title: Long term outcome of trapeziectomy with ligament reconstruction/tendon interposition versus thumb basal joint prosthesis.
abstract: Several surgical techniques to treat thumb basal joint arthritis have been described. In this study we compared the results of a cemented thumb basal joint with trapeziectomy with a ligament reconstruction and tendon interposition. A questionnaire was sent to all 519 patients, 322 (with 382 procedures) responded. No significant differences were found when comparing impairment, pain, patient satisfaction and disability. Given the fact that the superiority of a prosthesis cannot be proven and the cost of the implant is greater, we recommend the trapeziectomy with ligament reconstruction and tendon interposition as opposed to arthroplasty as the first choice in the treatment of basal joint osteoarthritis of the thumb.
authors.affiliation: Department of Orthopaedics, Hand Unit, University Hospitals Leuven, Pellenberg, Belgium.
authors.forename: L
authors.initials: L
authors.lastname: Vandenberghe
authors.forename: I
authors.initials: I
authors.lastname: Degreef
authors.forename: K
authors.initials: K
authors.lastname: Didden
authors.forename: S
authors.initials: S
authors.lastname: Fiews
authors.forename: L
authors.initials: L
authors.lastname: De Smet
mesh_terms: D019643:Arthroplasty, Replacement; D052737:Carpometacarpal Joints; D002484:Cementation; D005260:Female; D006801:Humans; D007595:Joint Prosthesis; D008023:Ligaments, Articular / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010003:Osteoarthritis / Q000601:surgery*; D010027:Osteotomy; D012189:Retrospective Studies; D013710:Tendons / Q000601:surgery; D013933:Thumb; D013997:Time Factors; D051222:Trapezium Bone / Q000601:surgery*; D016896:Treatment Outcome