Die Daumensattelgelenksarthrose – Aspekte zur Indikationsstellung von Resektionsarthroplastik und Daumensattelgelenksprothese

Zusammenfassung

Die Daumensattelgelenksarthrose stellt die häufigste operationsbedürftige Arthrose an der Hand dar, wenngleich vor jeder operativen Therapie immer die konservativen Maßnahmen ausgereizt werden sollen. Wird bei Fortschreiten der Gelenkabnutzung jedoch anhaltend die Funktion des Daumens und somit der gesamten Hand schmerzbedingt eingeschränkt, ist eine chirurgische Behandlung indiziert. Bereits 1947 publizierte Gervis Ergebnisse nach Entfernung des Trapeziums und leitete damit die Entwicklung einer Vielzahl unterschiedlicher Operationsverfahren ein. Das Hauptproblem nach Resektionsarthoplastiken mit oder ohne Sehneninterposition und/oder Suspension stellt nach wie vor die sehr lange Rehabilitationszeit dar. Nach der Einführung der ersten Prothese des Daumensattelgelenkes durch De la Caffiniere vor 50 Jahren kam es zu einer raschen Entwicklung hin zu den aktuellen modularen, bipolaren Implantaten. Vor allem im deutschsprachigen Raum besteht nach wie vor eine gewisse Skepsis bezüglich der Prothesen, weshalb diese Arbeit beide chirurgischen Verfahren mit besonderem Augenmerk auf die Aspekte der Indikationsstellung beleuchten soll.

Abstract

Base-of-thumb osteoarthritis is the most frequent osteoarthritis of the hand requiring surgical treatment, although conservative treatment options should be exhausted before surgery. If the wear process progresses with continuing pain-related loss of thumb function, thus leading to a loss of function of the whole hand, surgical treatment is indicated. In 1947, Gervis published results after trapeziectomy and heralded the development of a multitude of different surgical procedures. The long time needed for rehabilitation is a major problem of trapeziectomy with or without tendon interposition and/or suspension. After the implementation of the first CMC I prosthesis by De la Caffiniere 50 years ago, a rapid development took place, leading to the current modular bipolar implants. Especially in the German-speaking world, there is still some scepticism regarding these prostheses, which is why this review aims to illuminate both surgical procedures with a special focus placed on the aspects of indication.

Schlüsselwörter

Arthroplastik - Endoprothese - Resektions-Arthroplastik - Resektions-Actionspiel-Arthroplastik - Daumensattelgelenksprothese - Indikationsstellung

Keywords

resection arthroplasty - indication - base-of-thumb osteoarthritis - CMC I prosthesis

