Guilliod MG, Espinosa GA, Rivas JA, Renán S

Language: Spanish
References: 12
Page: 31-39
PDF size: 326.92 Kb.

ABSTRACT

Osteoarthritis describes the degeneration of articular cartilage. Trapeziometacarpal joint is the second most commonly affected place in the hand. Objective: To evaluate the clinical-functional results and the degree of personal satisfaction after dynamic suspension arthroplasty in patients diagnosed with severe osteoarthritis of the trapeziometacarpal joint. Materials and methods: Prospective, longitudinal and descriptive study. Twenty five patients diagnosed with osteoarthritis of the trapeziometacarpal joint and treated with dynamic suspension arthroplasty were studied. The clinical-functional state of the thumb was evaluated by means of the DASH questionnaire. Results: Females were highly predominant (92%), mean age: 62.9 ± 10.7, housewifes (44%), most affected right thumb (40%), operated right thumbs (56%), left thumbs (44%). Follow-up period: 3 years. Preoperative DASH average 61.7 points ± 14.0 and postoperative DASH average 31.9 ± 13.8. The surgery reduced grip and pinch strength for the operated hand but this difference was not statistically significant. Conclusion: Dynamic suspension arthroplasty constitutes an excellent surgical alternative for trapeziometacarpal osteoarthritis due it eliminates pain, preserves mobility, stability and offers a high degree of personal satisfaction.

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