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CC BY-NC-ND 4.0 · Revista Iberoamericana de Cirugía de la Mano 2024; 52(01): e25-e33
DOI: 10.1055/s-0044-1787129
Artículo Original | Original Article

Non-Biological Reconstruction of the Ulnar Collateral Ligament of the Metacarpophalangeal Joint of the Thumb: A Retrospective Case-Control Study

Article in several languages: español | English
Sergi Barrera-Ochoa 
1   Unidad de Mano, Codo y Microcirugía, Institut de la Mà, Hospital General de Catalunya, San Cugat del Vallés, Barcelona, Cataluña, España
,
Julio Adrian Martínez-Garza 
1   Unidad de Mano, Codo y Microcirugía, Institut de la Mà, Hospital General de Catalunya, San Cugat del Vallés, Barcelona, Cataluña, España
,
Rita Pereira-Cavaca
2   Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
,
Jose Prieto-Mere
1   Unidad de Mano, Codo y Microcirugía, Institut de la Mà, Hospital General de Catalunya, San Cugat del Vallés, Barcelona, Cataluña, España
,
Gerardo Mendez-Sanchez
1   Unidad de Mano, Codo y Microcirugía, Institut de la Mà, Hospital General de Catalunya, San Cugat del Vallés, Barcelona, Cataluña, España
,
Francisco Soldado 
3   Unidad de Cirugía de Mano, Hospital HM Nens, Barcelona, Cataluña, España
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Abstract

Objective The present retrospective analysis compares postoperative results of non-biological ligament reconstruction (NBLR) for chronic injuries involving the first metacarpophalangeal joint (MCPJ) and ulnar collateral ligament (UCL).

Materials and Methods A total of 18 patients with MCPJ injury underwent static non-biological ligament reconstruction and were included in this retrospective case-control analysis. Preoperative, postoperative, and contralateral thumb measurements (clinical, radiological, and subjective outcome questionnaires) were compared over a mean follow-up of 38 months.

Results For the NBLR, the average postoperative ranges of motion of the MCPJs and the interphalangeal joints were of 0 to 57.5° and 0 to 71° respectively. The average grip strength was of 103.3%, and the average pinch strength was of 88.7% relative to the unaffected hand. The subjects demonstrated stability with a firm endpoint comparable to unaffected thumb. The average score on the Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) questionnaire among all patients was of 11.9 for the disability/symptom module, 0 for the sports module, and 16.5 for the work module. Stiffness was reported in four patients, and no wound issues or other complications were registered.

Conclusions The NBLR of the UCL of the thumb yields acceptable short-term outcomes, which may enable a faster recovery and reincorporation into daily activities compared with biological repairs.

Keywords

thumb - ligament - metacarpophalangeal joint - reconstruction


Publication History

Received: 15 February 2023

Accepted: 01 April 2024

Article published online:
07 June 2024

© 2024. SECMA Foundation. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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