Joint distraction for thumb carpometacarpal osteoarthritis: a feasibility study with 1-year follow-up

Anne J Spaans; L Paul van Minnen; Assa Braakenburg; Aebele B Mink van der Molen

doi:10.1080/2000656X.2016.1241789

Joint distraction for thumb carpometacarpal osteoarthritis: a feasibility study with 1-year follow-up

Anne J Spaans^*
, L Paul van Minnen
, Assa Braakenburg
, Aebele B Mink van der Molen

^*Corresponding author for this work

Department of Plastic and Reconstructive Surgery

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

OBJECTIVE: The purpose of this pilot study was to evaluate the feasibility of joint distraction of the first carpometacarpal (CMC1) joint in patients with CMC1 osteoarthritis (OA).

METHODS: An external joint distractor was placed over the CMC1 joint by K-wire fixation in the trapezium and the metacarpal. The joint was distracted 3 mm during surgery. The device was then kept in place for 8 weeks. Disabilities of the Arm, Shoulder, and Hand (DASH) score, Michigan Hand Outcome Questionnaire (MHQ), Visual Analogue Scale (VAS), and grip strength were recorded preoperatively and at set postoperative intervals.

RESULTS: Five female patients with an average age of 53 years (range = 41-61) were included. One year postoperatively, average DASH, MHQ, and VAS scores improved compared to preoperative values; DASH 53 to 27, MHQ 48 to 76, and VAS pain 48 to 14. There were no technical problems associated with the device. One patient had a local pin site infection treated successfully with oral antibiotics.

CONCLUSIONS: This study concludes that joint distraction of the osteoarthritic CMC1 joint is technically feasible. In this small, prospective pilot study the majority of the results were favourable during short-term follow-up.

Original language	English
Pages (from-to)	254-258
Number of pages	5
Journal	Journal of Plastic Surgery and Hand Surgery
Volume	51
Issue number	4
DOIs	https://doi.org/10.1080/2000656X.2016.1241789
Publication status	Published - Aug 2017

Keywords

Adult
Carpometacarpal Joints/diagnostic imaging
Feasibility Studies
Female
Follow-Up Studies
Humans
Middle Aged
Osteoarthritis/diagnostic imaging
Osteogenesis, Distraction/instrumentation
Pain Measurement
Pilot Projects
Range of Motion, Articular/physiology
Risk Assessment
Severity of Illness Index
Thumb/diagnostic imaging
Time Factors
Treatment Outcome

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10.1080/2000656X.2016.1241789

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title = "Joint distraction for thumb carpometacarpal osteoarthritis: a feasibility study with 1-year follow-up",

abstract = "OBJECTIVE: The purpose of this pilot study was to evaluate the feasibility of joint distraction of the first carpometacarpal (CMC1) joint in patients with CMC1 osteoarthritis (OA).METHODS: An external joint distractor was placed over the CMC1 joint by K-wire fixation in the trapezium and the metacarpal. The joint was distracted 3 mm during surgery. The device was then kept in place for 8 weeks. Disabilities of the Arm, Shoulder, and Hand (DASH) score, Michigan Hand Outcome Questionnaire (MHQ), Visual Analogue Scale (VAS), and grip strength were recorded preoperatively and at set postoperative intervals.RESULTS: Five female patients with an average age of 53 years (range = 41-61) were included. One year postoperatively, average DASH, MHQ, and VAS scores improved compared to preoperative values; DASH 53 to 27, MHQ 48 to 76, and VAS pain 48 to 14. There were no technical problems associated with the device. One patient had a local pin site infection treated successfully with oral antibiotics.CONCLUSIONS: This study concludes that joint distraction of the osteoarthritic CMC1 joint is technically feasible. In this small, prospective pilot study the majority of the results were favourable during short-term follow-up.",

