Combination Therapy Involving Ear Cartilage Transfer and Suture-Button Suspension Arthroplasty for Symptomatic Thumb Carpometacarpal Joint Arthritis

Abstract

We describe the short-term outcomes of combination therapy involving ear cartilage transfer and suture-button suspension arthroplasty for the treatment of symptomatic thumb carpometacarpal joint arthritis. The concept is to reduce joint arthritis by separate independent approaches, which are renewing the damaged joint surface of the trapezium and first metacarpal bone suspension. Autologous ear cartilage is a desirable material for joint resurfacing arthroplasty without postoperative synovitis or infection, and it is expected to prevent bone impingement or recurrent joint arthritis when postoperative suture-button slack or failure unfortunately occurs.

Keywords

thumb carpometacarpal arthritis - ear cartilage - suspension arthroplasty

• References

• 1 Yao J, Song Y. Suture-button suspensionplasty for thumb carpometacarpal arthritis: a minimum 2-year follow-up. J Hand Surg Am 2013; 38 (06) 1161-1165
• 2 Yao J, Cheah AE. Mean 5-year follow-up for suture button suspensionplasty in the treatment of thumb carpometacarpal joint osteoarthritis. J Hand Surg Am 2017; 42 (07) 569.e1-569.e11
• 3 Sonoda LA, Jones NF. Failed suture button suspensionplasty of the thumb carpometacarpal joint salvaged using pyrocarbon arthroplasty. J Hand Surg Am 2017; 42 (08) 665.e1-665.e4
• 4 Nickell WB. Thumb carpometacarpal joint resurfacing with autologous ear cartilage. Ann Plast Surg 2014; 72 (05) 521-528
• 5 Eaton RG, Lane LB, Littler JW, Keyser JJ. Ligament reconstruction for the painful thumb carpometacarpal joint: a long-term assessment. J Hand Surg Am 1984; 9 (05) 692-699
• 6 Murley AHG. Excision of the trapezium in osteoarthritis of the first carpo-metacarpal joint. J Bone Joint Surg 1960; 42: 502-507
• 7 Kvarnes L, Reikerås O. Osteoarthritis of the carpometacarpal joint of the thumb. An analysis of operative procedures. J Hand Surg Br 1985; 10 (01) 117-120
• 8 Chuang MY, Huang CH, Lu YC, Shih JT. Arthroscopic partial trapeziectomy and tendon interposition for thumb carpometacarpal arthritis. J Orthop Surg Res 2015; 10: 184
• 9 Menon J. Partial trapeziectomy and interpositional arthroplasty for trapeziometacarpal osteoarthritis of the thumb. J Hand Surg Br 1995; 20 (05) 700-706
• 10 Noland SS, Saber S, Endress R, Hentz VR. The scaphotrapezial joint after partial trapeziectomy for trapeziometacarpal joint arthritis: long-term follow-up. J Hand Surg Am 2012; 37 (06) 1125-1129
• 11 Vermeulen GM, Slijper H, Feitz R, Hovius SE, Moojen TM, Selles RW. Surgical management of primary thumb carpometacarpal osteoarthritis: a systematic review. J Hand Surg Am 2011; 36 (01) 157-169
• 12 Belcher HJ, Zic R. Adverse effect of porcine collagen interposition after trapeziectomy: a comparative study. J Hand Surg Br 2001; 26 (02) 159-164
• 13 Diaconu M, Mathoulin C, Facca S, Liverneaux P. Arthroscopic interposition arthroplasty of the trapeziometacarpal joint. Chir Main 2011; 30 (04) 282-287
• 14 Spaans AJ, van Heeswijk EJ, Arnold DE, Beumer A. Foreign body reaction associated with polyethylene mesh interposition used for treatment of trapeziometacarpal osteoarthritis: report of 8 cases. J Hand Surg Am 2014; 39 (10) 2016-2019
• 15 Tropet Y, Gallinet D, Lepage D, Gasse N, Obert L. Treatment of trapeziometacarpal osteoarthritis by partial trapeziectomy and costal cartilage autograft. A review of 100 cases. Chir Main 2012; 31 (03) 145-151
• 16 Taghinia AH, Al-Sheikh AA, Upton J. Suture anchor suspension and fascia lata interposition arthroplasty for basal joint arthritis of the thumb. Plast Reconstr Surg 2008; 122 (02) 497-504