Observation on the therapeutic effect of mostly angular bone resection,first carpometacarpal joint arthroplasty combined with ligament reconstruction and tendon tamponade in the treatment of first carpometacarpal joint osteoarthritis

VernacularTitle:大多角骨切除第一腕掌关节成形联合韧带重建肌腱填塞术治疗第一腕掌关节骨关节炎的疗效观察
Author: Ao WANG ¹ ; Fei WU ; Feng LIU ; Yue YANG ; Longbiao WAN ; Wei CHEN
Author Information

1. 430060 武汉大学人民医院骨科
Keywords: Trapeziometacarpal joint; osteoarthritis; arthroplasty; ligament reconstruction tendon tamponade
From: Journal of Clinical Surgery 2024;32(10):1078-1081
CountryChina
Language:Chinese
Abstract: Objective To evaluate the effectiveness of treatment for osteoarthritis of the first carpometacarpal joint.Methods From June 2019 to June 2022,15 patients with osteoarthritis of the first carpometacarpal joint underwent a combined procedure of trapezium excision,first carpometacarpal joint arthroplasty,ligament reconstruction,and tendon interposition.Surgical efficacy was assessed using X-rays,thumb joint range of motion,grip strength,pinch strength,and pain rating(VAS).Results 9 months postoperative follow-up revealed significant pain reduction,increased thumb range of motion,enhanced grip and pinch strength,with an overall surgical excellence rate of 86.7％.Conclusion Trapeziecotomy arthroplasty with ligament reconstruction and tendon tamponade demonstrates significant efficacy in treating osteoarthritis of the first carpometacarpal joint,effectively alleviating pain,improving thumb mobility,and enhancing hand strength.The method is simple and effective.