CC BY-NC-ND 4.0 · Revista Iberoamericana de Cirugía de la Mano 2020; 48(01): 027-030
DOI: 10.1055/s-0040-1712092
Original Articles | Artículos Originales
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Metacarpophalangeal Arthrodesis with Resection-suspension Arthroplasty in First Carpometacarpal Osteoarthritis

Article in several languages: English | español
1  Orthopedic Surgery and Traumatology Service, Hospital Universitario de Fuenlabrada, Madrid, Spain
,
Patricia Merino-Carretero
1  Orthopedic Surgery and Traumatology Service, Hospital Universitario de Fuenlabrada, Madrid, Spain
› Author Affiliations
Further Information

Publication History

17 March 2020

23 March 2020

Publication Date:
29 May 2020 (online)

Abstract

First carpometacarpal joint osteoarthritis (CMC-1) may develop first metacarpophalangeal joint hyperextension (MCP-1). We enrolled patients with CMC-1 osteoarthritis and MCP-1 hyperextension ≥40 degrees treated with resection-suspension arthroplasty and MCP-1 intramedullary arthrodesis with XMCP™ system. Minimum follow-up was five years. We evaluated: thumbinterphalangeal (IP) range ofmotion, key pinch, hand grip, Kapandji, VAS and Quick DASH. Wilcoxon test was uses for statistical analysis.

Nineteen patients were reviewed. We found improvement in key pinch, hand grip, VAS and Quick DASH; statistical difference (p < 0.05) was observed in all of them except key pinch. IF thumb range of motion and Kapandji decreased.

TMC arthrodesis with XMCP™ system associated with resection-suspension arthroplasty, as a treatment for CMC-1 osteoarthritis and MCP-1 hyperextension ≥40 degrees, achieves good functional results in the medium term.