Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: General Orthopaedics
Abstract number: 22904
TRAPEZIECTOMY AND CAPSULAR INTERPOSTIONAL PROCEDURE -
RESULTS OF PATIENT FOLLOW UP
Sujith SIDHARTHAN, Jagan JACOB, Nigel CLAY
Glan Clwyd Hospital, Rhyl (UNITED KINGDOM)
Background: Trapeziectomy is done for osteoarthritis affecting the CMC joint of the
thumb. Many surgical procedures have been described to fill the potential space post
trapeziectomy. Results with these techniques are varied with regards to subjective
relief of symptoms and pinch strength. We raise a distally based redundant capsular
flap of the carpometacarpal joint of the thumb, proceed to trapeziectomy, then insert
the free end of the flap into the potential space. The aim of our study was to assess
the subjective outcome of this technique. Material & methods: Retrospective study
done in our institute included 35 patients and 40 thumbs. Patients were followed up
for a mean of 3 years (1-5 years). Outcome was assessed by Disabilities of the Arm,
Shoulder and Hand (DASH) questionnaire. Results: Majority of the patients were
females and the mean DASH score was 36.2 range (1.72 - 62.1). Majority of the
patients were pleased with the procedure but due to other joints in the upper limb
being affected reflected badly on the DASH scores. Conclusions: This study showed
that patients had good pain relief with this procedure which was simple and using the
redundant capsule flap. This was also associated with less morbidity compared to
other procedures described. This also shows that DASH questionnaire is not a good
tool in assessing outcomes in patients who have multiple joint pathologies in the
upper limb.
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