PURPOSE: To compare in trapeziometacarpal (TMC) @entity571 the effects of trapeziectomy with tendon interposition and ligament reconstruction (LRTI) with or without a bone tunnel after a mean follow-up of 5 years. METHODS: We randomized 79 @entity1 (aged 40 years or older) with stage IV TMC @entity571 to either trapeziectomy with LRTI using a bone tunnel (Burton-Pellegrini) or a @entity924 (Weilby). Before surgery and at 3 months and 1 year after surgery, @entity1 were evaluated for @entity158 , function, strength, satisfaction, and complications. Of these @entity1 , 72% were evaluated after a mean follow-up of 5 years (range, 3.8-6.4 years). RESULTS: There were no significant differences in function and @entity158 ( @entity1 -Rated Wrist and Hand Evaluation) between treatment groups after a mean follow-up of 5 years. In addition, grip and pinch strength, satisfaction, and persisting complications did not differ between groups. Three @entity1 in the Weilby group had repeat surgery (2 for symptomatic @entity571 and 1 elsewhere) and one in the Burton-Pellegrini group operated on again elsewhere. Furthermore, 3 @entity1 who were first conservatively treated for a trigger finger or @entity2950 were operated on again because conservative therapy failed. Two more @entity1 were operated on again because of de @entity924 and @entity923 . The overall treatment effect of both groups together showed no significant differences between results at 1 and 5 years after surgery, except for grip strength, which improved for both groups. CONCLUSIONS: This study showed that improved function, strength, and satisfaction obtained at 1 year after trapeziectomy with LRTI with or without the use of a bone tunnel for stage IV @entity571 was maintained after 5 years. TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic I.

The Effect of a Bone Tunnel During Ligament Reconstruction for Trapeziometacarpal XXXX : A 5-Year Follow-up.

@entity1 :: ('9606', 'Species') :: ['women', 'patients', 'Patient'] @entity571 :: ('MESH:D010003', 'Disease') :: ['osteoarthritis', 'scaphotrapezoidal osteoarthritis', 'TMC thumb osteoarthritis'] @entity924 :: ('MESH:D052256', 'Disease') :: ['Quervain tendinitis', 'tendon sling arthroplasty'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity923 :: ('MESH:D002349', 'Disease') :: ['carpal tunnel syndrome'] @entity2950 :: ('MESH:D009463', 'Disease') :: ['neuroma']
@entity571 :: (MESH:D010003,Disease) :: ['Osteoarthritis']
