کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4117157 1270294 2016 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Painful thumb carpometacarpal joint osteoarthritis: Results of a novel treatment approach
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیماری های گوش و جراحی پلاستیک صورت
پیش نمایش صفحه اول مقاله
Painful thumb carpometacarpal joint osteoarthritis: Results of a novel treatment approach
چکیده انگلیسی

SummaryBackgroundPain reduction as well as preservation and improvement in range of motion remain the main aims in the treatment of thumb carpometacarpal (CMC) osteoarthritis (OA). We performed a retrospective outcome analysis of patients with symptomatic stage II–III thumb CMC joint arthritis treated with denervation, joint lavage and capsular imbrication.Methods73 patients with stage II to III OA of the thumb CMC-joint underwent the described technique. A total of 42 patients complied with follow-up assessment and were included in this study. Mean follow-up was 41.2 (range 12–81) months.ResultsMean operative time was 28.4 (±6.5) minutes. The follow-up assessments showed a significant decrease in pain (preoperative Numerical Rating Scale (NRS): 7.5 – postoperative NRS: 1.1) (p < 0.0001) and a significant improvement in function of the thumb (preoperative DASH-Score: 46.8; Cooney-Wrist-Score: 35.4; Krimmer-Wrist-Score: 38.3 – postoperative DASH-Score: 18.1; Cooney-Wrist-Score: 73.7; Krimmer-Wrist-Score: 80.0) (p < 0.0001).ConclusionThe findings of our study indicate that the presented treatment approach could be a good alternative to more invasive surgical options in patients with stage II–III CMC OA of the thumb, without impairing more invasive surgical options like trapeziectomy or arthroplasty for the future.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Plastic, Reconstructive & Aesthetic Surgery - Volume 69, Issue 7, July 2016, Pages 972–976
نویسندگان
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