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Suspensionplasty for Revision Thumb Carpometacarpal Osteoarthritis Surgery: Comparing Suture Button Suspensionplasty to Ligament Reconstruction and Tendon Interposition.

Publication ,  Journal Article
Guerrero, EM; Ferlauto, HR; Grier, AJ; Wahl, EP; Richard, MJ; Ruch, DS
Published in: Plast Reconstr Surg
September 1, 2022

SUMMARY: Several surgical procedures have been described to treat thumb carpometacarpal osteoarthritis, including suture button suspensionplasty and ligament reconstruction and tendon interposition. To date, no single procedure has demonstrated clinical superiority. Suture button suspensionplasty has achieved favorable outcomes at 5 years in primary cases, but has not been validated in revision surgery. In this study, it was evaluated for revision of failed thumb carpometacarpal osteoarthritis surgery, and outcomes were compared to ligament reconstruction and tendon interposition outcomes. A retrospective chart review identified patients who underwent suture button suspensionplasty or ligament reconstruction and tendon interposition after failure of previous thumb carpometacarpal osteoarthritis surgery since 2010. Eighteen patients were included, with nine patients in each group. Eighteen patients had mean final follow-up of 35 months. There were two complications in the ligament reconstruction and tendon interposition group and none in the suture button suspensionplasty group. No patients required additional surgery. The suture button suspensionplasty group had an average visual analogue scale pain score improvement of 2.9, compared to 2.4 in the ligament reconstruction and tendon interposition group. Average final Quick Disabilities of the Arms, Shoulder and Hand questionnaire score was 15.1 in the suture button suspensionplasty group, compared to 22.6 in the ligament reconstruction and tendon interposition group. Mean operative time of 86.3 minutes in the suture button suspensionplasty group was significantly shorter than the 121-minute mean in the ligament reconstruction and tendon interposition group. Suture button suspensionplasty is an effective treatment option for revision of previous thumb carpometacarpal osteoarthritis surgery, with outcomes comparable to revision using ligament reconstruction and tendon interposition, and the added benefit of shorter operative times and early mobilization. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, III.

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Published In

Plast Reconstr Surg

DOI

EISSN

1529-4242

Publication Date

September 1, 2022

Volume

150

Issue

3

Start / End Page

601 / 605

Location

United States

Related Subject Headings

  • Trapezium Bone
  • Thumb
  • Tendons
  • Sutures
  • Surgery
  • Retrospective Studies
  • Reoperation
  • Osteoarthritis
  • Ligaments
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Guerrero, E. M., Ferlauto, H. R., Grier, A. J., Wahl, E. P., Richard, M. J., & Ruch, D. S. (2022). Suspensionplasty for Revision Thumb Carpometacarpal Osteoarthritis Surgery: Comparing Suture Button Suspensionplasty to Ligament Reconstruction and Tendon Interposition. Plast Reconstr Surg, 150(3), 601–605. https://doi.org/10.1097/PRS.0000000000009408
Guerrero, Evan M., Harrison R. Ferlauto, A Jordan Grier, Elizabeth P. Wahl, Marc J. Richard, and David S. Ruch. “Suspensionplasty for Revision Thumb Carpometacarpal Osteoarthritis Surgery: Comparing Suture Button Suspensionplasty to Ligament Reconstruction and Tendon Interposition.Plast Reconstr Surg 150, no. 3 (September 1, 2022): 601–5. https://doi.org/10.1097/PRS.0000000000009408.
Guerrero EM, Ferlauto HR, Grier AJ, Wahl EP, Richard MJ, Ruch DS. Suspensionplasty for Revision Thumb Carpometacarpal Osteoarthritis Surgery: Comparing Suture Button Suspensionplasty to Ligament Reconstruction and Tendon Interposition. Plast Reconstr Surg. 2022 Sep 1;150(3):601–5.
Guerrero, Evan M., et al. “Suspensionplasty for Revision Thumb Carpometacarpal Osteoarthritis Surgery: Comparing Suture Button Suspensionplasty to Ligament Reconstruction and Tendon Interposition.Plast Reconstr Surg, vol. 150, no. 3, Sept. 2022, pp. 601–05. Pubmed, doi:10.1097/PRS.0000000000009408.
Guerrero EM, Ferlauto HR, Grier AJ, Wahl EP, Richard MJ, Ruch DS. Suspensionplasty for Revision Thumb Carpometacarpal Osteoarthritis Surgery: Comparing Suture Button Suspensionplasty to Ligament Reconstruction and Tendon Interposition. Plast Reconstr Surg. 2022 Sep 1;150(3):601–605.

Published In

Plast Reconstr Surg

DOI

EISSN

1529-4242

Publication Date

September 1, 2022

Volume

150

Issue

3

Start / End Page

601 / 605

Location

United States

Related Subject Headings

  • Trapezium Bone
  • Thumb
  • Tendons
  • Sutures
  • Surgery
  • Retrospective Studies
  • Reoperation
  • Osteoarthritis
  • Ligaments
  • Humans