Publikationsverlauf

Eingereicht: 28. Februar 2024

Angenommen: 16. April 2024

Artikel online veröffentlicht:
11. Juni 2024

• Literatur

• 1 Gay AM, Cerlier A, Iniesta A. et al. Surgery for trapeziometacarpal osteoarthritis. Hand Surg Rehabil 2016; 35: 238-249 DOI: 10.1016/j.hansur.2016.06.002.
• 2 Kollig E, Bieler D, Franke A. Endoprothetik am Daumensattelgelenk: Aktueller Stellenwert der Endoprothetik zur operativen Behandlung der Rhizarthrose. Unfallchirurg 2016; 119: 1007-1014 DOI: 10.1007/s00113-016-0252-7.
• 3 Cooney WP. Hand strength: normative values. J Hand Surg Am 1995; 20: 1057-1058 DOI: 10.1016/S0363-5023(05)80159-5.
• 4 Cooney WP, Chao EY. Biomechanical analysis of static forces in the thumb during hand function. J Bone Joint Surg Am 1977; 59: 27-36
• 5 Vermeulen GM, Slijper H, Feitz R. et al. Surgical management of primary thumb carpometacarpal osteoarthritis: a systematic review. J Hand Surg Am. 2011; 36: 157-169 DOI: 10.1016/j.jhsa.2010.10.028.
• 6 Xu L, Strauch RJ, Ateshian GA. et al. Topography of the osteoarthritic thumb carpometacarpal joint and its variations with regard to gender, age, site, and osteoarthritic stage. J Hand Surg Am 1998; 23: 454-464 DOI: 10.1016/S0363-5023(05)80463-0.
• 7 Toffoli A, Teissier J. MAÏA Trapeziometacarpal Joint Arthroplasty: Clinical and Radiological Outcomes of 80 Patients with More than 6 Years of Follow-Up. J Hand Surg Am 2017; 42: 838.e1-838.e8 DOI: 10.1016/j.jhsa.2017.06.008.
• 8 Zschöck-Holle A, Reik M, Wölfle O. et al. Behandlung der Rhizarthrose mittels Trapezium-Resektion und Swanson-Silikonprothese. Handchir Mikrochir Plast Chir 2015; 47: 7-16 DOI: 10.1055/s-0034-1398667.
• 9 Tropet Y, Garbuio P, Ridoux PE. et al. Trapezometacarpal osteoarthritis: review of 27 cases treated by using silicone implant arthroplasty. Eur J Orthop Surg Traumatol 1995; 5: 7-14 DOI: 10.1007/BF02716207.
• 10 Fuchs S, Mönikes R, Wohlmeiner A. et al. Intra-articular hyaluronic acid compared with corticoid injections for the treatment of rhizarthrosis. Osteoarthritis Cartilage 2006; 14: 82-88 DOI: 10.1016/j.joca.2005.07.016.
• 11 Esplugas M, Lluch-Bergada A, Mobargha N. et al. Trapeziometacarpal Ligaments Biomechanical Study: Implications in Arthroscopy. J Wrist Surg 2016; 5: 277-283 DOI: 10.1055/s-0036-1581052.
• 12 Gervis WH. Osteo-arthritis of the Trapezio-metacarpal Joint treated by Excision of the Trapezium. Proc R Soc Med 1947; 40: 492
• 13 Shah DS, Middleton C, Gurdezi S. et al. The Effect of Surgical Treatments for Trapeziometacarpal Osteoarthritis on Wrist Biomechanics: A Cadaver Study. J Hand Surg Am 2020; 45: 389-398 DOI: 10.1016/j.jhsa.2019.10.003.
• 14 Brand J, Gaulke R, Geerling J. et al. Die Suspensionsarthroplastik am Daumensattelgelenk: Modifizierte Operationstechnik, Nachbehandlung und Ergebnisse-Eine retrospektive Analyse von 51 Operationen. Unfallchirurg 2007; 110: 402-407 DOI: 10.1007/s00113-006-1224-0.
• 15 Hartigan BJ, Stern PJ, Kiefhaber TR. Thumb carpometacarpal osteoarthritis: arthrodesis compared with ligament reconstruction and tendon interposition. J Bone Joint Surg Am 2001; 83: 1470-1478 DOI: 10.2106/00004623-200110000-00002.
• 16 Angly B, Steiger R, Stober R. Interpositions-Arthroplastik zur Behandlung der Rhizarthrose: Ergebnisvergleich der Techniken nach Epping und Weilby. Handchir Mikrochir Plast Chir 2006; 38: 90-97 DOI: 10.1055/s-2006-924041.
• 17 Vadstrup LS, Schou L, Boeckstyns ME. Basal joint osteoarthritis of the thumb treated with Weilby arthroplasty: a prospective study on the early postoperative course of 106 consecutive cases. J Hand Surg Eur Vol 2009; 34: 503-505 DOI: 10.1177/1753193409105084.
• 18 Vermeulen GM, Brink SM, Sluiter J. et al. Ligament reconstruction arthroplasty for primary thumb carpometacarpal osteoarthritis (weilby technique): prospective cohort study. J Hand Surg Am 2009; 34: 1393-1401 DOI: 10.1016/j.jhsa.2009.06.019.
• 19 Cooney WP, Leddy TP, Larson DR. Revision of thumb trapeziometacarpal arthroplasty. J Hand Surg Am 2006; 31: 219-227 DOI: 10.1016/j.jhsa.2005.10.018.
