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- Title:
Autologous Fat Injection versus Lundborg Resection Arthroplasty for the Treatment of Trapeziometacarpal Joint Osteoarthritis.
- Document type:
- Comparative Study; Journal Article
- Author(s):
- Erne, Holger C; Cerny, Michael K; Ehrl, Denis; Bauer, Anna T; Schmauss, Verena; Moog, Philipp; Broer, Peter N; Loew, Steffen; Schmauss, Daniel
- Abstract:
- Various operative approaches exist for treatment of trapeziometacarpal joint osteoarthritis. The aim of this study was to compare the results of Lundborg resection arthroplasty with solely autologous fat injection.Twenty-one patients with symptomatic osteoarthritis of the trapeziometacarpal joint (Eaton-Littler classification stages III/IV) underwent either a Lundborg resection arthroplasty (n = 12) or autologous fat injection into the trapeziometacarpal joint (n = 9). Both groups were comparable regarding demographic and clinical data. Patient records were evaluated retrospectively regarding operative time; Disabilities of the Arm, Shoulder, and Hand questionnaire score; postoperative time until resolution of symptoms; pain level; grip and pinch force; and satisfaction with the treatment.Both groups had similar length of follow-up of at least 12 months. The duration of the operation was significantly shorter in the fat group (13 ± 5 minutes) compared with the resection group (31 ± 5 minutes) (p < 0.05). The Disabilities of the Arm, Shoulder, and Hand questionnaire score (resection group, 21.9 ± 6.2; fat group, 24.0 ± 5.0) and the pain level at follow-up (resection group, 1.0 ± 0.7; fat group, 2.9 ± 0.8) were comparable (p > 0.05). The time until complete resolution of symptoms was significantly shorter in the fat group (1.7 ± 2.1 months) compared with the resection group (5.7 ± 3.1 months) (p < 0.05). Grip and pinch strength and overall satisfaction with the treatment were comparable (p > 0.05).Both autologous fat grafting and Lundborg resection arthroplasty resulted in improved function of the operative hand and a clear reduction of symptoms, whereas autologous fat injection seems to have advantages attributable to a shorter time until resolution of symptoms and shorter operative times.Therapeutic, III.
- Journal title abbreviation:
- Plast Reconstr Surg
- Year:
- 2018
- Journal volume:
- 141
- Journal issue:
- 1
- Pages contribution:
- 119-124
- Language:
- eng
- Fulltext / DOI:
- doi:10.1097/PRS.0000000000003913
- Pubmed ID:
- http://view.ncbi.nlm.nih.gov/pubmed/28922320
- Print-ISSN:
- 0032-1052
- TUM Institution:
- Lehrstuhl für Plastische Chirurgie und Handchirurgie (Prof. Machens)
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