Arthrodesis of the Trapeziometacarpal Joint with Locking Plate and Cross shaped Bone Graft

Title: Arthrodesis of the Trapeziometacarpal Joint with Locking Plate and Cross shaped Bone Graft

Authors: Dr Rajeev Kumar Rajak, Dr Barun Kumar Golwara

DOI: https://dx.doi.org/10.18535/jmscr/v9i11.32

Abstract

Background: The trapeziometacarpal joint is the second most common site of osteoarthritis in the hand and the most frequent one to require surgery. The purpose of this study was to evaluate this technique.

Method: Total 9 patients of osteoarthritis of the trapeziometacarpal joint were treated in our institution. Physical therapy was started after stitch removal.

Result: VAS pain score significantly decreased after surgery. DASH score was also improved.

Conclusion: This technique is an important weapon for the management of arthritis of trapeziometacarpal joint.

Keywords: trapeziometacarpal joint, osteoarthritis, arthodesis, bone graft, locking plate.

References

Muller GM. Arthodesis of the trapezio- metacarpal joint for osteoarthiritis. J Bone Joint Surg Br. 1949;31(4):540-2.
Galan A, Arenas JR, del Aguila B, Guerado E, Andres- Cano P. trapezio-metacarpal arthodesis: procedure and results. Eur J Orthop Surg Traumatol. 2015;25(3):483-8
Proubasta I, Lamas C, Trullols L, Itarte J. Arthodesis of the metacarpalangeal joint of the thumb using a Herbert screw. Tech Hand Up Extrem Surg. 2006;10(2):73-8
Vermeulen GM, Slijper H, Feitz R, Hovius SE, Moojen TM, Selles RW. Surgical management of primary thumb carpometacarpal osteoarthiritis: a systematic review. J Hand Surg Am. 2011;36(1):157-69.
Rizzo M, Moran SL, Shin AY. Long –term outcomes of trapeziometacarpal arthodesis in the management of trapeziometacarpal arthiritis. L Hand Surg Am. 2009;34(1):20-6.

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