SURGICAL TREATMENT OF TRAPEZIOMETACARPAL OSTEOARTHRITIS (REVIEW)

Cover Page


Cite item

Abstract

 The sellar joint plays a key role in wrist function ensuring thumb contraposition when gripping. Lesions of sellar joint are accompanied by pain syndrome and deformity of the first metacarpal which substantially affects life quality of the patients. The authors carried the analysis of literature dedicated to surgical treatment of degenerative lesions of trapeziometacarpal joint. The present review describes features of joint anatomy and biomechanics, reports the key factors contributing to disease progression, covers various approaches and criteria for selection of surgical options for reconstruction of sellar joint.

 

About the authors

L. A. Rodomanova

Vreden Russian Research Institute of Traumatology and Orthopedics ; Pavlov First Saint Petersburg State Medical University.

Author for correspondence.
Email: fake@neicon.ru

Lyubov’ A. Rodomanova — Dr. Sci. (Med.), professor, head of Hand Surgery and Microsurgery Scientific Department; professor of Department of Traumatology and Orthopedics.

8, ul. Akad. Baykova, 195427, St. Petersburg; 6-8,ul. L. Tolstoy, 197022, St. Petersburg.

Russian Federation

I. V. Orlova

Vreden Russian Research Institute of Traumatology and Orthopedics.

Email: fake@neicon.ru

Irina V. Orlova — clinical intern.

8, ul. Akad. Baykova, 195427, St. Petersburg.

