Patient functional outcomes with trapeziectomy alone versus trapeziectomy with TightRope(®)

Arvind Mohan; Michael Shenouda; Hiba Ismail; Ankit Desai; Joshua Jacob; Tanaya Sarkhel

doi:10.1016/j.jor.2015.10.019

Patient functional outcomes with trapeziectomy alone versus trapeziectomy with TightRope(®)

J Orthop. 2015 Nov 14;12(Suppl 2):S161-5. doi: 10.1016/j.jor.2015.10.019. eCollection 2015 Dec.

Authors

Arvind Mohan¹, Michael Shenouda¹, Hiba Ismail¹, Ankit Desai¹, Joshua Jacob¹, Tanaya Sarkhel¹

Affiliation

¹ Department of Trauma and Orthopaedic Surgery, St Peter's Hospital, Chertsey KT16 0PZ, Surrey, UK.

Abstract

Purpose of the study: We assess whether patient functional outcomes with the use of a tightrope in conjunction with trapeziectomy are better than traditional trapeziectomy alone.

Methods: Retrospective study of 56 trapeziectomies in 53 patients; 26 trapeziectomies alone without additional procedures, and 30 trapeziectomies performed in conjunction with tightrope suspensionplasty. All patients were scored using Quick DASH, Patient-Rated Wrist Evaluation and Nelson base of thumb arthritis scores pre- and post-operatively.

Results: Significant improvements were seen with both operations using all three scoring systems. However, there was no statistically significant difference in post-operative scores between the two operations.

Study design: Retrospective comparative study.

Level of evidence: III.

Keywords: Suture-button arthroplasty; Thumb carpometacarpal joint arthritis; Tightrope; Trapeziectomy.