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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
Jose A. Oteo-Maldonado 
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
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Publication History

17 March 2020

23 March 2020

Publication Date:
29 May 2020 (online)

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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.

 

  • References

  • 1 Lourie GM. The role and implementation of metacarpophalangeal joint fusion and capsulodesis: indications and treatment alternatives. Hand Clin 2001; 17 (02) 255-260
    CrossrefPubMedGoogle Scholar
  • 2 Dumont CE, von Campe A. Benefits of additional procedures for metacarpophalangeal hyperextension on simple trapeziectomy in thumb basas osteoarthritis: A biomechanical cadaver study. J Hand Surg Asían Pac. 2019; 24 (02) 159-160
    PubMedGoogle Scholar
  • 3 Robles-Molina MJ, López-Caba F, Gómez-Sánchez RC, Cárdenas-Grande E, Pajares-López M, Hernández-Cortés P. Trapeziectomy with ligament reconstruction and tendon interposition versus a trapeziometacarpal prosthesis for the treatment of thumb basal joint osteoarthritis. Orthopedics [Internet]. 2017 [Consultado: 9 de marzo de 2020];40(4):e681-e686. Disponible en: https://www.healio.com/orthopedics/journals/ortho/2017-7-40-4/%7B9ac71304-5fb6-42f9-9ef7-6cd196d51a58%7D/trapeziectomy-with-ligament-reconstruction-and-tendon-interposition-versus-a-trapeziometacarpal-prosthesis-for-the-treatment-of-thumb-basal-joint-osteoarthritis#divReadThis
    PubMed
  • 4 Sajon A, Vinycomb T, Carr E, Edmundo I, Ada L. WITHDRAWN: Surgery for thumb (trapeziometacarpal joint) osteoarthritis. Cochrane Database Syst Rev [Internet]. 2017 [Consultado: 9 de marzo de 2020];(4). Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6478278/
    PubMed
  • 5 Berger AJ, Meals RA. Management of osteoarthrosis of the thumb joints. J Hand Surg Am 2015; 40 (04) 843-850
    CrossrefPubMedGoogle Scholar
  • 6 Mattila S, Waris E. Revision of trapeziometacarpal arthroplasty: risk factors, procedures and outcomes. Acta Orthop [Internet]. 2019 [Consultado: 9 de marzo de 2020];90(4):389–393. Disponible en: https://www.tandfonline.com/doi/full/10.1080/17453674.2019.1599253
    PubMed
  • 7 Munns JJ, Matthias RC, Zarezadeh A. , et al. Outcomes of revisiones for failed trapeziometacarpal joint artritis surgery. J Hand Surg Am 2019; 44 (09) 798.e1-798.e9
    CrossrefPubMedGoogle Scholar
  • 8 Li J, Li D, Tian G, Zhang W. Comparison of arthrodesis and arthroplasty of Chinese thumb carpometacarpal osteoarthritis. J Orthop Surg Res [Internet]. 2019 [Consultado: 9 de marzo de 2020];14(1):404. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6884865/pdf/13018_2019_Article_1469.pdf
    PubMed
  • 9 Klinefelter R. Metacarpophalangeal hyperextension deformity associated with trapezial-metacarpal arthritis. J Hand Surg Am 2011; 36 (12) 2041-2042 , quiz 2043
    CrossrefPubMedGoogle Scholar
  • 10 Miller NJK, Davis TR. Palmar plate capsulodesis for thumb metacarpophalangeal joint hyperextension in association with trapeziometacarpal osteoarthritis. J Hand Surg Eur Vol 2014; 39 (03) 272-275
    CrossrefPubMedGoogle Scholar
  • 11 De Smet L, Vandenberghe L, Didden K, Degreef I. Outcome of simultaneous surgical treatment of hyperextension of metacarpophalangeal and basal joint osteoarthritis of the thumb. Acta Orthop Belg 2013; 79 (05) 514-516
    PubMedGoogle Scholar
  • 12 Novoa-Parra CN, Montaner-Alonso D, Morales-Rodríguez J. Artrodesis de la articulación metacarpofalángica del pulgar con tornillos intramedulares entrelazados de ángulo fijo XMCP™. Rev Esp Cir Ortop Traumatol 2018; 62 (05) 387-391
    PubMedGoogle Scholar
  • 13 Vanderzanden JC, Adams BD, Guan JJ. MCP arthrodesis using an intramedullary interlocking device. Hand (N Y) 2014; 9 (02) 209-213
    CrossrefPubMedGoogle Scholar
  • 14 Swaisi M, Igeta Y, Pavalache R. , et al. Arthrodesis of the thumb metacarpophalangeal joint: Conventional open technique with a locking plate or compression pins versus minimally invasive technique with compression pins or screws. Hand Surg Rehabil 2019; 38 (03) 174-178
    PubMedGoogle Scholar
  • 15 Marenghi L, Paterlini M, Tocco S, Corradi M. Trapeziectomy with ligament reconstruction and tendon interposition arthroplasty with the entire width of the flexor carpi radialis tendon. Tech Hand Up Extrem Surg 2016; 20 (02) 67-70
    CrossrefPubMedGoogle Scholar
  • 16 Ottenhoff JSE, Teunis T, Janssen SJ, Mink van der Molen AB, Ring D. Variation in offer of operative treatment to patients with trapeziometacarpal osteoartrthritis. J Hand Surg Am 2020; 45 (02) 123-130.e1
    CrossrefPubMedGoogle Scholar