Russian Federation

References

  1. Михалкевич Д.И. Ризартроз кисти. Медицинский журнал. 2017;(3):21-26.
  2. Bettinger P.C., Berger A.B. Functional ligamentous anatomy of the trapezium and trapeziometacarpal joint (gross and arthroscopic). Hand Clinics. 2001; 17(2):151-168.
  3. Gay A.M., Cerlier A., Iniesta A., Legré R. Surgery for trapeziometacarpal osteoarthritis. Hand Surg Rehabil. 2016; 35(4):238-249. doi: 10.1016/j.hansur.2016.06.002.
  4. Barron O.A, Catalano L.W. Green’s Operative Hand Surgery. 6th ed. Churchill Livingstone. 2011. Ch. 13. P. 407-426.
  5. Капанджи А.И. Верхняя конечность. Физиология сус­ тавов. Том 1. 6-е изд. М.: Эксмо, 2009. С. 268-287.
  6. Luria S., Waitayawinyu T., Nemechek N., Huber P., Tencer A., Trumble T. Biomechanic analysis of trapeziectomy, ligament reconstruction with tendon interposition, and tie-in trapezium implant arthroplasty for thumb carpometacarpal arthritis: a cadaver study. J Hand Surg Am. 2007;32(5):697-706. doi: 10.1016/j.jhsa.2007.02.025.
  7. Rongieres M. Anatomie et physiologie de l’articulation trapezometacarpienne humaine. Chir Main. 2004;23: 263-269. doi: 10.1016/j.main.2004.09.002.
  8. Rubino M., Cavagnaro L., Sansone V. A new surgical technique for the treatment of scaphotrapezial arthritis associated with trapeziometacarpal arthritis: the narrow pseudoarthrosis. J Hand Surg. 2016;41(7):710-718. doi: 10.1177/1753193415609656.
  9. Matullo K., Ilyas A., Thoder J. CMC arthroplasty of the thumb: a review. Hand (N Y). 2007;2(4):232-239. doi: 10.1007/s11552-007-9068-9.
  10. Murphy N., Dasari B. Adams J. A review of osteoarthritis of the trapeziometacarpal joint (TMJ). Rheumatol Occup Therapy. 2009;24(1):8-11.
  11. Hattori Y., Doi K., Dormitorio B., Sakamoto S. Arthrodesis for primary osteoarthritis of the trapeziometacarpal joint in elderly patients. J Hand Surg. 2016;41(7):753-759. doi: 10.1016/j.jhsa.2016.05.009.
  12. Jurča J., Němejc M., Havlas V. [Surgical treatment for advanced rhizarthrosis. Comparison of results of the Burton-Pellegrini technique and trapeziometacarpal joint arthroplasty]. Acta Chir Orthop Traumatol Cech. 2016;83(1):27-31. (in Czech).
  13. Wajon A., Vinycomb T., Carr E., Edmunds I., Ada L. Surgery for thumb (trapeziometacarpal joint) osteoarthritis. Cochrane Database Syst Rev. 2015;23(2): CD004631. doi: 10.1002/14651858.cd004631.pub4.
  14. Cooney W.P., Chao E.Y. Biomechanical analysis of static forces in the thumb during hand function. J Bone Joint Surg Am. 1977;59(1):27-36. doi: 10.2106/00004623-197759010-00004.
  15. Burton R.I., Pellegrini V.D. Jr. Basilar joint arthritis of thumb. J Hand Surg Am. 1987;12(4):645.
  16. Eaton R.G., Glickel S.Z. Trapeziometacarpal osteoarthritis. Staging as a rationale for treatment. Hand Clin. 1987;3(4):455-471.
  17. Heyworth B.E., Lee J.H., Kim P.D., Lipton C.B., Strauch R.J., Rosenwasser M.P. Hylan versus corticosteroid versus placebo for treatment of basal joint arthritis: a prospective, randomized, double-blinded clinical trial. J Hand Surg. 2008;33(1):40-48. doi: 10.1016/j.jhsa.2007.10.009.
  18. Tomaino M.M. Thumb metacarpal extension osteotomy: rationale and efficacy for Eaton stage I disease. Hand Clin. 2006;22(2):137-141. doi: 10.1016/j.hcl.2006.02.008.
  19. Gervis W.H. Osteoarthritis of the trapeziometacarpal joint treated by exci-sion of the trapezium. Proc R Soc Med. 1947;40:492.
  20. Gervis W.H. Excision of the trapezium for osteoarthritis of the trapezio-metacarpal joint. J Bone Joint Surg. 1949;31B:537-539.
