Volume 11, Issue 2 (7-2022)                   WJPS 2022, 11(2): 3-17 | Back to browse issues page

XML Print

Queen Victoria Hospital, East Grinstead, UK , Murtaza.kadhum@nhs.net
Abstract:   (553 Views)
Background: The prevalence of osteoarthritis (OA) of the first carpometacarpal (CMC) joint and subsequent thumb disability is rising. Abductor pollicis longus tendon interposition arthroplasty (APLTIA) has gained popularity as a procedure to alleviate pain and restore thumb function.
Methods: A systematic review was performed to assess the current reported outcomes of APLTIA. Inclusion criteria involved clinical studies with case-series as the minimal accepted level of evidence. Our primary outcome focussed on PROMs data, whilst secondary outcomes focussed on objective measures of function and complications. Papers investigating pathologies other than CMC OA or procedures other than APLTIA were excluded.
Results: Twelve studies were included (485 thumbs), all of which were observational in study design. APLTIA appears to be associated with a reduction in pain and functional improvement. APLTIA was not found to complicate further surgery.
Conclusion: APLTIA may be associated with improvement in short-term pain relief and functional status. Further research is required to evaluate the benefits, duration of relief and long-term outcomes of APLTIA.
Full-Text [PDF 747 kb]   (327 Downloads)    
Type of Study: Original Article | Subject: Special
Received: 2022/07/16 | Accepted: 2022/07/19 | Published: 2022/07/30

