Trapeziometacarpal joint osteoarthritis surgical treatment with and without suspension technique results comparison: a prospective cohort study

Rationale. Trapeziometacarpal joint osteoarthritis is a widespread hand joints pathology in the general population of people. This surgical treatment often consists in affected trapezium removal with reconstructive techniques implementation that ensure affected hand first finger stability. These surgical interventions results dissatisfaction lies in first metacarpal bone base migration and, as a result, pain syndrome recurrence.

The purpose is to compare the distance between first metacarpal bone base middle and scaphoid distal pole in patients after rhizarthrose surgical treatment using first carpometacarpal joint resection suspension interposition autotendoplasty method with patients indicators who additionally used a suspension technique.

Materials and methods. In City Clinical Hospital №29 named N.E. Bauman upper limbs surgery department from 2017 to 2022 85 patients with first carpometacarpal joint osteoarthritis according to Eaton-Littler’s and Kellgren-Lawrence’s classification system (stage II–IV) surgical treatment was performed. 52 patients underwent first carpometacarpal joint resection suspension interposition autotendoplasty, while in case of 33 patients the suspension technique was not used. Treatment results evaluation was carried out of X-ray data 12 months after surgery.

Results. In first carpometacarpal joint resection suspension interposition autotendoplasty group a slight the distance between first metacarpal bone base middle and scaphoid distal pole decrease was observed: by 12,3% from the original index – while in suspension component absence group a pronounced first metacarpal bone base proximal migration was observed: by 38,8% compared with X-ray gap preoperative indicators .

Conclusion. Resection suspension interposition autotendoplasty use is an effective way to maintain the joint height.

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