  21. Boughton O., Mackenzie H. Osteoarthritis of the Trapeziometacarpal Joint (TMJ): A review of the literature. In: Osteoarthritis – diagnosis, treatment and surgery. 2012. doi: 10.5772/28676.
  22. Murley A.H.G. Excision of the trapezium in osteoarthritis of the first carpo-metacarpal joint. J Bone Joint Surg. 1960;42B:502-507.
  23. Murley A.H. Carpometacarpal osteoarthritis of the thumb. Lancet. 1970;2(7667):312.
  24. Bettinger P.С., Linscheid R.L., Berger R., Cooney W.P. 3rd, An K.N. An anatomic study of the stabilizing ligaments of the trapezium and trapeziometacarpal joint. J Hand Surg. 1999;24(4):786-798. doi: 10.1053/jhsu.1999.0786.
  25. Kuhlmann J.N. [Importance of the posteromedial trapezometacarpal ligamentous complex]. Chir Main. 2001;20(1):31-47. (in French). doi: 10.1016/s1297-3203(01)00012-9.
  26. Maes-Clavier C., Bellemère P., Gabrion A., David E., Rotari V., Havet E. Anatomical study of the ligamentous attachments and articular surfaces of the trapeziometacarpal joint. Consequences on surgical management of its osteoarthrosis. Chir Main. 2014; 33(2):118-23. doi: 10.1016/j.main.2013.12.004.
  27. Pellegrini V.D., Parentis M., Judkins A., Olmstead J., Olcott C. Extension metacarpal osteotomy in the treatment of trapeziometacarpal osteoarthritis: a biomechanical study. J Hand Surg. 1996;21(1):16-23. doi: 10.1016/s0363-5023(96)80149-3.
  28. Koff M.F., Ugwonalli O.F., Strauch R.J., Rosenwasser M.P., Ateshian G.A., Mow V.C. Sequential wear patterns of the articular cartilage of the thumb carpometacarpal joint in osteoarthritis. J Hand Surg. 2003; 28(4):597-604. doi: 10.1016/s0363-5023(03)00145-x.
  29. Eaton R.G., Littler J.W. Ligament reconstruction for the painful thumb carpometacarpal joint. J Bone Joint Surg. 1973;55A:1656-1666.
  30. Eaton R.G., Lane L.B., Littler J.W., Keyser J.J. Ligament reconstruction for the painful thumb carpometacarpal joint: a long-term assessment. J Hand Surg. 1984;9(5): 692-699. doi: 10.1016/s0363-5023(84)80015-5.
  31. Lane L.B., Henley D.H. Ligament reconstruction of the painful, unstable, nonarthritic thumb carpometacarpal joint. J Hand Surg. 2001;26(4):686-691. doi: 10.1053/jhsu.2001.26122.
  32. Freedman D.M., Eaton R.G., Glickel S.Z. Long-term results of volar ligament reconstruction for symptomatic basal joint laxity. J Hand Surg. 2000;25(2):297-304. doi: 10.1053/jhsu.2000.jhsu25a0297.
  33. Merle M. Elective Hand Surgery: Rheumatological and degenerative conditions, nerve compression syndromes. Chapter 2. Trapeziometacarpal joint arthritis. World Scientific Publishing. 2011. 529 p.
  34. Wilson J.N. Basal osteotomy of the first metacarpal in the treatment of ar-thritis of the carpometacarpal joint of the thumb. Br J Surg. 1973;60(11):854-858.
  35. Zancolli E.A., Ziadenberg C., Zancolli E.J. Biomechanics of the trapeziometacarpal joint. Clin Orthop Relat Res. 1987;(220):14-26. doi: 10.1097/00003086-198707000-00004.
  36. Hobby J.L., Lyall H.A., Megitt B.T. First metacarpal for trapeziometacarpal osteoarthritis. J Bone Joint Surg Br. 1998;80(3):508-512. doi: 10.1302/0301-620x.80b3.8199.
  37. Loréa P., Dury M., Marin Braun F., Dekkaï T., De Mey A., Foucher G. [Trapeziometacarpal denerva-tion. Description of surgical technique and preliminary results from a prospective series of 14 cases]. Chir Main. 2002;21:209-217. (in French).
  38. Cozzi E.P. Denervation des articulations du poignetet de la main. Chir Main. 1991;4:781-787.
  39. Giesen T., Klein H.J., Franchi A., Medina J.A., Elliot D. Thumb carpometacarpal joint denervation for primary osteoarthritis: A prospective study of 31 thumbs. Hand Surg Rehabil. 2017;36(3):192-197. doi: 10.1016/j.hansur.2017.01.007.
