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. |