title: Partial trapeziectomy and interposition of fascia lata allograft in the operative treatment of thumb base osteoarthritis.
abstract: OBJECTIVE
  The purpose of this retrospective cohort study was to evaluate the results of fascia lata allograft interposition after partial trapeziectomy in patients with symptomatic first carpometacarpal joint osteoarthritis.
  
  
  RESULTS
  Twenty-one patients (22 thumbs) with Eaton-Glickel stage II or III first carpometacarpal joint osteoarthritis were included. After a mean follow-up duration of 70.2 months, most patients experienced minimal pain. The operation was graded excellent or good by 15 patients (15 hands). Active range of motion and strength measurements were comparable to the contralateral hand, except for extension, which was slightly better in the contralateral hand. The mean radiologically measured difference pre- and postoperatively in distance between distal part of the trapezium and base of the metacarpal was 2.7 mm. Two patients had reoperations in the first year after the initial operation because of ongoing pain.
  
  
  CONCLUSIONS
  Partial trapeziectomy with interposition of fascia lata allograft in patients with symptomatic first carpometacarpal joint osteoarthritis can achieve reasonable results. It may be considered a reliable operative treatment option in patients with first carpometacarpal joint osteoarthritis.
authors.affiliation: a 1 Department of Plastic and Hand Surgery, St Antonius Hospital Nieuwegein/Utrecht, The Netherlands.
authors.forename: Anne J
authors.initials: AJ
authors.lastname: Spaans
authors.affiliation: a 1 Department of Plastic and Hand Surgery, St Antonius Hospital Nieuwegein/Utrecht, The Netherlands.
authors.forename: Marieke E
authors.initials: ME
authors.lastname: Weijns
authors.affiliation: a 1 Department of Plastic and Hand Surgery, St Antonius Hospital Nieuwegein/Utrecht, The Netherlands.
authors.forename: Assa
authors.initials: A
authors.lastname: Braakenburg
authors.affiliation: a 1 Department of Plastic and Hand Surgery, St Antonius Hospital Nieuwegein/Utrecht, The Netherlands.|b 2 Department of Plastic, Reconstructive and Hand Surgery, Universital Medical Centre Utrecht , The Netherlands.
authors.forename: Leo Paul
authors.initials: LP
authors.lastname: van Minnen
authors.affiliation: a 1 Department of Plastic and Hand Surgery, St Antonius Hospital Nieuwegein/Utrecht, The Netherlands.|b 2 Department of Plastic, Reconstructive and Hand Surgery, Universital Medical Centre Utrecht , The Netherlands.
authors.forename: Aebele B
authors.initials: AB
authors.lastname: Mink van der Molen
mesh_terms: D000368:Aged; D064591:Allografts; D052737:Carpometacarpal Joints / Q000601:surgery*; D015331:Cohort Studies; D005206:Fascia Lata / Q000637:transplantation*; D005260:Female; D018737:Hand Strength; D006801:Humans; D008297:Male; D008875:Middle Aged; D010003:Osteoarthritis / Q000601:surgery*; D011182:Postoperative Care; D016059:Range of Motion, Articular; D012189:Retrospective Studies; D013933:Thumb / Q000601:surgery*; D051222:Trapezium Bone / Q000601:surgery*
keywords: CMC 1; Carpometacarpal; allograft; fascia lata; interposition; osteoarthritis; trapezectomy; trapeziometacarpal