  40. Poupon M., Duteille F., Cassagnau E., Leborgne J., Pannier M. [Anatomical study of the nerve supply of the trapeziometacarpal joint. Fifteen dissections]. Rev Chir Orthop Reparatrice Appar Mot. 2004;90(4):346-352. (in French). doi: 10.1016/s0035-1040(04)70130-0.
  41. Comtet J.J., Rumelhart C. [Total trapezometacarpal prostheses: concepts and classification study]. Chir Main. 2001;20(1):48-54. (in French). doi: 10.1016/s1297-3203(01)00013-0.
  42. Weilby A. Tendon interposition arthroplasty of the first carpo-metacarpal joint. J Hand Surg. 1988;13(4):421-425. doi: 10.1016/0266-7681(88)90171-4.
  43. Marks M., Hensler S., Wehrli M., Scheibler A.G., Schindele S., Herren D.B. Trapeziectomy with suspen-sion-interposition arthroplasty for thumb carpometa-carpal osteoarthritis: a randomized controlled trial com-paring the use of allograft versus flexor carpi radialis tendon. J Hand Surg. 2017;42(12):978-986. doi: 10.1016/j.jhsa.2017.07.023.
  44. Elfar J.C., Burton R.I. Ligament reconstruction and tendon interposition for thumb basal arthritis. Hand Clin. 2013; 29(1):15-25. doi: 10.1016/j.hcl.2012.08.018.
  45. Kazmers N.H., Hippensteel K.J., Calfee R.P., Wall L.B., Boyer M.I., Goldfarb C.A. et al. Locking plate arthrodesis compares favorably with LRTI for thumb trapeziometacarpal arthrosis: early outcomes from a longitudinal cohort study. HSS J. 2017;13(1):54-60. doi: 10.1007/s11420-016-9527-3.
  46. Lenoir H., Erbland A., Lumens D., Coulet B., Chammas M. Trapeziectomy and ligament reconstruc-tion tendon interposition after failed trapeziometacarpal joint replacement. Hand Surg Rehabil. 2016;35(1):21-26. doi: 10.1016/j.hansur.2015.09.002.
  47. Viegas S.F. A new modification of trapeziectomy and soft tissue interposition arthroplasty with abductor pollicis longus advancement. Tech Hand Up Extrem Surg. 2006; 10(3):130-138. doi: 10.1097/01.bth.0000231578.24782.cc.
  48. Stussi J.D., Dap F., Merle M. [Retrospective study of 69 primary trapeziometacarpal arthritis treated by total trapezectomy combined in 34 cases with tendon interposition arthroplasty and in 35 cases with suspensioplasty]. Chir Main. 2000;199(2):116-127. (in French). doi: 10.1016/s1297-3203(00)73469-x.
  49. Hippensteel K., Calfee R., Dardas A., Gelberman R., Osei D., Wall L. Functional outcomes of thumb trapeziometacarpal arthrodesis with a locked plate versus ligament reconstruction and tendon interposition. J Hand Surg. 2017;42(9):685-692. doi: 10.1016/j.jhsa.2017.05.018.
  50. Menon J. Partial trapeziectomy and interposition alarthroplasty for trapeziometacarpal osteoarthritis of the thumb. J Hand Surg. 1995;20(5):700-706. doi: 10.1016/s0266-7681(05)80140-8.
  51. Davis T.R.C., Brady O., Dias J.J. Excision of the trapezium for osteoarthritis of the trapeziometacarpal joint: a study of the benefit of ligament reconstruction or tendon interposition. J Hand Surg. 2004;29(6):1069-1077. doi: 10.1016/j.jhsa.2004.06.017.
  52. Catalano L.W., Horne L.T., Fischer E., Barron O.A., Glickel S.Z. Comparison of ligament reconstruction tendon interposition and trapeziometacarpal interpo-sition arthroplasty for basal joint arthritis. Orthopedics. 2008;31(3):1-9. doi: 10.3928/01477447-20080301-07.
  53. Chug M., Williams N., Benn D., Brindley S. Outcome of un-cemented trapeziometacarpal prosthesis for treatment of thumb carpometacarpal joint arthritis. Indian J Orthop. 2014;48(4):394-398. doi: 10.4103/0019-5413.136270.
