ORIGINAL ARTICLESNo Access

OUTCOMES OF SILASTIC TRAPEZIUM REPLACEMENTS

Alexandra Hospital, Woodrow Drive, Redditch, B98 7UB, UK

Correspondence to: Dr. D. P. A. Jewell, Alexandra Hospital, Woodrow Drive, Redditch, B98 7UB, UK. Tel: (+44) 0793-274-9282.

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M. B. S. Brewster

Alexandra Hospital, Woodrow Drive, Redditch, B98 7UB, UK

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, and

M. A. Arafa

Alexandra Hospital, Woodrow Drive, Redditch, B98 7UB, UK

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https://doi.org/10.1142/S0218810411005588Cited by:2 (Source: Crossref)

Abstract

Trapezio-metacarpal joint arthritis is common, affecting 7% of men and 15% of women. Numerous surgical techniques are described for this condition but it is not clear which is best. Eighty-six silicone trapezium replacements were assessed at an average of 46 months (six to 156 months) postoperatively for patient satisfaction, pain, key and power grip strength, range of motion, complications and disability with DASH score. Patient satisfaction was 92%. There was excellent pain reduction from 4.2 to 0.6 on a scale of 0 to 5. Strength was 72% and 84% of age-sex-matched normal data for key and power grips, respectively. The complication rate was low, with two cases of persistent pain. One resolved spontaneously, the other resolved following revision of the silicone implant. The average DASH score was 30. Silicone trapezium replacement is an effective operation that offers the patient good pain relief, strength and good function with few complications.

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References

M. M. Haaraet al., JBJS 86A, 1452 (2004). Web of Science, Google Scholar
V. Mathiowetzet al., Arch. Phys. Med. Rehab. 66, 69 (1985). Medline, Web of Science, Google Scholar
R. Burton and V. D. Pellegrini, J. Hand Surg. 11A, 324 (1986). Web of Science, Google Scholar
B. Hartigan, P. Stern and T. Kiefhaber, JBJS 83A, 1470 (2001). Web of Science, Google Scholar
A. Illarramendiet al., J. Hand Surg. 31A, 1315 (2006). Web of Science, Google Scholar
W. B. Kleinman and J. F. Eckenrode, J. Hand Surg. 16A, 983 (1991). Web of Science, Google Scholar
M. Tomiano, V. Pellegrini and R. Burton, JBJS 77A, 346 (1995). Web of Science, Google Scholar
A. Damen, B. van der Lei and P. H. Robinson, J. Hand Surg. Am. 21, 807 (1996). Crossref, Medline, Web of Science, Google Scholar
A. I. Froimson, Hand Clin. 3, 489 (1987). Crossref, Medline, Web of Science, Google Scholar
J. Menon, J. Hand Surg. Br. 20, 700 (1995). Crossref, Medline, Google Scholar
D. Robinson, M. Aghasi and N. Halperin, J. Hand Surg. 16(3), 504 (1991). Crossref, Medline, Web of Science, Google Scholar
T. Saehle, S. Sander and V. Finsen, Acta Orthop. Scand. 73(6), 674 (2002), DOI: 10.1080/000164702321039660. Medline, Google Scholar
M. E. Wilchinsky and N. Malek, Orthopaedics 7, 971 (1984). Crossref, Medline, Web of Science, Google Scholar
G. W. Varleyet al., JBJS 76B, 458 (1994). Web of Science, Google Scholar
A. Badia and S. Sambandam, J. Hand Surg. 31A, 1605 (2006). Web of Science, Google Scholar
W. P. Cooney, R. L. Linscheid and L. J. Askew, Clin. Ortho. and Related Research 220, 35 (1987). Medline, Web of Science, Google Scholar
L. De Smet, W. Sioen and D. Spaepen, J. Hand Surg. 29B, 40 (2004). Web of Science, Google Scholar
F. Angstet al., Arthritis and Rheum 53, 204 (2005). Google Scholar
S. Solway, The DASH Outcome Measure User's Manual, 2nd edn. (2002) pp. 84–105. Google Scholar
E. Demiret al., Ann. Plast. Surg. 54(2), 147 (2005), DOI: 10.1097/01.sap.0000143607.46558.7a. Crossref, Medline, Web of Science, Google Scholar
S. H. Naidu, N. Kulkarni and M. Saunders, J. Hand Surg. 31A, 760 (2006). Web of Science, Google Scholar