Title: Stabilization of the pre-arthritic trapeziometacarpal joint using ligament reconstruction
Authors: Van Giffen, N ×
Van Ransbeeck, H
De Smet, Luc #
Issue Date: Oct-2002
Series Title: Chirurgie de la main vol:21 issue:5 pages:277-81
Abstract: INTRODUCTION: Trapeziometacarpal pre-arthrosis is a common condition with only limited therapeutic possibilities. Eaton and Littler designed a tendon stabilization. MATERIALS AND METHODS: A series of 21 thumbs with painful carpometacarpal joints, treated with a ligament reconstruction according to Eaton and Littler, is described. Three failed and further surgery was required. The outcome of 18 is evaluated. There were 11 women, 7 men with a mean age of 33.7 years, all having stages I or II of osteoarthritis. Six (30%) had a traumatic event in their history. RESULTS: In the early stages of degenerative osteoarthritis, the overall outcome was good with a mean DASH score of 23.2. The carpometacarpal joint was stable but a 43% progression of radiographic osteoarthritic deterioration of the joint occurred. CONCLUSION: Stabilization of a painful pre-arthritic trapeziometacarpal joint is useful and reliable. A traumatic instability had worse results and probably is a contraindication to this technique.
ISSN: 1297-3203
Publication status: published
KU Leuven publication type: IT
Appears in Collections:Research Group for Musculoskeletal Rehabilitation
× corresponding author
# (joint) last author

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