Author/Year

Trapeziectomy Alone Compared with

Sample SIZE

Results/Conclusions

Davis et al. (1997)

Tendon interposition with palmaris longus, or ligament reconstruction and tendon interposition (LRTI) with flexor carpi radialis (k-wire stabilization all 3 groups for 4 weeks)

76 women

At 3 month and at 1 year, there was no difference with regard to pain relief, hand function and thumb strength. They conclude that tendon interposition and ligament reconstruction do not improve the results of trapeziectomy.

Belcher and Nicholl (2000)

LRTI using abductor pollicis longus slip

43 patients

Both groups expressed equal satisfaction. There was no difference between the 2 treatment groups.

De Smet et al. (2004)

LRTI

56 women

There were no significant differences for pain relief, patient satisfaction, mobility, key pinch and grip.

Davis et al. (2004)

Trapeziectomy with palmaris longus interposition or LRTI (k-wire stabilization in all 3 groups for 4 weeks)

183 thumbs

Outcomes were similar at 1-year follow-up. They conclude that there was no benefit to tendon interposition or ligament reconstruction.

Field and Buchanan (2007)

Flexor carpi radialis suspension

65 patients

Patient satisfaction was similar in both groups. Increased range of motion was noted in trapeziectomy alone group. There was no difference in grip or pinch strength between groups.

Davis and Pace (2009)

LRTI + k-wire (no k-wire in trapeziectomy alone group)

128 thumbs

Patient-reported outocome measures and key/tip pinch strength did not differ significantly at 1-year follow up.

Salem and Davis (2012)

LRTI with temporary k-wire stabilization (no k-wire in trapeziectomy alone group)

99 patients, 114 thumbs

There was no difference between groups. They did not find evidence to support use of LRTI and temporary k-wire stabilization after trapeziectomy.

Gangopadhyay (2012)

Trapeziectomy with palmaris longus interposition or LRTI (k-wire used in all 3 groups)

174 thumbs

Outcomes similar at minimum 5 year follow up. They conclude that there is no benefit to tendon interposition or ligament reconstruction in the longer term.

Salibi et al. (2019)

CMC joint denervation

45 patients

10 patients initially had trapeziectomy and 35 underwent denervation. 9 patients converted to trapeziectomy within an average of 6 - 12 months.

Brennan et al. (2020)

LRTI

34 thumbs

There was no difference between groups at 17-year follow-up.

De Jong et al. (2023)

Total joint arthroplasty

62 women

At one-year follow-up, total joint arthroplasty showed significant advantage in strength and range of motion. There was no superiority in Michigan Hand Outcomes Questionnaire.