Trapeziectomy with ligament reconstruction and tendon interposition: a minimum 10-year follow-up

Tobias Vinycomb, John Crock

Research output: Contribution to journalArticleOtherpeer-review

Abstract

PURPOSE: To investigate the long-term (> 10 yrs) outcomes of trapeziectomy with ligament reconstruction and tendon interposition (LRTI). METHODS: We reviewed 15 cases of trapeziectomy with LRTI performed for the treatment trapeziometacarpal osteoarthritis. Mean follow up was 13.5 yrs (range, 10.5-17.5 yrs). We assessed a number of subjective and objective outcomes. A good outcome was a participant who did not require revision surgery, was satisfied with the outcome of their surgery and did not experience rest pain. RESULTS: No patients had revision surgery and only two patients were unsatisfied or very unsatisfied with the outcome of their surgery. Pain with activity was the strongest predictor of participant satisfaction. DISCUSSION: Approximately half the participants in this study experienced good long-term outcomes. Some participants were experiencing long-term symptoms, particularly pain, despite reporting that they are satisfied with the outcome of their surgery. Alternative techniques should be investigated that provide superior long-term outcomes.
Original languageEnglish
Pages (from-to)365 - 368
Number of pages4
JournalHand Surgery
Volume18
Issue number3
DOIs
Publication statusPublished - 2013

Cite this

@article{6723574ce72b44ad97fe7885e7437085,
title = "Trapeziectomy with ligament reconstruction and tendon interposition: a minimum 10-year follow-up",
abstract = "PURPOSE: To investigate the long-term (> 10 yrs) outcomes of trapeziectomy with ligament reconstruction and tendon interposition (LRTI). METHODS: We reviewed 15 cases of trapeziectomy with LRTI performed for the treatment trapeziometacarpal osteoarthritis. Mean follow up was 13.5 yrs (range, 10.5-17.5 yrs). We assessed a number of subjective and objective outcomes. A good outcome was a participant who did not require revision surgery, was satisfied with the outcome of their surgery and did not experience rest pain. RESULTS: No patients had revision surgery and only two patients were unsatisfied or very unsatisfied with the outcome of their surgery. Pain with activity was the strongest predictor of participant satisfaction. DISCUSSION: Approximately half the participants in this study experienced good long-term outcomes. Some participants were experiencing long-term symptoms, particularly pain, despite reporting that they are satisfied with the outcome of their surgery. Alternative techniques should be investigated that provide superior long-term outcomes.",
author = "Tobias Vinycomb and John Crock",
year = "2013",
doi = "10.1142/S0218810413500408",
language = "English",
volume = "18",
pages = "365 -- 368",
journal = "The Journal of Hand Surgery Asian-Pacific Volume",
issn = "2424-8355",
publisher = "World Scientific Publishing",
number = "3",

}

Trapeziectomy with ligament reconstruction and tendon interposition: a minimum 10-year follow-up. / Vinycomb, Tobias; Crock, John.

In: Hand Surgery, Vol. 18, No. 3, 2013, p. 365 - 368.

Research output: Contribution to journalArticleOtherpeer-review

TY - JOUR

T1 - Trapeziectomy with ligament reconstruction and tendon interposition: a minimum 10-year follow-up

AU - Vinycomb, Tobias

AU - Crock, John

PY - 2013

Y1 - 2013

N2 - PURPOSE: To investigate the long-term (> 10 yrs) outcomes of trapeziectomy with ligament reconstruction and tendon interposition (LRTI). METHODS: We reviewed 15 cases of trapeziectomy with LRTI performed for the treatment trapeziometacarpal osteoarthritis. Mean follow up was 13.5 yrs (range, 10.5-17.5 yrs). We assessed a number of subjective and objective outcomes. A good outcome was a participant who did not require revision surgery, was satisfied with the outcome of their surgery and did not experience rest pain. RESULTS: No patients had revision surgery and only two patients were unsatisfied or very unsatisfied with the outcome of their surgery. Pain with activity was the strongest predictor of participant satisfaction. DISCUSSION: Approximately half the participants in this study experienced good long-term outcomes. Some participants were experiencing long-term symptoms, particularly pain, despite reporting that they are satisfied with the outcome of their surgery. Alternative techniques should be investigated that provide superior long-term outcomes.

AB - PURPOSE: To investigate the long-term (> 10 yrs) outcomes of trapeziectomy with ligament reconstruction and tendon interposition (LRTI). METHODS: We reviewed 15 cases of trapeziectomy with LRTI performed for the treatment trapeziometacarpal osteoarthritis. Mean follow up was 13.5 yrs (range, 10.5-17.5 yrs). We assessed a number of subjective and objective outcomes. A good outcome was a participant who did not require revision surgery, was satisfied with the outcome of their surgery and did not experience rest pain. RESULTS: No patients had revision surgery and only two patients were unsatisfied or very unsatisfied with the outcome of their surgery. Pain with activity was the strongest predictor of participant satisfaction. DISCUSSION: Approximately half the participants in this study experienced good long-term outcomes. Some participants were experiencing long-term symptoms, particularly pain, despite reporting that they are satisfied with the outcome of their surgery. Alternative techniques should be investigated that provide superior long-term outcomes.

UR - http://goo.gl/gEVm88

U2 - 10.1142/S0218810413500408

DO - 10.1142/S0218810413500408

M3 - Article

VL - 18

SP - 365

EP - 368

JO - The Journal of Hand Surgery Asian-Pacific Volume

JF - The Journal of Hand Surgery Asian-Pacific Volume

SN - 2424-8355

IS - 3

ER -