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Journal of Orthopaedic Science

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01-03-2015 | Original Article

Arthrodesis of the carpometacarpal joint of the thumb with plate fixation and bone grafting: a retrospective review

Authors: Masanori Hayashi, Shigeharu Uchiyama, Koichi Nakamura, Toshiro Itsubo, Toshimitsu Momose, Hiroyuki Kato

Published in: Journal of Orthopaedic Science | Issue 2/2015

Abstract

Background

Arthrodesis of the carpometacarpal (CM) joint of the thumb has been recognized as a common technique that gives pain relief, stability, and strength, but it has some disadvantages, such as nonunion, pantrapezial osteoarthritis, and reduced mobility.

Methods

Thirteen thumbs of 12 patients with CM joint arthritis who underwent CM joint arthrodesis were reviewed retrospectively. The average age of the patients was 61.0 years. The follow-up period ranged from 2 to 5 years. Arthrodesis was performed with a T-plate and an autogenous iliac cancellous bone graft for all patients.

Results

All thumbs had radiographic evidence of union, and there was no nonunion. No reduction of motion of the interphalangeal and metacarpophalangeal joint of the thumb was found after surgery. Postoperatively, scaphotrapeziotrapezoid arthritis and metacarpophalangeal arthritis progressed in two joints each. The Disabilities of the Arm, Shoulder, and Hand score improved from 39.9 (range 8–69) to 11.1 (range 0–23.1). All patients had no or slight problems of the thumb and no complaints related to the pelvis in daily living and were either very satisfied or satisfied with the surgery.

Conclusions

Arthrodesis of the thumb CM joint with a plate and bone graft achieved satisfactory results in all cases with very few complications. This procedure is a valuable tool in middle-aged and elderly patients with thumb CM joint arthritis.

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Title: Arthrodesis of the carpometacarpal joint of the thumb with plate fixation and bone grafting: a retrospective review
Authors: Masanori Hayashi
Shigeharu Uchiyama
Koichi Nakamura
Toshiro Itsubo
Toshimitsu Momose
Hiroyuki Kato
Publication date: 01-03-2015
Publisher: Springer Japan
Published in: Journal of Orthopaedic Science / Issue 2/2015
Print ISSN: 0949-2658
Electronic ISSN: 1436-2023
DOI: https://doi.org/10.1007/s00776-014-0685-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Arthrodesis of the carpometacarpal joint of the thumb with plate fixation and bone grafting: a retrospective review

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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