Journal article

Publication year: 2014

Pages: 179-185

Journal: Handchirurgie, Mikrochirurgie, Plastische Chirurgie

Volume number: 46

Issue number: 3

ISSN: 0722-1819

eISSN: 1439-3980

DOI Link: https://doi.org/10.1055/s-0034-1368715

Publisher: Georg Thieme Verlag

Abstract: 

Purpose: The aim of this work was to examine the utility of the Mini TightRope (R) after trapezectomy and suspension of the first metacarpal in cases of clinically manifest rhizarthrosis.

Patients and Method: 31 Patients (26 female, 5 male, mean age 57.9 years) with primary rhizarthrosis were treated with a trapezectomy and suspension of the first metacarpal with a Mini TightRope (R) (cost 225 Euro). In the course of a retrospective study, all patients underwent a clinical and radiological re-examination at an average of 13.5 (6-22) months. To assess the therapy, a clinical and radiological examination as well as the score of Buck-Gramcko were used.

Results: 74.2 % of the patients obtained good and very good results, 12.9 % achieved satisfactory or poor outcomes. In 2 patients the Mini TightRope (R) had to be removed due to a proximalisation of the first metacarpal and strong pain in rest and motion after 6-7 months. Whereas the distance between the distal scaphoid pole and the base of the first metacarpal postoperatively averaged 11.1 (8-14) mm, it averaged 5.3 (0-10.2) mm in the follow-up examination.

Conclusion: With the presented procedure it is possible to achieve in the majority of the treated patients good and very good results. 2 early removals of the implants, a documented proximalisation in spite of the implant and the price of the Mini TightRope (R) of currently 225 Euro need to be discussed critically.

Harvard Citation style: Szalay, G., Scheufens, T., Alt, V., Boecker, W. and Schnettler, R. (2014) Operative Treatment of Rhizarthrosis with Trapezectomy and Suspension of the First Metacarpal with a Mini TightRope®, Handchirurgie, Mikrochirurgie, Plastische Chirurgie, 46(3), pp. 179-185. https://doi.org/10.1055/s-0034-1368715

APA Citation style: Szalay, G., Scheufens, T., Alt, V., Boecker, W., & Schnettler, R. (2014). Operative Treatment of Rhizarthrosis with Trapezectomy and Suspension of the First Metacarpal with a Mini TightRope®. Handchirurgie, Mikrochirurgie, Plastische Chirurgie. 46(3), 179-185. https://doi.org/10.1055/s-0034-1368715