1. Urwin M, Symmons D, Allison T, et al. Estimating the burden of musculoskeletal disorders in the community: the comparative prevalence of symptoms at different anatomical sites, and the relation to social deprivation. Ann Rheum Dis 1998;57(11):649-55.
2. Dahaghin S. Prevalence and determinants of one month hand pain and hand related disability in the elderly (Rotterdam study). Ann Rheum Dis 2005;64(1):99-104.
3. Sodha S, Ring D, Zurakowski D, Jupiter JB. Prevalence of Osteoarthrosis of the Trapeziometacarpal Joint. J Bone Joint Surg Am 2005;87(12):2614-8.
5. Ankarath S. Chronic wrist pain: Diagnosis and management. Current Orthopaedics 2006;20(2):141-51.
6. Day CS, Gelberman R, Patel AA, Vogt MT, Ditsios K, Boyer MI. Basal joint osteoarthritis of the thumb: a prospective trial of steroid injection and splinting. J Hand Surg Am 2004;29(2):247-51.
7. Davis TRC, Brady O, Dias JJ. Excision of the trapezium for osteoarthritis of the trapeziometacarpal joint: A study of the benefit of ligament reconstruction or tendon interposition. J Hand Surg Am 2004;29(6):1069-77.
8. Pillukat T, Mühldorfer-Fodor M, Fuhrmann R, Windolf J, van Schoonhoven J. Die Arthrodese des Daumensattelgelenks. Operative Orthopädie und Traumatologie 2017;29(5):395-408.
9. Schmidt I. Surgical Treatment Options in Thumb Carpometacarpal Osteoarthritis: A Recent Literature Overview Searching for Practice Pattern with Special Focus on Total Joint Replacement. Curr Rheumatol Rev 2015;11(1):39-46.
10. Avisar E, Elvey M, Wasrbrout Z, Aghasi M. Long-term follow-up of trapeziectomy with abductor pollicis longus tendon interposition arthroplasty for osteoarthritis of the thumb carpometacarpal joint. J Orthop 2013;10(2):59-64.
11. Pagalidis T, Kuczynski K, Lamb DW. Ligamentous Stability of the Base of the Thumb. Hand 2016;os-13(1):29-35.
12. Batra S, Kanvinde R. Osteoarthritis of the thumb trapeziometacarpal joint. Current Orthop 2007;21(2):135-44.
13. Pelligrini VD. Osteoarthritis of the trapeziometacarpal joint: The pathophysiology of articular cartilage degeneration. II. Articular wear patterns in the osteoarthritic joint. J Hand Surg Am 1991;16(6):975-82.
14. Pellegrini VD. Osteoarthritis of the trapeziometacarpal joint: The pathophysiology of articular cartilage degeneration. I. Anatomy and pathology of the aging joint. J Hand Surg Am 1991;16(6):967-74.
15. Burton RI, Pellegrini VD. Surgical management of basal Joint arthritis of the thumb. Part II. Ligament reconstruction with tendon interposition arthroplast. J Hand Surg Am 1986;11(3):324-32.
16. Tomaino MM, Pellegrini VD, Burton RI. Arthroplasty of the basal joint of the thumb. Long-term follow-up after ligament reconstruction with tendon interposition. J Bone Joint Surg Am 1995;77(3):346-55.
17. Rayan GM, Young BT. Ligament reconstruction arthroplasty for trapeziometacarpal arthrosis. J Hand Surg Am 1997;22(6):1067-76.
18. Naidu SH, Poole J, Horne A. Entire Flexor Carpi Radialis Tendon Harvest for Thumb Carpometacarpal Arthroplasty Alters Wrist Kinetics. J Hand Surg Am 2006;31(7):1171-5.
19. Thompson JS. "Suspension plasty": Trapeziometacarpal joint reconstruction using abductor pollicis longus. Operative Techniques in Orthopaedics 1996;6(2):98-105.
20. Thompson JS. Complications and salvage of trapeziometacarpal arthroplasties. Instr Course Lect 1989;38:3-13.
21. Sigfusson R, Lundborg G. Abductor Pollicis Longus Tendon Arthroplasty for Treatment of Arthrosis in the First Carpometacarpal Joint. Scand J Plast Reconstr Surg Hand Surg 2009;25(1):73-7.
22. Britto JA, Elliot D. Thumb Function without the Abductor Pollicis Longus and Extensor Pollicis Brevis. J Hand Surg Am 2016;27(3):274-7.
23. Jeremy Howick IC, Paul Glasziou, Trish Greenhalgh, Carl Heneghan,, Alessandro Liberati IM, Bob Phillips, and Hazel Thornton. "The 2011 Oxford CEBM Evidence Levels of Evidence (Introductory Document)". Oxford Centre for Evidence-Based Medicine.
24. Thomas BH, Ciliska D, Dobbins M, Micucci S. A process for systematically reviewing the literature: providing the research evidence for public health nursing interventions. Worldviews Evid Based Nurs 2004;1(3):176-84.
25. Avant KR, Nydick JA, White BD, Vaccaro L, Hess AV, Stone JD. Basal Joint Osteoarthritis of the Thumb: Comparison of Suture Button versus Abductor Pollicis Longus Suspensionplasty. Hand 2014;10(1):80-4.
26. Earp BE, Mora AN, Silver JA, Benavent KA, Blazar PE. Intermediate-Term Outcomes of Trapeziectomy With a Modified Abductor Pollicis Longus Suspension Arthroplasty. Journal of Hand Surgery Global Online 2019;1(4):205-7.
27. Nanno M, Kodera N, Tomori Y, Takai S. Novel Modification of Abductor Pollicis Longus Suspension Arthroplasty with Trapeziectomy for Thumb Carpometacarpal Osteoarthritis. J Nippon Med Sch 2019;86(5):269-78.
28. Rocchi L, Merolli A, Cotroneo C, Morini A, Brunelli F, Catalano F. Abductor pollicis longus hemitendon looping around the first intermetacarpal ligament as interposition following trapeziectomy: A one-year follow-up study. Orthop Traumatol Surg Res 2011;97(7):726-33.
29. Mathoulin C, Moreel P, Costa R, Wilson SM. Abductor Pollicis Longus "Hammock" Ligamentoplasty for Treatment of First Carpometacarpal Arthritis. J Hand Surg (European Volume) 2008;33(3):292-7.
30. Lied L, Bjørnstad K, Woje AKN, Finsen V. Abductor pollicis longus tendon interposition for arthrosis of the first carpo-metacarpal joint. Long-term results. BMC Musculoskeletal Disorders 2016;17(1).
31. Kochevar AJ, Adham CN, Adham MN, Angel MF, Walkinshaw MD. Thumb Basal Joint Arthroplasty Using Abductor Pollicis Longus Tendon: An Average 5.5-Year Follow-Up. J Hand Surg Am 2011;36(8):1326-32.
32. Chang EY, Chung KC. Outcomes of Trapeziectomy with a Modified Abductor Pollicis Longus Suspension Arthroplasty for the Treatment of Thumb Carpometacarpal Joint Osteoarthritis. Plastic and Reconstructive Surgery 2008;122(2):505-15.
33. Soejima O, Hanamura T, Kikuta T, Iida H, Naito M. Suspensionplasty With the Abductor Pollicis Longus Tendon for Osteoarthritis in the Carpometacarpal Joint of the Thumb. J Hand Surg Am 2006;31(3):425-8.
34. Sirotakova M, Figus A, Elliot D. A New Abductor Pollicis Longus Suspension Arthroplasty. J Hand Surg Am 2007;32(1):12-22.
35. Barthel L, Hidalgo Diaz JJ, Vernet P, et al. Results of the treatment of first carpometacarpal joint osteoarthritis: trapeziectomy alone versus trapeziectomy associated with suspensionplasty. Eur J Orthop Surg Traumatol 2018;28(8):1555-61.
36. Kaarela O, Raatikainen T. Abductor pollicis longus tendon interposition arthroplasty for carpometacarpal osteoarthritis of the thumb. J Hand Surg Am 1999;24(3):469-75.
38. Saehle T, Sande S, Finsen V. Abductor pollicis longus tendon interposition for arthrosis in the first carpometacarpal joint: 55 thumbs reviewed after 3 (1-5) years. Acta Orthopaedica Scandinavica 2002;73(6):674-7.

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.