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Dorsoradial Ligament Reconstruction in Trapeziometacarpal Joint Arthritis.
| Content Provider | Europe PMC |
|---|---|
| Author | Kittithamvongs, Piyabuth Uerpairojkit, Chairoj Wangtanabadeekul, Saksri Anantavorasakul, Navapong Malungpaishrope, Kanchai Leechavengvongs, Somsak |
| Copyright Year | 2021 |
| Abstract | Background The main purpose of the study is to present the alternative novel surgical technique in treating patients with trapeziometacarpal (TMC) joint arthritis using dorsoradial ligament (DRL) reconstruction technique and report the clinical outcomes. Methods Patients who were diagnosed with TMC joint arthritis and underwent DRL reconstruction were evaluated. Visual analog pain score; Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) score; grip, tip pinch, tripod pinch, and key pinch strengths along with range of motion of the thumb; and Kapandji score were recorded in the preoperative period and at follow-up. Stress examination was also performed under a fluoroscope. Results Eleven patients were included in the study. Median follow-up time was 13 months. At follow-up, postoperative visual analog scale and QuickDASH score improved in all patients. Grip, tip pinch, tripod pinch, and key pinch strengths also improved. The range of motion and Kapandji score were slightly improved compared with the preoperative period except for the thumb metacarpophalangeal flexion. Two patients had numbness at the thumb and spontaneously recovered after 3 months. Conclusions According to recent evidence which proposed the importance of DRL in TMC joint stability, our DRL reconstruction technique may be an alternative treatment in treating patients presented with TMC joint arthritis. Further study with a longer follow-up period is needed. |
| Related Links | https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC10152538&blobtype=pdf |
| ISSN | 15589447 |
| Volume Number | 18 |
| DOI | 10.1177/15589447211028924 |
| PubMed Central reference number | PMC10152538 |
| Issue Number | 3 |
| PubMed reference number | 34259081 |
| Journal | Hand (New York, N.Y.) [Hand (N Y)] |
| e-ISSN | 15589455 |
| Language | English |
| Publisher | SAGE Publications |
| Publisher Date | 2021-07-14 |
| Publisher Place | Sage CA: Los Angeles, CA |
| Access Restriction | Open |
| Rights License | © The Author(s) 2021 |
| Subject Keyword | basal thumb dorsoradial ligament first CMC reconstruction trapeziometacarpal arthritis |
| Content Type | Text |
| Resource Type | Article |
| Subject | Orthopedics and Sports Medicine Surgery |
