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SURGICAL MANAGEMENT OF ARTHRITIS OF THE CARPO‐METACARPAL JOINT OF THE THUMB
Author(s) -
Conolly W. Bruce,
Lanzetta Marco
Publication year - 1993
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1993.tb00465.x
Subject(s) - medicine , arthrodesis , thumb , surgery , synovitis , osteoarthritis , arthroplasty , arthritis , soft tissue , silicone , condyle , wrist , chemistry , alternative medicine , organic chemistry , pathology
In the years 1970–90, 118 procedures were performed on 100 patients with arthritis (osteoarthritis in all but 13) of the carpo‐metacarpal joint of the thumb. The patients were aged 17 to 83 years (mean 54.5 years); 75 were females and 25 males; there were 73 right and 45 left hands; 18 patients had bilateral procedures. The average follow up period was 4.3 years, with a range of 1 to 20 years. Sixteen of the 118 procedures were arthrodeses; all these patients had isolated trapezio‐metacarpal joint arthritis. Fifteen procedures were trapeziectomies and soft tissue arthroplasties; they were performed for pan‐trapezial arthritis in the older age group, or as a secondary procedure for failed previous operations. Eighty‐seven of the 118 procedures were silicone partial or total arthroplasties either for pan‐trapezial arthritis or isolated trapezio‐metacarpal joint arthritis (53 trapezium, 32 metatarso‐phalangeal and 2 condyle implants). The overall results were: arthrodesis (68.7% good, 18.8% fair, 12.5% poor); soft tissue arthroplasty (80% good, 6.7% fair, 13.3% poor); silicone total arthroplasty (73.5% good, 15.1% fair, 11.3% poor); silicone hemiarthroplasty (68.8% good, 15.6% fair, 15.6% poor). No silicone synovitis was found in any of the 87 cases of silicone arthroplasties.