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Journal of Hand Surgery (British and European Volume)
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Articles

A Comparison of Fusion, Trapeziectomy and Silastic Replacement for the Treatment of Osteoarthritis of the Trapeziometacarpal Joint

E. J. TAYLOR
K. DESARI
J. C. D’ARCY
A. V. BONNICI

From the Orthopaedic Department, Eastbourne District General Hospital, Kings Drive, Eastbourne, East Sussex, UK

Correspondence: Miss E. Taylor, FRCS (Trand Orth), Orthopaedic Department, The Kent and Sussex Hospital, Mount Ephraim, Tunbridge Wells, Kent, UK. Tel.: +44 1444 483061. E-mail: emmataylor{at}doctors.net.uk

This retrospective study compares three of surgical treatments for osteoarthritis of the trapeziometacarpal joint of the thumb. We assessed the outcomes of a total of 83 operations at a follow-up of between 1 and 5 years. The types of treatment were, fusion of the carpometacarpal joint (36 operations), excision of the trapezium with or without a sling ligament reconstruction (25 operations), and silastic trapezial replacement (22 operations). Assessments included patient satisfaction, pain measurement, range of movement, tip and key pinch, and complication rates. There were no significant differences between the clinical outcome of the treatments, though there was higher rate of complications and reoperation in the fusion group.

Key Words: osteoarthritis • carpometacarpal joint • trapeziectomy • fusion • silastic replacement

Journal of Hand Surgery (British and European Volume), Vol. 30, No. 1, 45-49 (2005)
DOI: 10.1016/J.JHSB.2004.08.006
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