Diagnostic and treatment recommendations for recurrent or persistent symptoms after trapeziectomy: a Delphi study

被引：3

作者：

Herren, Daniel B. ^{[1
]}

Boeckstyns, Michel ^{[2
]}

Chung, Kevin C. ^{[3
]}

Farnebo, Simon ^{[4
]}

Hagert, Elisabet ^{[5
,6
]}

Tang, Jin Bo ^{[7
]}

Verstreken, Frederik ^{[8
]}

Marks, Miriam ^{[1
]}

机构：

[1] Schulthess Klin, Zurich, Switzerland

[2] Capio Private Hosp, Hellerup, Denmark

[3] Michigan Med, Comprehens Hand Ctr, Ann Arbor, MI USA

[4] Linkoping Univ, Dept Plast Surg Hand Surg & Burns, Dept Biomed & Clin Sci, Fac Med & Hlth Sci, Linkoping, Sweden

[5] Aspetar Orthoped & Sports Med Hosp, Doha, Qatar

[6] Karolinska Inst, Dept Clin Sci & Educ, Stockholm, Sweden

[7] Nantong Univ, Affiliated Hosp, Nantong, Peoples R China

[8] AZ Monica Hosp, Antwerp, Belgium

[9] Failed Thumb FaiTh CMC Resect Arthroplasty Study, Barcelona, Spain

来源：

JOURNAL OF HAND SURGERY-EUROPEAN VOLUME | 2024年 / 49卷 / 10期

关键词：

Ligament reconstruction and tendon interposition; osteoarthritis; reoperation; thumb carpometacarpal joint; trapeziometacarpal joint; THUMB CARPOMETACARPAL OSTEOARTHRITIS; REVISION; INTERPOSITION; ARTHROPLASTY; CONSENSUS; OUTCOMES;

D O I：

10.1177/17531934241227386

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

The aim of this Delphi study was to provide a diagnostic and treatment algorithm for patients with persistent or recurrent symptoms after trapeziometacarpal joint resection arthroplasty. Three Delphi rounds were conducted in which surveys were sent to 182 experienced hand surgeons worldwide. Responses were received from 140 participants. A consensus threshold was set at 67% agreement. Diagnostic tools and treatment approaches for six common revision scenarios achieved consensus. Radiographs are appropriate as primary (97%) and CT scans as secondary (76%) diagnostic tools. For scaphometacarpal impingement, 67% of respondents agreed that revision interposition is appropriate, with 93% recommending autologous tendon for the interposition. Additional suspension was considered appropriate by 68% of the participants. The diagnostic and treatment algorithm can help the surgeon to identify the reason for persistent symptoms after trapeziometacarpal joint resection arthroplasty and to choose an appropriate treatment strategy.

引用

页码：1235 / 1242

页数：8

共 36 条

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