title: Outcomes of denervation, joint lavage and capsular imbrication for painful thumb carpometacarpal joint osteoarthritis.
abstract: Pain reduction remains the main aim in the treatment of thumb carpometacarpal joint osteoarthritis. We performed a retrospective analysis of a case series of patients with symptomatic thumb carpometacarpal joint arthritis treated with denervation, joint lavage and capsular imbrication. A total of 60 patients participated in this study. Follow-up, including a clinical examination, was performed on 37 patients at a mean of 46 months (range 12 to 81); an additional 23 patients were followed-up by telephone at a mean of 52 months (range 14 to 93) post-operatively. The patients assessed in person showed a significant decrease in pain and a significant improvement in thumb function. The information gathered by telephone gave similar results. The findings of our study indicate that the presented treatment approach could be a good alternative to more invasive surgical options in patients with earlier stages of thumb carpometacarpal joint osteoarthritis. Advantages include the low rate of complications and invasiveness, as well as short recovery times.
  
  
  METHODS
  IV.
authors.affiliation: 1 Department of Plastic, Reconstructive, Hand and Burn Surgery, Bogenhausen Academic Hospital, Munich, Germany.
authors.forename: D
authors.initials: D
authors.lastname: Ehrl
authors.affiliation: 2 Department of Plastic, Aesthetic Surgery and Hand Surgery, Regional Hospital Ebersberg, Ebersberg, Germany.
authors.forename: H C
authors.initials: HC
authors.lastname: Erne
authors.affiliation: 1 Department of Plastic, Reconstructive, Hand and Burn Surgery, Bogenhausen Academic Hospital, Munich, Germany.
authors.forename: P N
authors.initials: PN
authors.lastname: Broer
authors.affiliation: 2 Department of Plastic, Aesthetic Surgery and Hand Surgery, Regional Hospital Ebersberg, Ebersberg, Germany.
authors.forename: C
authors.initials: C
authors.lastname: Metz
authors.affiliation: 1 Department of Plastic, Reconstructive, Hand and Burn Surgery, Bogenhausen Academic Hospital, Munich, Germany.
authors.forename: E
authors.initials: E
authors.lastname: Falter
mesh_terms: D000368:Aged; D052737:Carpometacarpal Joints; D003714:Denervation; D005260:Female; D006801:Humans; D017746:Joint Capsule / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010003:Osteoarthritis / Q000601:surgery*; D016059:Range of Motion, Articular; D012189:Retrospective Studies; D007507:Therapeutic Irrigation; D013933:Thumb; D016896:Treatment Outcome
keywords: Eaton Littler stage II and III; First carpometacarpal (CMC) joint; arthritis; denervation; thumb