Comparative analysis of surgical outcomes of arthrodesis and suspension arthroplasty of the saddle joint
Introduction Trapeziometacarpal osteoarthritis is a very common condition that leads to progressive loss of functionality of the first finger that can be surgically treated with arthrodesis of the saddle joint and suspension arthroplasty of the first metacarpal bone. There is a controversy over th...
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Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics
2025-04-01
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| Series: | Гений oртопедии |
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| author | Artem O. Afanasyev Alexander E. Chizhov Nino V. Abdiba Liubov A. Rodomanova |
| author_facet | Artem O. Afanasyev Alexander E. Chizhov Nino V. Abdiba Liubov A. Rodomanova |
| author_sort | Artem O. Afanasyev |
| collection | DOAJ |
| description | Introduction Trapeziometacarpal osteoarthritis is a very common condition that leads to progressive
loss of functionality of the first finger that can be surgically treated with arthrodesis of the saddle joint
and suspension arthroplasty of the first metacarpal bone. There is a controversy over the surgical technique
to choose without consensus in the literature.
The objective was to compare surgical outcomes of patients with trapeziometacarpal osteoarthritis treated
with arthrodesis and suspension arthroplasty of the saddle joint.
Material and methods The use of both surgical options resulted in significantly reduced pain measured
with the VAS (p < 0.001) and improved upper limb function evaluated with the Quick DASH scale.
The treatments differed in the median duration of plaster immobilization. The duration of postoperative
immobilization in arthrodesis patients was statistically higher (p = 0.004) than that in suspension arthroplasty
group. No statistically significant differences were found between the two groups of heavy and light manual
laborers (Pearson coefficient = 0.311).
Discussion The findings of the series indicated parameters being different from those published
in the literature. The dependence between functional results and the type of working activity of patients
treated with both surgical methods was not confirmed. The choice between trapezio-metacarpal arthrodesis
and suspension arthroplasty of the first metacarpal bone based on the criterion of severity of work was
not always correct. Increased periods of plaster immobilization in the saddle arthrodesis group are reported
in the literature and associated with complications of the treatment option.
Conclusion No significant differences were found between the outcomes of saddle arthrodesis and suspension
arthroplasty of the first metacarpal bone. |
| format | Article |
| id | doaj-art-34d0a9bf59924e4d859533413be71d2c |
| institution | DOAJ |
| issn | 1028-4427 2542-131X |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics |
| record_format | Article |
| series | Гений oртопедии |
| spelling | doaj-art-34d0a9bf59924e4d859533413be71d2c2025-08-20T03:13:26ZengRussian Ilizarov Scientific Center for Restorative Traumatology and OrthopaedicsГений oртопедии1028-44272542-131X2025-04-0131217518210.18019/1028-4427-2025-31-2-175-182Comparative analysis of surgical outcomes of arthrodesis and suspension arthroplasty of the saddle jointArtem O. Afanasyev0https://orcid.org/0009-0003-6407-5888Alexander E. Chizhov1https://orcid.org/0009-0002-2019-6242Nino V. Abdiba2https://orcid.org/0000-0001-9152-5299Liubov A. Rodomanova3https://orcid.org/0000-0003-2402-7307Vreden National Medical Research Center for Traumatology and Orthopedics, Saint-Petersburg, Russian FederationVreden National Medical Research Center for Traumatology and Orthopedics, Saint-Petersburg, Russian FederationVreden National Medical Research Center for Traumatology and Orthopedics, St. Petersburg, Russian Federation Vreden National Medical Research Center for Traumatology and Orthopedics, St. Petersburg, Russian Federation Introduction Trapeziometacarpal osteoarthritis is a very common condition that leads to progressive loss of functionality of the first finger that can be surgically treated with arthrodesis of the saddle joint and suspension arthroplasty of the first metacarpal bone. There is a controversy over the surgical technique to choose without consensus in the literature. The objective was to compare surgical outcomes of patients with trapeziometacarpal osteoarthritis treated with arthrodesis and suspension arthroplasty of the saddle joint. Material and methods The use of both surgical options resulted in significantly reduced pain measured with the VAS (p < 0.001) and improved upper limb function evaluated with the Quick DASH scale. The treatments differed in the median duration of plaster immobilization. The duration of postoperative immobilization in arthrodesis patients was statistically higher (p = 0.004) than that in suspension arthroplasty group. No statistically significant differences were found between the two groups of heavy and light manual laborers (Pearson coefficient = 0.311). Discussion The findings of the series indicated parameters being different from those published in the literature. The dependence between functional results and the type of working activity of patients treated with both surgical methods was not confirmed. The choice between trapezio-metacarpal arthrodesis and suspension arthroplasty of the first metacarpal bone based on the criterion of severity of work was not always correct. Increased periods of plaster immobilization in the saddle arthrodesis group are reported in the literature and associated with complications of the treatment option. Conclusion No significant differences were found between the outcomes of saddle arthrodesis and suspension arthroplasty of the first metacarpal bone.osteoarthritistrapezio-metacarpal jointsuspension arthroplastyarthrodesis |
| spellingShingle | Artem O. Afanasyev Alexander E. Chizhov Nino V. Abdiba Liubov A. Rodomanova Comparative analysis of surgical outcomes of arthrodesis and suspension arthroplasty of the saddle joint Гений oртопедии osteoarthritis trapezio-metacarpal joint suspension arthroplasty arthrodesis |
| title | Comparative analysis of surgical outcomes of arthrodesis and suspension arthroplasty of the saddle joint |
| title_full | Comparative analysis of surgical outcomes of arthrodesis and suspension arthroplasty of the saddle joint |
| title_fullStr | Comparative analysis of surgical outcomes of arthrodesis and suspension arthroplasty of the saddle joint |
| title_full_unstemmed | Comparative analysis of surgical outcomes of arthrodesis and suspension arthroplasty of the saddle joint |
| title_short | Comparative analysis of surgical outcomes of arthrodesis and suspension arthroplasty of the saddle joint |
| title_sort | comparative analysis of surgical outcomes of arthrodesis and suspension arthroplasty of the saddle joint |
| topic | osteoarthritis trapezio-metacarpal joint suspension arthroplasty arthrodesis |
| work_keys_str_mv | AT artemoafanasyev comparativeanalysisofsurgicaloutcomesofarthrodesisandsuspensionarthroplastyofthesaddlejoint AT alexanderechizhov comparativeanalysisofsurgicaloutcomesofarthrodesisandsuspensionarthroplastyofthesaddlejoint AT ninovabdiba comparativeanalysisofsurgicaloutcomesofarthrodesisandsuspensionarthroplastyofthesaddlejoint AT liubovarodomanova comparativeanalysisofsurgicaloutcomesofarthrodesisandsuspensionarthroplastyofthesaddlejoint |