What is the clinical and functional effect of performing suspension arthroplasty with abductor pollicis longus tendon slip to carpometacarpal joint osteoarthritis of the thumb?
Mustafa Yasin Hatipoğlu1
, Aliekber Yapar2, Yılmaz Ergişi3, Mehmet Ali Tokgöz1, Dilek Yapar4, Akif Muhtar Öztürk1
1Department of Orthopedics and Traumatology, Gazi University Medical Faculty, Ankara, Turkey
2Department of Orthopedics and Traumatology, Antalya Training And Research Hospital, Antalya, Turkey
3Department of Orthopedics and Traumatology, Karabük University Medical Faculty, Karabük, Turkey
4Department of Public Health, Antalya Muratpaşa District Health Directorate, Antalya, Turkey
Keywords: Carpometacarpal joint osteoarthritis, suspension arthroplasty, thumb, trapeziectomy.
Abstract
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.
Citation: Hatipoğlu MY, Yapar A, Ergişi Y, Tokgöz MA, Yapar D, Öztürk AM. What is the clinical and functional effect of performing suspension arthroplasty with abductor pollicis longus tendon slip to carpometacarpal joint osteoarthritis of the thumb?. Jt Dis Relat Surg 2022;33(1):149-155.
The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.
The authors received no financial support for the research and/or authorship of this article.