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J Wrist Surg
DOI: 10.1055/a-2662-1506
Scientific Article

Short-Term Follow-Up Treatment of Thumb Carpometacarpal Joint Osteoarthritis Through Total Arthroscopic Trapeziectomy with Suture-Button Suspensionplasty

Authors

  • Jorge Martin Lozoya 

    1   Department of Orthopedic and Trauma, Hospital Universitario Infanta Leonor, Madrid, Spain

  • Fernando Corella 

    1   Department of Orthopedic and Trauma, Hospital Universitario Infanta Leonor, Madrid, Spain
    2   Hand Surgery Unit, Hospital Universitario Quironsalud Madrid, Madrid, Spain
    3   Department of Surgery, School of Medicine, Universidad Complutense De Madrid, Madrid, Spain

  • Montserrat Ocampos Hernandez 

    1   Department of Orthopedic and Trauma, Hospital Universitario Infanta Leonor, Madrid, Spain
    2   Hand Surgery Unit, Hospital Universitario Quironsalud Madrid, Madrid, Spain

  • Maria Isabel Carnicer

    1   Department of Orthopedic and Trauma, Hospital Universitario Infanta Leonor, Madrid, Spain

  • Rafael Laredo 

    2   Hand Surgery Unit, Hospital Universitario Quironsalud Madrid, Madrid, Spain
    4   Department of Orthopedic and Trauma, Quironsalud Toledo, Toledo, Spain

  • Ricardo Larrainzar-Garijo 

    1   Department of Orthopedic and Trauma, Hospital Universitario Infanta Leonor, Madrid, Spain
    3   Department of Surgery, School of Medicine, Universidad Complutense De Madrid, Madrid, Spain

Funding None.
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Abstract

Background

The surgical management of thumb carpometacarpal osteoarthritis is extensive, with numerous techniques describing both open and arthroscopic approaches. However, there is limited literature on the outcomes of arthroscopic trapeziectomy.

Purpose

The primary objective of this study is to evaluate the clinical and functional outcomes of total arthroscopic trapeziectomy combined with suture-button suspensionplasty. The secondary objective is to assess patient satisfaction with the surgery.

Materials and Methods

We evaluated a total of 42 patients (34 women) with a mean age of 62.34 years, all diagnosed with severe trapeziometacarpal osteoarthritis according to Eaton's classification (grades III and IV). Measurements were taken preoperatively and more than 1 year postoperatively, including range of motion, Kapandji test, pinch strength (tip-to-tip and key pinch), and grip strength (Jamar). All patients completed the disabilities of the arm, shoulder, and hand (DASH) questionnaire and visual analog scale (VAS) for pain. Finally, patient satisfaction levels were recorded at 1 year postsurgery.

Results

The mean preoperative DASH and VAS scores were 48.81 ± 17.97 and 7.2 ± 1.48, respectively, showing significant improvement to 7 ± 10.32 and 0.52 ± 1.50 at 1 year postoperatively (p < 0.05). We found a significant weak positive correlation between the collapse of the first metacarpal and the DASH and VAS scores (p < 0.05). Regarding the range of motion, similar results were found in terms of range (palmar and radial abduction and Kapandji test) compared with preoperative values. Pinch strength showed slight improvements in tip-to-tip strength (3.2 ± 1.69 vs. 3.42 ± 1.75) and JAMAR grip strength (15.76 ± 9.53 vs. 17.61 ± 9.64), with a slight decrease in key pinch strength (4.26 ± 2.29 vs. 4.11 ± 1.68), although these differences were not statistically significant. The mean patient satisfaction was 4.5/5, with less than 5% of the sample rating their satisfaction below 3/5 postsurgery.

Conclusion

Total arthroscopic trapeziectomy combined with suture-button suspensionplasty is an effective technique for improving pain and hand disability in patients with severe trapeziometacarpal osteoarthritis.

Type of Study/Level of Evidence

2b therapeutic, individual cohort study.

Keywords

thumb carpometacarpal osteoarthritis - total trapeziectomy - arthroscopy

Declaration of GenAI use

During the preparation of this work, the authors used ChatGPT to improve language. After using this tool/service, the authors reviewed and edited the content as needed and take full responsibility for the content of the publication.


This article was edited by Elsevier Language Editing Services.




Publication History

Received: 22 January 2025

Accepted: 21 July 2025

Article published online:
18 August 2025

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