  54. Blount A.L., Armstrong S.D., Yuan F., Burgess S.D. Porous polyurethaneurea (Artelon) joint spacer compared to trapezium resection and ligament reconstruction. J Hand Surg. 2013;38(9):1741-1745. doi: 10.1016/j.jhsa.2013.05.013.
  55. Logli A.L., Twu J., Bear B.J., Lindquist J.R., Schoenfeldt T.L., Korcek K.J. Arthroscopic partial tra-peziectomy with soft tissue interposition for symp-tomatic trapeziometacarpal arthritis: 6-month and 5-year minimum follow-up. J Hand Surg Am. 2018;43(4): 384.e1-384.e7. doi: 10.1016/j.jhsa.2017.10.016.
  56. Nilsson A., Liljensten E., Bergström C., Sollerman C. Results from a degradable TMC joint Spacer (Artelon) compared with tendon arthroplasty. J Hand Surg. 2005; 30(2):380-389. doi: 10.1016/j.jhsa.2004.12.001.
  57. Spekreijse K.R., Selles R.W., Kedilioglu M.A., Slijper H.P., Feitz R., Hovius S.E., Vermeulen G.M. Trapeziometacarpal arthrodesis or trapeziectomy with ligament reconstruction in primary trapeziometacarpal osteoarthritis: a 5-year follow-up. J Hand Surg. 2016; 41(9):910-916. doi: 10.1016/j.jhsa.2016.07.089.
  58. De la Caffinière J.Y. [Long-term results of the total trapezio-metacarpal prosthesis in osteoarthritis of the thumb]. Rev Chir Orthop. 1991;77(5):312-321. (in French).
  59. Odella S., Querenghi A.M., Sartore R., Felice A., Dacatra U. Trapeziometacarpal osteoarthritis: pyrocar-bon interposition implants. Joints. 2015;2(4):154-158. doi: 10.11138/jts/2014.2.4.154.
  60. Brutus J.P, Kinnen L. [Total carpometacarpal joint replacement surgery using the ARPE. Implant for primary ostearthritis of the thumb: our short-term]. Chir Main. 2004; 23:224-228. (in French). doi: 10.1016/j.main.2004.08.001.
  61. Knak J., Hansen T. Trapeziectomy or revision into a cemented polyethylene cup in failed trapeziometacarpal total joint arthroplasty. J Plast Surg Hand Surg. 2016;50(5):286-290. doi: 10.3109/2000656x.2016.1162796.
  62. Spartacus V., Mayoly A., Gay A., Le Corroller T., Némoz-Gaillard M., Roffino S., Chabrand P. Biomechanical analysis of the trapeziometacarpal arthroplasty failures. Comput Methods Biomech Biomed Engin. 2017;20(1):193-194. doi: 10.1080/10255842.2017.1382928.
  63. Caekebeke P., Duerinckx J. Can surgical guidelines minimize complications after Maïa® trapeziometacarpal joint arthroplasty with unconstrained cups? J Hand Surg. 2018;43(4):420-425. doi: 10.1177/1753193417741237.
  64. Thillemann J.K., Thillemann T.M., Munk B., Krøner K. High revision rates with the metal-on-metal Motec carpometacarpal joint prosthesis. J Hand Surg. 2016; 41(3):322-327. doi: 10.1177/1753193415595527.
  65. Henry M. Extensor pollicis brevis spiral tenodesis for combined metacarpophalangeal instability and tra-peziometacarpal arthritis. Hand (N Y). 2018;13(2):190-193. doi: 10.1177/1558944717695753.
  66. Megerle K., Grouls S., Germann G., Kloeters O., Hellmich S. Revision surgery after trapeziometacarpal arthroplas-ty. Arch Orthop Trauma Surg. 2011;131(2):205-210. doi: 10.1007/s00402-010-1128-x.
  67. Burke N.G., Walsh J., Moran C.J., Cousins G., Molony D., Kelly E.P. Patient-reported outcomes after Silastic replacement of the trapezium for osteoarthritis. J Hand Surg. 2012;37(3):263-268. doi: 10.1177/1753193411419433.
  68. Aita M.A., Alves R.S., Longuino L.F., Ferreira C.H., Ikeuti D.H., Rodrigues L.M. Measurement of quality of life among patient undergoing arthroplasty of the thumb to treat CMC arthritis. Rev Bras Ortop. 2016; 51(4): 431-436. doi: 10.1016/j.rboe.2016.06.003

Copyright (c)



СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ПИ № ФС 77 - 82474 от 10.12.2021.


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies