TY  - JOUR
TI  - What is the clinical and functional effect of performing
suspension arthroplasty with abductor pollicis longus
tendon slip to carpometacarpal joint osteoarthritis
of the thumb?
AB  - Objectives: This study aims to investigate the clinical, radiological,
and functional results of trapeziectomy, ligament reconstruction
and suspensionplasty surgery with abductor pollicis longus
(APL) tendon slip autograft to thumb carpometacarpal (CMC)
osteoarthritis.
Patients and methods: Between January 2011 and June 2017,
a total of 25 hands of 25 patients (4 males, 21 females; mean
age: 63.6±5.8 years; range, 54 to 76 years) were included. All
patients underwent trapeziectomy and ligament reconstruction
and suspensionplasty procedure due to the diagnosis of thumb
CMC joint osteoarthritis. The patients were administered the
Patient-Rated Wrist Evaluation Questionnaire (PRWE), Quick
Disabilities of the Arm, Shoulder, and Hand (Q-DASH),
and Visual Analog Scale (VAS). Scaphometacarpal distance
(SMD), Kapandji opposition score, thumb range of motion
(ROM), grip strength, tip pinch, lateral pinch, and palmer
pinch values were measured for both hands. The values
calculated for the operated and contralateral hands of the
patients were compared.
Results: The ROM measurements, Kapandji opposition scores,
and pinch values of the operated hands of the patients were found
to be statistically significant lower compared to the contralateral
hands (p<0.001, p<0.001, p=0.002; respectively). The grip
strength values were similar for both hands (p=0.147). The
median SMD in the operated hand was found to be 7.5 mm and
12.1 mm in the contralateral hand (p<0.001).
Conclusion: The ROM, strength and functional results were
reached a satisfactory level, particularly in the patients with a
follow-up period of ≥36 months. In patients with thumb CMC
joint osteoarthritis, ligament reconstruction and suspensionplasty
using APL tendon slip are considered to be a useful and
preferable surgical technique modification.
AU  - Yapar, Aliekber
AU  - Ergişi, Yılmaz
AU  - ÖZTÜRK, Akif Muhtar
AU  - Tokgöz, Mehmet Ali
AU  - HATİPOĞLU, Mustafa Yasin
AU  - Yapar, Dilek
DO  - 10.52312/jdrs.2022.485
PY  - 2022
JO  - Joint diseases and related surgery
VL  - 33
IS  - 1
SN  - 2687-4784
SP  - 149
EP  - 155
DB  - TRDizin
UR  - http://search/yayin/detay/522467
ER  -