Trial reportClinical orthopaedics and related research2014
Degenerative change at the pseudarthrosis after trapeziectomy at 6-year followup.
Trial report in Clinical orthopaedics and related research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.
- Surgery for thumb (trapeziometacarpal joint) osteoarthritis.The Cochrane database of systematic reviews · 2026Pooled it
- Snapping Extensor Pollicis Longus Tendon Secondary to Ganglion Cyst Formation After Trapeziectomy for First Carpometacarpal Arthritis.Plastic and reconstructive surgery. Global open · 2025Article
- Isolated Osseous Excision in the Adult Carpus: A Narrative Review.Journal of hand and microsurgery · 2024Review
- Surgeon preferences in the treatment of thumb carpometacarpal osteoarthritis.World journal of orthopedics · 2024Article
- Partial trapeziectomy for Eaton stage III thumb carpometacarpal arthritis: ligament reconstruction with tendon interposition using the entire flexor carpi radialis and interference screw fixation.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2022Article
- Basal thumb osteoarthritis surgery improves health state utility irrespective of technique: a study of UK Hand Registry data.The Journal of hand surgery, European volume · 2020Article
- Results of the treatment of first carpometacarpal joint osteoarthritis: trapeziectomy alone versus trapeziectomy associated with suspensionplasty.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2018Article
- Current trends in the management of trapeziometacarpal arthritis.Orthopedic reviews · 2017Article
- [Current aspects of therapy of rhizoarthrosis].Der Unfallchirurg · 2016Review
- Meniscal allograft arthroplasty for the treatment of trapeziometacarpal arthritis of the thumb.Hand (New York, N.Y.) · 2015Article
Corrections and comments
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Authors and funding
2 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSimple trapeziectomy has a well-documented history of success for the management of osteoarthritis at the trapeziometacarpal joint. There is concern, however, that late-onset failure can occur as a result of the development of degenerative disease at the scaphoid-metacarpal pseudarthrosis. QUESTIONS/PURPOSES: The purpose of this study was to determine whether (1) radiographic changes of degenerative joint disease progressed; (2) the pseudarthrosis height diminished between 1 year and 6 years after either simple trapeziectomy or trapeziectomy with ligament reconstruction and tendon interposition (LRTI); and 3) the presence of degenerative changes were associated with inferior scores on standardized outcomes instruments.
methodsUsing cases from an earlier randomized trial, the 1-year and 6-year stress radiographs of the pseudarthrosis between the distal pole of the scaphoid and the base of the thumb metacarpal were assessed for degenerative change in 25 thumbs that had undergone simple excision of the trapezium and 29 that had undergone trapeziectomy + LRTI for painful trapeziometacarpal joint osteoarthritis. Degenerative change was graded according to a Kellgren and Lawrence system, and clinical results were assessed using the Patient Evaluation Measure (PEM), Disabilities of the Arm, Shoulder and Hand (DASH) questionnaires, and thumb key pinch strength.
resultsOne of the 29 thumbs treated with trapeziectomy + LRTI and seven of the 25 thumbs treated by simple excision of the trapezium exhibited increased degenerative change at their final followup. A pseudarthrosis space was preserved in 22 of the 25 simple trapeziectomies and 28 of the 29 trapeziectomies + LRTI. The presence of degenerative change did not adversely affect the outcome as measured by the PEM, the DASH, or thumb key pinch strength.
conclusionsIncreased degenerate-like changes were observed after simple excision of the trapezium but these did not influence the clinical outcome. LEVEL OF EVIDENCE: Level II, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.
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