Outcome of Suture Suspension Arthroplasty for Thumb Carpometacarpal Joint Arthritis

Kim,  Sehun; Gong,  Hyun Sik; Lee,  Se Yeon; Lee,  Minho; Kim,  Jihyeung; Baek,  Goo Hyun

doi:2018.23.4.223

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Original Article

Archives of Hand and Microsurgery 2018;23(4):223-229.
Published online December 1, 2018.
DOI: https://doi.org/10.12790/ahm.2018.23.4.223

Outcome of Suture Suspension Arthroplasty for Thumb Carpometacarpal Joint Arthritis

Sehun Kim, Hyun Sik Gong, Se Yeon Lee, Minho Lee, Jihyeung Kim, Goo Hyun Baek

Department of Orthopaedic Surgery, Seoul National University College of Medicine, Seoul, Korea. hsgong@snu.ac.kr

Received: 24 July 2018 • Revised: 26 September 2018 • Accepted: 6 October 2018

Abstract

Purpose
A number of procedures were introduced to stabilize the 1st metacarpal bone after resection of the trapezium in the thumb carpometacarpal joint (CMCJ) arthroplasty. However, some surgical procedures may inevitably damage normal structures, such as harvesting tendons or drilling of a bone for tendon passage. Suture suspension arthroplasty is relatively less invasive and easier to perform than the previously described surgical methods. The purpose of this study was to report the therapeutic efficiency of the suture suspension arthroplasty.

Methods
We retrospectively reviewed 12 patients who underwent suture suspension arthroplasty for the treatment of thumb CMCJ arthritis. Pain visual analogue scale (VAS), satisfaction about surgical outcomes, and the disabilities of the arm, shoulder and hand (DASH) scores were measured to evaluate the functional outcomes and the Trapezial Space Ratios were measured. Satisfaction was measured in the range of “very dissatisfied” (0) to “very satisfied” (10).

Results
The mean follow-up period was 23 months. Pain VAS score improved significantly from 7.0 to 2.9 (p < 0.05). And mean satisfaction scale was 6.9. However, there was no significant difference in DASH scores between before and after surgery (p=0.06). The mean trapezial space ratio was calculated to be 0.45 before surgery, 0.33 immediately after surgery, 0.23 at the last follow-up.

Conclusion
Suture suspension arthroplasty is a satisfactory surgical procedure. And compared with other procedures, there is no significant difference in the reduction of the trapezial space. It may be useful in advanced thumb CMCJ arthritis.

Key Words: Carpometacarpal joint, Arthritis, Suture suspension arthroplasty

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