Evidence map›Paper›PMID 34106290›Full record

ReviewOperative Orthopadie und Traumatologie2021

[Resection arthoplasty of the trapezium with ligament reconstruction and tendon interposition and variations].

Martin Franz Langer, Jörg Gerhard Grünert, Frank Unglaub, Martin Richter, Jörg van Schoonhoven, Simon Oeckenpöhler

Abstract readReview
PubMed Publisher
In one paragraph

Review in Operative Orthopadie und Traumatologie, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. 3D-printed prosthesis for traumatic trapezium bone defect: a case report.Archives of orthopaedic and trauma surgery · 2025
    Article
  4. Article
  5. Review
  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 2 countries.

Martin Franz LangerKlinik für Unfall‑, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Waldeyerstr. 1, 48149, Münster, Deutschland. langer.martin@ukmuenster.de.
Jörg Gerhard GrünertKantonsspital St. Gallen, St. Gallen, Schweiz.
Frank UnglaubVulpiusklinik Bad Rappenau, Bad Rappenau, Deutschland.
Martin RichterMalteser Krankenhaus Bonn/Rhein-Sieg, Bonn/Rhein-Sieg, Deutschland.
Jörg van SchoonhovenRhön-Klinikum Campus Bad Neustadt, Bad Neustadt, Deutschland.
Simon OeckenpöhlerKlinik für Unfall‑, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Waldeyerstr. 1, 48149, Münster, Deutschland.
University Hospital Münster · DEKantonsspital St. Gallen · CHMalteser-Krankenhaus · DERhön-Klinikum · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveCreation of a pain-free, flexible and stable (pseudo) joint between the carpus and the base of the 1st metacarpal bone. INDICATIONS: Painful carpometacarpal (CMC)‑I joint due to primary or secondary osteoarthritis, CMC‑I instability. CONTRAINDICATIONS: Carpal instability, local infection, tumors. SURGICAL TECHNIQUE: Resection of the trapezium (and of the arthritic joint surfaces in CMC‑I and STT [scaphoid-trapezium-trapezoid-joint]), stabilization of the base of the 1st metacarpal bone by suspension with a distally pedicled strip of the flexor carpi radialis tendon or variants thereof. POSTOPERATIVE MANAGEMENT: Immobilization in a splint for 3-5 weeks, followed by hand therapy.

resultsWorldwide for almost 40 years, regardless of the exact technique, almost always (90%) significant pain reduction, increased strength in the grip and slightly less in the pinch grip, very good mobility, 85-95% very satisfied patients and very good long-term results.

Indexed as

Carpometacarpal JointsTrapezium BoneArthroplastyHumansLigamentsTendonsThumbTreatment OutcomeCarpometacarpal‑I jointOsteoarthritisSurgical techniquesTechniquesTrapezium resection

Identifiers

PMID34106290
OpenAlexW3168485380

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.