• 20 Nylén S, Juhlin LJ, Lugnegard H. Weilby tendon interposition arthroplasty for osteoarthritis of the trapezial joints. J Hand Surg Br 1987; 12: 68-72 DOI: 10.1016/0266-7681_87_90062-3.
• 21 Zajonc H, Grill B, Simunovic F. et al. Vergleich der Ergebnisse der Resektions-Suspensionsarthroplastik nach Lundborg und Sirotakova zur Behandlung der Rhizarthrose. Handchir Mikrochir Plast Chir 2016; 48: 161-167 DOI: 10.1055/s-0042-104057.
• 22 Rab M, Gohritz A, Gohla T. et al. Ergebnisse nach Resektions-Suspensions-Arthroplastik bei Rhizarthrose: Vergleich der Abductor pollicis longus- mit der Flexor carpi radialis-Sehnensuspension. Handchir Mikrochir Plast Chir 2006; 38: 98-103 DOI: 10.1055/s-2006-924061.
• 23 Wajon A, Vinycomb T, Carr E. et al Surgery for thumb (trapeziometacarpal joint) osteoarthritis. Cochrane Database Syst Rev 2015; 23 2015 CD004631 DOI: 10.1002/14651858.CD004631.
• 24 Megerle K, Grouls S, Germann G. et al. Revision surgery after trapeziometacarpal arthroplasty. Arch Orthop Trauma Surg 2011; 131: 205-210 DOI: 10.1007/s00402-010-1128-x.
• 25 Naram A, Lyons K, Rothkopf DM. et al. Increased Complications in Trapeziectomy with Ligament Reconstruction and Tendon Interposition Compared With Trapeziectomy Alone. Hand (N Y) 2016; 11: 78-82 DOI: 10.1177/1558944715617215.
• 26 Burton RI. Complications following surgery on the basal joint of the thumb. Hand Clin 1986; 2: 265-269
• 27 Low TH, Hales PF. High incidence and treatment of flexor carpi radialis tendinitis after trapeziectomy and abductor pollicis longus suspensionplasty for basal joint arthritis. J Hand Surg Eur Vol 2014; 39: 838-844 DOI: 10.1177/1753193413506150.
• 28 Renfree KJ, Dell PC. Functional outcome following salvage of failed trapeziometacarpal joint arthroplasty. J Hand Surg Br 2002; 27: 96-100 DOI: 10.1054/jhsb.2001.0648.
• 29 Unglaub F, Langer MF, Löw S. et al. Komplikationsmanagement nach Resektionsarthroplastik bei Daumensattelgelenkarthrose. Handchirurgie Scan 2020; 09: 131-144 DOI: 10.1055/a-1064-6472.
• 30 Herren DB, Fuchs N, Schindele S. et al. Outcomes and recommendations for revision of thumb carpometacarpal resection arthroplasty. J Hand Surg Eur Vol 2021; 46: 1101-1107 DOI: 10.1177/17531934211050559.
• 31 Miller AJ, Jones CM, Martin DP. et al. Reliability of Metacarpal Subsidence Measurements after Thumb Carpometacarpal Joint Arthroplasty. J Hand Microsurg 2018; 10: 22-25 DOI: 10.1055/s-0037-1618912.
• 32 Munns JJ, Matthias RC, Zarezadeh A. et al. Outcomes of Revisions for Failed Trapeziometacarpal Joint Arthritis Surgery. J Hand Surg Am 2019; 44: 798.e1-798.e9 DOI: 10.1016/j.jhsa.2018.10.025.
• 33 Wajon A, Vinycomb T, Carr E. et al Surgery for thumb (trapeziometacarpal joint) osteoarthritis. Cochrane Database Syst Rev 2015; 23 2015 CD004631 DOI: 10.1002/14651858.CD004631.
• 34 Windhofer C, Neureiter J, Schauer J. et. al Trapeziectomy versus Maia Prosthesis in Trapeziometacarpal Osteoarthritis. J Wrist Surg 2023; ePub first DOI: 10.1055/s-0043-1770793.
• 35 de la Caffinière JY. Total trapezo-metacarpal prosthesis. Rev Chir Orthop Reparatrice Appar Mot 1974; 60: 299-308
• 36 Johnston P, Getgood A, Larson D. et al. De la Caffinière thumb trapeziometacarpal joint arthroplasty: 16-26 year follow-up. J Hand Surg Eur Vol 2012; 37: 621-624 DOI: 10.1177/1753193411433226.
• 37 Caekebeke P, Duerinckx J. Can surgical guidelines minimize complications after Maïa^® trapeziometacarpal joint arthroplasty with unconstrained cups?. J Hand Surg Eur Vol 2018; 43: 420-425 DOI: 10.1177/1753193417741237.
• 38 Jager T, Barbary S, Dap F. et al. Evaluation of postoperative pain and early functional results in the treatment of carpometacarpal joint arthritis. Comparative prospective study of trapeziectomy vs. MAIA(®) prosthesis in 74 female patients. Chir Main 2013; 32: 55-62 DOI: 10.1016/j.main.2013.02.004.
• 39 Bricout M, Rezzouk J. Complications and failures of the trapeziometacarpal Maia^® prosthesis: A series of 156 cases. Hand Surg Rehabil 2016; 35: 190-198 DOI: 10.1016/j.hansur.2016.02.005.
