J Wrist Surg 2020; 09(02): 094-099
DOI: 10.1055/s-0039-3402796
Special Review: Scaphotrapeziotrapezoid Osteoarthrosis
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Current Trends in Operative Treatment of Scaphotrapeziotrapezoid Osteoarthritis: A Survey among European Hand Surgeons

Merel J.-L. Berkhout
1   Department of Plastic, Reconstructive and Handsurgery, Alrijne Hospital, Leiden, The Netherlands
2   The Hand Clinic, Amsterdam, The Netherlands
,
Qiqi Yin
3   Department of Plastic, Reconstructive and Hand Surgery, Amsterdam UMC, Amsterdam, The Netherlands
,
Marco J. P. F. Ritt
2   The Hand Clinic, Amsterdam, The Netherlands
3   Department of Plastic, Reconstructive and Hand Surgery, Amsterdam UMC, Amsterdam, The Netherlands
› Author Affiliations
Funding None.
Further Information

Publication History

27 October 2018

02 December 2019

Publication Date:
12 February 2020 (online)

Abstract

Objective Based on the available evidence, the optimal surgical treatment for isolated scaphotrapeziotrapezoid oarthritis (STT OA) remains unclear. The purpose of this study is to explore the prevailing surgical practice for isolated STT OA among European hand surgeons. We hypothesized that a considerable variance exists in the current surgical practice among hand surgeons in Europe.

Methods An online survey was distributed to 20 participating member states of the Federation of European Societies for Surgery of the Hand (FESSH). Respondents were questioned on their country of practice, surgical experience, preferred surgical procedure, frequency of performing this procedure, factors in decision-making, and other performed surgical procedures.

Results Four hundred and sixty-five responses were received with an estimated response rate of 19%. Trapeziectomy with partial trapezoidal excision was the surgical treatment of choice among the participating hand surgeons in Europe (38%), followed by STT joint fusion (30%), and distal scaphoid excision (14%).

Conclusion This survey provides an insight into the surgical management of isolated STT OA among hand surgeons in Europe. A wide variety of preferred treatment techniques were found. Evidence concerning the optimal surgical treatment has not been established. Future prospective randomized studies comparing different techniques are warranted.

Note

The work was performed at the Department of Plastic, Reconstructive and Hand Surgery, Amsterdam UMC, the Netherlands.


