[Trapeziometacarpal osteoarthritis].

Area of Science:

• Orthopedics
• Rheumatology
• Hand Surgery

Context:

• Trapeziometacarpal osteoarthritis is prevalent in perimenopausal women, often leading to functional thumb disability.
• Conservative management includes analgesics, anti-inflammatory drugs, and splinting for moderate symptoms.
• The condition can progress to joint stiffness and deformity, impacting thumb function, strength, and dexterity.

Purpose:

• To review the management of trapeziometacarpal osteoarthritis, focusing on surgical interventions for severe cases.
• To compare trapezectomy and prosthetic surgery for trapeziometacarpal osteoarthritis, considering patient age and outcomes.
• To emphasize individualized surgical decision-making based on pain intensity rather than radiological findings.

Summary:

• Surgical treatment is indicated for severe trapeziometacarpal osteoarthritis to alleviate pain and restore joint mobility.
• Trapezecectomy is recommended for patients under 70, avoiding prosthetic risks despite a longer recovery.
• Prosthetic surgery is a viable alternative for patients over 70, offering a shorter recovery period when appropriate.

Impact:

• Surgical interventions can significantly improve thumb function and reduce pain in patients with advanced trapeziometacarpal osteoarthritis.
• Tailoring surgical approaches based on patient age and specific joint characteristics optimizes treatment outcomes.
• This review guides clinical decision-making, prioritizing patient pain and functional status in surgical indications.