keywords = "Adult, Carpometacarpal Joints/diagnostic imaging, Feasibility Studies, Female, Follow-Up Studies, Humans, Middle Aged, Osteoarthritis/diagnostic imaging, Osteogenesis, Distraction/instrumentation, Pain Measurement, Pilot Projects, Range of Motion, Articular/physiology, Risk Assessment, Severity of Illness Index, Thumb/diagnostic imaging, Time Factors, Treatment Outcome",

author = "Spaans, \{Anne J\} and Minnen, \{L Paul van\} and Assa Braakenburg and \{Mink van der Molen\}, \{Aebele B\}",

note = "Publisher Copyright: {\textcopyright} 2016 Acta Chirurgica Scandinavica Society.",

year = "2017",

month = aug,

doi = "10.1080/2000656X.2016.1241789",

language = "English",

volume = "51",

pages = "254--258",

journal = "Journal of Plastic Surgery and Hand Surgery",

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publisher = "Medical Journals Sweden AB",

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T1 - Joint distraction for thumb carpometacarpal osteoarthritis

T2 - a feasibility study with 1-year follow-up

AU - Spaans, Anne J

AU - Minnen, L Paul van

AU - Braakenburg, Assa

AU - Mink van der Molen, Aebele B

PY - 2017/8

Y1 - 2017/8

N2 - OBJECTIVE: The purpose of this pilot study was to evaluate the feasibility of joint distraction of the first carpometacarpal (CMC1) joint in patients with CMC1 osteoarthritis (OA).METHODS: An external joint distractor was placed over the CMC1 joint by K-wire fixation in the trapezium and the metacarpal. The joint was distracted 3 mm during surgery. The device was then kept in place for 8 weeks. Disabilities of the Arm, Shoulder, and Hand (DASH) score, Michigan Hand Outcome Questionnaire (MHQ), Visual Analogue Scale (VAS), and grip strength were recorded preoperatively and at set postoperative intervals.RESULTS: Five female patients with an average age of 53 years (range = 41-61) were included. One year postoperatively, average DASH, MHQ, and VAS scores improved compared to preoperative values; DASH 53 to 27, MHQ 48 to 76, and VAS pain 48 to 14. There were no technical problems associated with the device. One patient had a local pin site infection treated successfully with oral antibiotics.CONCLUSIONS: This study concludes that joint distraction of the osteoarthritic CMC1 joint is technically feasible. In this small, prospective pilot study the majority of the results were favourable during short-term follow-up.

AB - OBJECTIVE: The purpose of this pilot study was to evaluate the feasibility of joint distraction of the first carpometacarpal (CMC1) joint in patients with CMC1 osteoarthritis (OA).METHODS: An external joint distractor was placed over the CMC1 joint by K-wire fixation in the trapezium and the metacarpal. The joint was distracted 3 mm during surgery. The device was then kept in place for 8 weeks. Disabilities of the Arm, Shoulder, and Hand (DASH) score, Michigan Hand Outcome Questionnaire (MHQ), Visual Analogue Scale (VAS), and grip strength were recorded preoperatively and at set postoperative intervals.RESULTS: Five female patients with an average age of 53 years (range = 41-61) were included. One year postoperatively, average DASH, MHQ, and VAS scores improved compared to preoperative values; DASH 53 to 27, MHQ 48 to 76, and VAS pain 48 to 14. There were no technical problems associated with the device. One patient had a local pin site infection treated successfully with oral antibiotics.CONCLUSIONS: This study concludes that joint distraction of the osteoarthritic CMC1 joint is technically feasible. In this small, prospective pilot study the majority of the results were favourable during short-term follow-up.

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KW - Osteogenesis, Distraction/instrumentation

KW - Pain Measurement

KW - Pilot Projects

KW - Range of Motion, Articular/physiology

KW - Risk Assessment

KW - Severity of Illness Index

KW - Thumb/diagnostic imaging

KW - Time Factors

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JO - Journal of Plastic Surgery and Hand Surgery

JF - Journal of Plastic Surgery and Hand Surgery

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ER -

Joint distraction for thumb carpometacarpal osteoarthritis: a feasibility study with 1-year follow-up

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Keywords

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