 
  • References

  • 1 Armstrong AL, Hunter JB, Davis TRC. The prevalence of degenerative arthritis of the base of the thumb in post-menopausal women. J Hand Surg [Br] 1994; 19 (03) 340-341
  • 2 Scordino LE, Bernstein J, Nakashian M. , et al. Radiographic prevalence of scaphotrapeziotrapezoid osteoarthrosis. J Hand Surg Am 2014; 39 (09) 1677-1682
  • 3 Brown III GD, Roh MS, Strauch RJ, Rosenwasser MP, Ateshian GA, Mow VC. Radiography and visual pathology of the osteoarthritic scaphotrapezio-trapezoidal joint, and its relationship to trapeziometacarpal osteoarthritis. J Hand Surg Am 2003; 28 (05) 739-743
  • 4 North ER, Eaton RG. Degenerative joint disease of the trapezium: a comparative radiographic and anatomic study. J Hand Surg Am 1983; 8 (02) 160-166
  • 5 Braga-Silva J, Román JA, Padoin AV. Wrist denervation for painful conditions of the wrist. J Hand Surg Am 2011; 36 (06) 961-966
  • 6 Deans VM, Naqui Z, Muir LT. Scaphotrapeziotrapezoidal joint osteoarthritis: a systematic review of surgical treatment. J Hand Surg Asian Pac Vol 2017; 22 (01) 1-9
  • 7 Schweizer A, von Känel O, Kammer E, Meuli-Simmen C. Long-term follow-up evaluation of denervation of the wrist. J Hand Surg Am 2006; 31 (04) 559-564
  • 8 Wolf JM, Delaronde S. Current trends in nonoperative and operative treatment of trapeziometacarpal osteoarthritis: a survey of US hand surgeons. J Hand Surg Am 2012; 37 (01) 77-82
  • 9 Andrachuk J, Yang SS. Modified total trapezial and partial trapezoidal excision and ligament reconstruction tendon interposition reduces symptoms in isolated scaphotrapezial-trapezoid arthritis of the wrist. J Hand Surg Eur Vol 2012; 37 (07) 637-641
  • 10 Langenhan R, Hohendorff B, Probst A. Trapeziectomy and ligament reconstruction tendon interposition for isolated scaphotrapeziotrapezoid osteoarthritis of the wrist. J Hand Surg Eur Vol 2014; 39 (08) 833-837
  • 11 Fortin PT, Louis DS. Long-term follow-up of scaphoid-trapezium-trapezoid arthrodesis. J Hand Surg Am 1993; 18 (04) 675-681
  • 12 Goubier JN, Bauer B, Alnot JY, Teboul F. Traitement de l'arthrose scaphotrapézotrapézoidienne isolée par arthrodèse scaphotrapézotrapézoidienne: une série de 13 cas [scapho-trapezio-trapezoidal arthrodesis for scapho-trapezio-trapezoidal osteoarthritis]. Chir Main 2006; 25 (05) 179-184
  • 13 Watson HK, Weinzweig J, Guidera PM, Zeppieri J, Ashmead D. One thousand intercarpal arthrodeses. J Hand Surg [Br] 1999; 24 (03) 307-315
  • 14 Meier R, Prommersberger KJ, Krimmer H. [Scapho-trapezio-trapezoid arthrodesis (triscaphe arthrodesis)]. Handchir Mikrochir Plast Chir 2003; 35 (05) 323-327
  • 15 Garcia-Elias M, Lluch AL, Farreres A, Castillo F, Saffar P. Resection of the distal scaphoid for scaphotrapeziotrapezoid osteoarthritis. J Hand Surg [Br] 1999; 24 (04) 448-452
  • 16 Berkhout MJL, Bachour Y, Wessing D, Ritt MJPF. Distal pole resection of the scaphoid for the treatment of scaphotrapeziotrapezoid osteoarthritis. Hand (N Y) 2019; 14 (02) 230-235
  • 17 Deren ME, Mitchell CH, Weiss AC. Flexor tendon ruptures after distal scaphoid excision for scaphotrapeziotrapezoid osteoarthritis. Hand (N Y) 2017; 12 (05) NP152-NP156
  • 18 Wessels KD. Arthroplastik bei Arthrose im Triskaphoidgelenk nach Koob [Arthroplasty of osteoarthritic triscaphe (distal scaphoid) joint]. Oper Orthop Traumatol 2004; 16 (01) 48-58
  • 19 Marcuzzi A, Ozben H, Russomando A. Treatment of scaphotrapezial trapezoidal osteoarthritis with resection of the distal pole of the scaphoid. Acta Orthop Traumatol Turc 2014; 48 (04) 431-436
  • 20 Gauthier E, Truffandier MV, Gaisne E, Bellemère P. Treatment of scaphotrapeziotrapezoid osteoarthritis with the Pyrocardan® implant: Results with a minimum follow-up of 2 years. Hand Surg Rehabil 2017; 36 (02) 113-121
  • 21 Low AK, Edmunds IA. Isolated scaphotrapeziotrapezoid osteoarthritis: preliminary results of treatment using a pyrocarbon implant. Hand Surg 2007; 12 (02) 73-77
  • 22 Pegoli L, Pozzi A, Pivato G, Luchetti R. Arthroscopic resection of distal pole of the scaphoid for scaphotrapeziotrapezoid joint arthritis: comparison between simple resection and implant interposition. J Wrist Surg 2016; 5 (03) 227-232
  • 23 Pequignot JP, D'asnieres de Veigy L, Allieu Y. Traitement de l'arthrose S.T.T. par un Implant en pyrocarbone. Premiers résultats [arthroplasty for scaphotrapezoidal arthrosis using a pyrolitic carbon implant, preliminary results]. Chir Main 2005; 24 (3-4): 148-152
  • 24 Mathoulin C, Darin F. Arthroscopic treatment of scaphotrapeziotrapezoid osteoarthritis. Hand Clin 2011; 27 (03) 319-322
  • 25 Normand J, Desmoineaux P, Boisrenoult P, Beaufils P. Résection arthroscopique du pôle distal du scaphoïde dans l'arthrose scapho-trapézo-trapézoidienne [the anthroscopic distal pole resection of the scaphoid: clinical results in STT osteoarthritis]. Chir Main 2012; 31 (01) 13-17
  • 26 Ashwood N, Bain GI, Fogg Q. Results of arthroscopic debridement for isolated scaphotrapeziotrapezoid arthritis. J Hand Surg Am 2003; 28 (05) 729-732