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Journal of Hand Surgery (British and European Volume)
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Articles

Excision of the Trapezium for Osteoarthritis of the Trapeziometacarpal Joint of the Thumb

N. HOLLEVOET
L. KINNEN
J. P. MOERMANS
P. LEDOUX

From the Centre de Chirurgie de la Main. Clinique du Parc Léopold, Brussels, Belgium

Correspondence: N. Hollevoet, MD, Department of Physical Medicine and Orthopaedic Surgery, University Hospital, De Pisntelaan 185, B 9000 Gent, Belgium.

We assessed the results of 86 trapeziectomies in 83 patients. Simple excision of the trapezium was performed in 54 thumbs. This was combined with shortening of the abductor pollicis longus tendon in 14 thumbs and with soft-tissue interposition and/or ligamentous reconstruction in 17 thumbs.

88% of the patients were satisfied with the result, 76% had relief of pain and 74% had no functional disability. The subjective results achieved with the three different techniques were similar.

Clinical assessment of 57 thumbs revealed no statistical difference in web span, thumb adductionflexion, key pinch and grip strength between the three operative procedures, nor in comparison with the non-operated contralateral hand.

Journal of Hand Surgery (British and European Volume), Vol. 21, No. 4, 458-462 (1996)
DOI: 10.1016/S0266-7681(96)80046-5
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This article has been cited by other articles:


Home page
 J Hand Surg Eur VolHome page
L. S. VADSTRUP, L. SCHOU, and M. E. H. BOECKSTYNS
Basal Joint Osteoarthritis of the Thumb Treated with Weilby Arthroplasty: A Prospective Study on the Early Postoperative Course of 106 Consecutive Cases
J Hand Surg Eur Vol., August 1, 2009; 34(4): 503 - 505.
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