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Related Experiment Videos

[Trapezoid-metacarpal arthrodesis]

C Kenesi1, X Artières

  • 1Hôpital Henri Mondor, Créteil.

Chirurgie; Memoires De L'Academie De Chirurgie
|January 1, 1996
PubMed
Summary
This summary is machine-generated.

Thumb basal joint fusion using screws or pins offers a viable surgical option for trapeziometacarpal joint arthritis. This procedure provides effective pain relief and restores grip strength with minimal complications.

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Area of Science:

  • Orthopedic Surgery
  • Hand Surgery
  • Joint Reconstruction

Context:

  • Rhizarthrosis, specifically affecting the trapeziometacarpal (TMC) joint, presents complex treatment challenges with no universally ideal surgical indication.
  • Current treatment options for TMC joint arthritis often involve prostheses, which can lead to complications and reoperations.

Purpose:

  • To evaluate the efficacy and outcomes of trapeziometacarpal joint fusion using screw or screw-and-pin fixation for rhizarthrosis.
  • To assess pain relief, functional recovery, radiographic results, and long-term durability of TMC joint fusion.

Summary:

  • A retrospective study analyzed 30 hands with TMC joint arthritis treated with fusion (two screws or screw/pin).
  • Patients experienced minimal immobilization (45 days) with the thumb in a specific position.

Related Experiment Videos

  • Follow-up (mean 68 months, range 1-21 years) revealed good to acceptable outcomes in 80% of cases, with 90% reporting pain relief or improvement.
  • Radiographic assessment showed 10% pseudarthrosis, and no reoperations were necessary.

    • Impact:

    • TMC joint fusion is presented as a reliable alternative surgical approach for rhizarthrosis.
    • The procedure effectively alleviates pain and restores hand grip strength.
    • Fusion avoids the significant complications associated with prosthetic implants, offering a durable solution for TMC joint arthritis.