• 40 Andrzejewski A, Ledoux P. Maïa^® trapeziometacarpal joint arthroplasty: Survival and clinical outcomes at 5 years' follow-up. Hand Surg Rehabil 2019; 38: 169-173 DOI: 10.1016/j.hansur.2019.03.004.
• 41 Martin-Ferrero M. Ten-year long-term results of total joint arthroplasties with ARPE^® implant in the treatment of trapeziometacarpal osteoarthritis. J Hand Surg Eur Vol 2014; 39: 826-832 DOI: 10.1177/1753193413516244.
• 42 Cootjans K, Vanhaecke J, Dezillie M. et al. Joint Survival Analysis and Clinical Outcome of Total Joint Arthroplasties With the ARPE Implant in the Treatment of Trapeziometacarpal Osteoarthritis With a Minimal Follow-Up of 5 Years. J Hand Surg Am 2017; 42: 630-638 DOI: 10.1016/j.jhsa.2017.05.007.
• 43 Goubau JF, Goorens CK, Van Hoonacker P. et al. Clinical and radiological outcomes of the Ivory arthroplasty for trapeziometacarpal joint osteoarthritis with a minimum of 5 years of follow-up: a prospective single-centre cohort study. J Hand Surg Eur Vol 2013; 38: 866-874 DOI: 10.1177/1753193413488494.
• 44 Klahn A, Nygaard M, Gvozdenovic R. et al. Elektra prosthesis for trapeziometacarpal osteoarthritis: a follow-up of 39 consecutive cases. J Hand Surg Eur Vol 2012; 37: 605-609 DOI: 10.1177/1753193412443501.
• 45 Thillemann JK, Thillemann TM, Munk B. et al. High revision rates with the metal-on-metal Motec carpometacarpal joint prosthesis. J Hand Surg Eur Vol 2016; 41: 322-327 DOI: 10.1177/1753193415595527.
• 46 Seaourt AC, Dap F, Dautel G. et al Comparison between the MAIA^® Implant and Trapeziectomy for Trapeziometacarpal Osteoarthritis: Outcomes at 9 Yearsʼ Follow-Up. J Hand Surg Asian Pac Vol. 2021; 26: 158-165 DOI: 10.1142/S2424835521500144.
• 47 Herren DB, Marks M, Neumeister S. et al. Short-term recovery after implant versus resection arthroplasty in trapeziometacarpal joint osteoarthritis. J Hand Surg Eur Vol 2023; 48: 1048-1055 DOI: 10.1177/17531934231188407.
• 48 Herren DB, Marks M, Neumeister S. et al. Low complication rate and high implant survival at 2 years after Touch^® trapeziometacarpal joint arthroplasty. J Hand Surg Eur Vol 2023; 48: 877-883 DOI: 10.1177/17531934231179581.
• 49 de Jong TR, Bonhof-Jansen EEDJ, Brink SM. et al. Total joint arthroplasty versus trapeziectomy in the treatment of trapeziometacarpal joint arthritis: a randomized controlled trial. J Hand Surg Eur Vol 2023; 48: 884-894 DOI: 10.1177/17531934231185245.
• 50 Falkner F, Tümkaya AM, Thomas B. et al. Dual mobility prosthesis for trapeziometacarpal osteoarthritis: results from a prospective study of 55 prostheses. J Hand Surg Eur Vol 2023; 48: 566-574 DOI: 10.1177/17531934231156280.
• 51 Jung M, Unglaub F. Daumensattelgelenkendoprothetik-eine kritische Beurteilung. Orthopäde 2019; 48: 398-401 DOI: 10.1007/s00132-019-03718-5.
• 52 Kaszap B, Daecke W, Jung M. Outcome comparison of primary trapeziectomy versus secondary trapeziectomy following failed total trapeziometacarpal joint replacement. J Hand Surg Am 2013; 38: 863-871.e3 DOI: 10.1016/j.jhsa.2013.01.030.
• 53 Duerinckx J, Verstreken F. Total joint replacement for osteoarthritis of the carpometacarpal joint of the thumb: why and how?. EFORT Open Rev 2022; 7: 349-355 DOI: 10.1530/EOR-22-0027.
• 54 Lussiez B, Falaise C, Ledoux P. Dual mobility trapeziometacarpal prosthesis: a prospective study of 107 cases with a follow-up of more than 3 years. J Hand Surg Eur Vol 2021; 46: 961-967 DOI: 10.1177/17531934211024500.
• 55 Myncke I, Vanhees M, Verstreken F. Unser Behandlungsschema bei Daumensattelgelenksarthrose. Handchir Mikrochir Plast Chir 2022; 54: 244-252 DOI: 10.1055/a-1808-7096.
• 56 Ulrich-Vinther M, Puggaard H, Lange B. Prospective 1-year follow-up study comparing joint prosthesis with tendon interposition arthroplasty in treatment of trapeziometacarpal osteoarthritis. J Hand Surg Am. 2008; 33: 1369-1377 DOI: 10.1016/j.jhsa.2008.04.028.
• 57 Seth I, Bulloch G, Seth N. et al. Efficacy and Safety of Different Trapezium Implants for Trapeziometacarpal Joint Osteoarthritis: A Systematic Review and Meta-Analysis. Hand (N Y) 2023; 2 15589447231183172 DOI: 10.1177/15589447231183172.