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Inicio Revista Española de Cirugía Ortopédica y Traumatología (English Edition) Isolated scaphotrapeziotrapezoid osteoarthritis treatment using resurfacing arth...
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Vol. 61. Issue 6.
Pages 412-418 (November - December 2017)
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Vol. 61. Issue 6.
Pages 412-418 (November - December 2017)
Original article
DOI: 10.1016/j.recote.2017.10.010
Isolated scaphotrapeziotrapezoid osteoarthritis treatment using resurfacing arthroplasty with scaphoid anchorage
Tratamiento de la artrosis escafotrapeciotrapezoidea aislada con artroplastia de recubrimiento con anclaje escafoideo
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G. Humada Álvareza,
Corresponding author
gonzalohumada@gmail.com

Corresponding author.
, C. Simón Pérezb, B. García Medranob, O. Faour Martínc, J.J. Marcos Rodríguezb, A. Vega Castrillob, M.A. Martín Ferrerob
a Servicio de Cirugía Ortopédica y Traumatología, Hospital Virgen de la Concha, Zamora, Spain
b Servicio de Cirugía Ortopédica y Traumatología, Hospital Clínico Universitario de Valladolid, Valladolid, Spain
c Servicio de Cirugía Ortopédica y Traumatología, Hospital Nuestra Señora de Sonsoles, Ávila, Spain
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Tables (2)
Table 1. Sample of the results achieved in terms of mobility and strength, for the operated side, the contralateral side and their comparison expressed as a percentage.
Table 2. Comparison between four studies showing different treatment forms for scaphotrapeziotrapezoid, modified from Low and Edmunds.11
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Abstract
Objective

The aim of this study is to show the results of scaphotrapeziotrapezoid (STT) joint osteoarthritis treatment performing resurfacing arthroplasty with scaphoid anchorage.

Material and method

An observational, descriptive and retrospective study was performed. Ten patients with isolated STT joint osteoarthritis were studied between 2013 and 2015. The mean follow-up time was 26months. Clinical results, functional and subjective scores were reviewed.

Results

The patients were satisfied, achieving an average of 2.1 (0–3) on the VAS score and 16 (2 to 28) in the DASH questionnaire, and returning to work in the first three months post-surgery. Recovery of range of motion compared to the contralateral wrist was 96% in extension, 95% in flexion, 87% in ulnar deviation and 91% in radial deviation. The average handgrip strength of the wrist was 95% and pinch strength was 95% compared to the contralateral side. There were no intraoperative complications or alterations in postoperative carpal alignment.

Conclusion

Resurfacing arthroplasty is proposed as a good and novel alternative in treating isolated SST joint arthritis. Achieving the correct balance between the strength and mobility of the wrist, without causing carpal destabilisation, is important to obtain satisfactory clinical and functional results.

Keywords:
Prostheses and implants
Wrist joint
Carpal bones
Osteoarthritis
Resumen
Objetivo

El propósito de este estudio es mostrar los resultados obtenidos con el empleo de la artroplastia de recubrimiento con anclaje escafoideo en el tratamiento de la artrosis escafotrapeciotrapezoidea (ETT) aislada.

Material y método

Se realiza un estudio observacional, descriptivo y retrospectivo del tratamiento de 10 pacientes con artrosis ETT aislada sintomática durante los años 2013 a 2015. El seguimiento medio es de 26meses (12-50). Se han evaluado los resultados clínicos, los funcionales y la satisfacción del paciente.

Resultados

Los pacientes se encuentran satisfechos, obteniendo una media de 2,1 (0-3) en la escala VAS y de 16 (2-28) en el cuestionario DASH, reincorporándose a las actividades laborales en los primeros 3meses posquirúrgicos. La recuperación del arco de movilidad en comparación con la muñeca contralateral es del 96% en extensión, del 95% en flexión, del 87% en inclinación cubital y del 91% en inclinación radial. La fuerza puño media es del 95% y la fuerza de pinza, del 95%, en comparación con el lado contralateral. No han surgido complicaciones intraoperatorias ni alteraciones en la alineación carpiana posquirúrgicas.

Conclusiones

La artroplastia de recubrimiento con anclaje escafoideo supone una alternativa novedosa y satisfactoria en el tratamiento de la artrosis ETT aislada. Lograr un balance adecuado entre la fuerza y la movilidad de la muñeca, sin producir una desestabilización carpiana, es importante para obtener resultados clínicos y funcionales satisfactorios.

Palabras clave:
Prótesis e implantes
Articulación de la muñeca
Huesos del carpo
Osteoartritis

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