title: Trapeziectomy and ligament reconstruction tendon interposition for isolated scaphotrapeziotrapezoid osteoarthritis of the wrist.
abstract: Isolated osteoarthritis of the scaphotrapeziotrapezoid joint is rather rare compared with thumb trapeziometacarpal osteoarthritis. The aim of this retrospective study was to evaluate the outcome of 15 consecutive patients treated with trapeziectomy/ligament reconstruction tendon interposition for isolated scaphotrapeziotrapezoid osteoarthritis of the wrist. After a mean follow-up of 54 months, 14 patients (15 wrists) were available for clinical and radiological examination. The median pain intensity was 0 on a 0-10 visual analogue scale, both at rest and with activity, mean grip strength averaged 24 kg, pinch strength 5 kg. The disabilities of the arm, shoulder and hand (DASH) score was 16, and a modified Mayo Wrist Score 84. Correlation between the degree of scaphotrapezoid osteoarthritis and pain at rest, pain with activity, and DASH score was not significant. The findings from our study suggest that trapeziectomy/ligament reconstruction tendon interposition is an effective procedure for treating isolated scaphotrapeziotrapezoid osteoarthritis, and that additional partial trapezoid excision is not necessary.
authors: Hegau-Bodensee-Klinikum Singen, Klinik für Orthopädie, Unfall- und Handchirurgie, Virchowstrasse, Singen, Germany ronnyla@gmx.de.
authors: R
authors: R
authors: Langenhan
authors: Elbe Kliniken Stade Buxtehude, Abteilung für Hand-, Ästhetische und Plastische Chirurgie, Stade, Germany.
authors: B
authors: B
authors: Hohendorff
authors: Hegau-Bodensee-Klinikum Singen, Klinik für Orthopädie, Unfall- und Handchirurgie, Virchowstrasse, Singen, Germany.
authors: A
authors: A
authors: Probst
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002348:Carpal Bones / Q000601:surgery*; D004185:Disability Evaluation; D005260:Female; D005500:Follow-Up Studies; D018737:Hand Strength; D006801:Humans; D008023:Ligaments, Articular / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010003:Osteoarthritis / Q000601:surgery*; D012189:Retrospective Studies; D013710:Tendons / Q000601:surgery*; D064232:Visual Analog Scale
keywords: STT; Scaphotrapeziotrapezoid; ligament reconstruction; osteoarthritis; trapeziectomy; wrist