendon group and 27 patients in the suture button group had a minimum 6-month follow-up. VAS, DASH, and functional measurements improved after surgery for both groups. Mean operative time was 68 min for the APL tendon group and 48 min for the suture button group. Complications were similar between groups. CONCLUSIONS: The use of suture button fixation when compared to APL tendon suspensionplasty offers similar clinical outcomes. TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic III.
BACKGROUND: Our purpose was to compare the outcomes of patients with severe basilar thumb osteoarthritis treated with trapeziectomy and suspensionplasty using abductor pollicis longus (APL) tendon versus a suture button device. METHODS: A retrospective study was performed for patients undergoing trapeziectomy and suspensionplasty with APL tendon or suture button fixation. Outcome measures included disabilities of the arm, shoulder, and hand (DASH); visual analog score (VAS); grip strength; key pinch; tip pinch; and thumb opposition. Radiographic measurements, surgical times, and complications were recorded. RESULTS: Thirty-three patients in the APL tendon group and 27 patients in the suture button group had a minimum 6-month follow-up. VAS, DASH, and functional measurements improved after surgery for both groups. Mean operative time was 68 min for the APL tendon group and 48 min for the suture button group. Complications were similar between groups. CONCLUSIONS: The use of suture button fixation when compared to APL tendon suspensionplasty offers similar clinical outcomes. TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic III.
Entities:
Keywords:
Suspensionplasty; Suture button; Thumb arthritis
Authors: Warren S Sandberg; Bethany Daily; Marie Egan; James E Stahl; Julian M Goldman; Richard A Wiklund; David Rattner Journal: Anesthesiology Date: 2005-08 Impact factor: 7.892
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