Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz

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SHR Neuro Krebs Kardio Lipid

Glehr, M; Jeserschek, R; Gruber, G; Parsché, G; Zacherl, M; Maurer-Ertl, W; Windhager, R.
Clinical and Radiological Outcome after Trapezium Resection with Suspension and Interposition Arthroplasty.
Z Orthop Unfall. 2010; 148(3): 326-331.
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Autor/innen der Med Uni Graz:
Glehr Mathias
Gruber Gerald
Jeserschek Reinhard
Maurer-Ertl Werner
Windhager Reinhard
Zacherl Maximilian
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Abstract:
Introduction: Trapezium resection with suspension and interposition arthroplasty of the thumb-carpometacarpal joint is a common method for treatment of severe osteoarthritis of the 1st carpometacarpal joint. Methods: We performed a single center retrospective data analysis after trapezium resection with suspension and interposition arthroplasty of the thumb-carpometacarpal joint with emphasis on quality of life and radiological parameters 3.4 years (1.2-8.7 years) after operation in 60 patients. Pre- and postoperative pain was analysed with VAS, function was measured using the DASH score, pinch grip power with a pinchmeter. Results: Subjective outcome was rated excellent in 42 cases (64.6%), good in 17 (26.2%), fair in 3 (4.6%) and 3 times (4.6%) poor. 56 patients (93.3%) would like to be operated again; 4 patients (6.7%) would deny an operation retrospectively. In the VAS pain was reduced by about 75% compared to the preoperative value. The pinch grip was increased by 46.6% compared to the preoperative value. The rate of major complications was 1.5% and of minor complications 9.2%. Conclusion: Trapezium resection with suspension and interposition arthroplasty can increase the quality of life and reduce pain in patients with severe osteoarthritis of the 1st carpometacarpal joint. The rate of complications is low. Outcome assessment is possible by subjective parameters. Objective values like the range of movement or the decrease of the distance between metacarpal I and scaphoid do not correlate with outcome.
Find related publications in this database (using NLM MeSH Indexing)
Adult -
Aged -
Aged, 80 and over -
Arthroplasty - methods
Carpometacarpal Joints - radiography
Female -
Humans -
Male -
Middle Aged -
Osteoarthritis - radiography
Reconstructive Surgical Procedures - methods
Thumb - surgery
Trapezium Bone - radiography

Find related publications in this database (Keywords)
trapeziectomy
trapezium resection
suspension and interposition arthroplasty
thumb carpometacarpal joint
rhizarthrosis
DASH score
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