ArticleJournal of hand and microsurgery2025
A case series of arthroscopic distal trapeziectomy and hematoma distraction; clinical and radiological outcomes.
Article in Journal of hand and microsurgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Purpose: Trapeziectomy has a particularly significant role in relieving pain in patients with trapeziometacarpal arthritis. With the advantage of arthroscopy combined with hematoma distraction, arthroscopic distal trapeziectomy can achieve good pain relief with minimum wound complications. Aim: Evaluation of the clinical and functional results of arthroscopic distal trapeziectomy and hematoma distraction. Patients and methods: The study included thirty patients with stage II and III trapeziometacarpal arthritis. The articular surface & subchondral bone were resected. Then the joint was distracted using percutaneous Kirschner wires. The mean follow-up period was about 20 months. Results: There was a statistically significant difference in pre- and post-operative pain scores with slight improvement of tip & key pinch strength. Conclusion: According to our study findings, arthroscopic distal trapeziectomy and hematoma distraction can be performed with significant improvements and satisfactory clinical and functional results in patients with stage II and III trapeziometacarpal arthritis.
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