Klein, Silvan M. and Wachter, Katharina and Koller, Michael and Vykoukal, Jody and Geis, Sebastian and Dolderer, Juergen H. and Loibl, Markus and Prantl, Lukas (2015) Long-term results after modified Epping procedure for trapeziometacarpal osteoarthritis. ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY, 135 (10). pp. 1475-1484. ISSN 0936-8051, 1434-3916
Full text not available from this repository. (Request a copy)Abstract
Thumb trapeziometacarpal joint (TMJ) arthritis is among the most common degenerative joint diseases of the hand and predominantly affects patients in their fifth or sixth decade of life. Mid-term results of the most common surgical procedures were inconclusive regarding the superiority of one particular treatment method. This study presents the long-term outcomes of a modified Epping procedure. Seventy-one patients underwent a modified Epping procedure with a flexor carpi radialis (FCR) tendon sling stabilizer. After a mean follow-up of 13 years, 39 patients were followed by questionnaire and 15 patients presented for clinical examination. Outcomes were evaluated by objective clinical measurements, radiographic evaluations, performance in DASH, as well as patients' perceived level of handicap during defined exercises. Mean DASH score was 32.39. Within the cohort, 66.7 % of the patients were free of complaints. Among patients reporting complaints, perceived loss of strength was the main concern for the majority (15.4 %) of study participants. Grip and pinch strengths and range of motion did not differ significantly between operated and non-operated hands. One patient suffered rupture of ligament plasty and needed revision surgery. Despite relatively high DASH scores, the overall outcome of the modified Epping procedure is encouraging. Subjective loss of strength is a main complaint among patients, whereas instability is less of concern.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | TENDON INTERPOSITION ARTHROPLASTY; BASAL JOINT ARTHRITIS; LIGAMENT RECONSTRUCTION; DEGENERATIVE ARTHRITIS; FOLLOW-UP; THUMB; TRAPEZIECTOMY; QUESTIONNAIRE; SUSPENSION; WOMEN; Trapeziometacarpal joint arthritis; Epping procedure; Ligament reconstruction; Tendon interposition; Long-term outcome |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Chirurgie Medicine > Zentren des Universitätsklinikums Regensburg > Zentrum für Klinische Studien |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 06 Jun 2019 12:48 |
| Last Modified: | 06 Jun 2019 12:48 |
| URI: | https://pred.uni-regensburg.de/id/eprint/4787 |
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