Universität zu Köln

Hohendorff, B., Neubrech, F., Spies, C. K., Unglaub, F., Mueller, L. P. and Ries, C. (2022). Minimally invasive procedures in the early stages of trapeziometacarpal joint osteoarthritis Denervation, arthroscopy and autologous fat transplantation. Orthopade, 51 (1). S. 13 - 23. NEW YORK: SPRINGER. ISSN 1433-0431

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Abstract

Background Resection arthroplasty of the trapezium with or without tendon interposition is the standard procedure in the treatment of advanced, symptomatic thumb carpometacarpal joint osteoarthritis. Treatment recommendation in the early stages without visible or minimal radiographic changes is often difficult, especially when conservative treatment methods have already been exhausted. In these cases, there is the possibility of the minimally invasive methods of denervation, arthroscopic procedures and autologous fat transplantation. Objectives Which minimally invasive procedures are available for the treatment of thumb carpometacarpal joint osteoarthritis and how is their value to be assessed? Methods The minimally invasive methods of denervation, arthroscopic procedures and autologous fat transplantation for the treatment of thumb carpometacarpal joint osteoarthritis are described and current results from the literature are discussed. Results Good results have been reported with all three procedures. However, the reports are almost exclusively based on retrospective studies with small numbers of patients, which lack control groups, so the results cannot be regarded as definitive. Conclusions Denervation, arthroscopic procedures and autologous fat transplantation appear to be suitable methods in the early stages of thumb carpometacarpal joint osteoarthritis. Further studies, especially comparative randomised trials that report medium and long-term results, would allow further assessment of these methods.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Hohendorff, B. UNSPECIFIED UNSPECIFIED UNSPECIFIED Neubrech, F. UNSPECIFIED UNSPECIFIED UNSPECIFIED Spies, C. K. UNSPECIFIED UNSPECIFIED UNSPECIFIED Unglaub, F. UNSPECIFIED UNSPECIFIED UNSPECIFIED Mueller, L. P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Ries, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-682226
DOI:	10.1007/s00132-021-04198-2
Journal or Publication Title:	Orthopade
Volume:	51
Number:	1
Page Range:	S. 13 - 23
Date:	2022
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1433-0431
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language THUMB CARPOMETACARPAL JOINT; RESECTION ARTHROPLASTY; ADIPOSE-TISSUE; STEM-CELLS; INJECTION; INTERPOSITION; ARTHRITIS; MANAGEMENT; HARVEST; SERIES Multiple languages Orthopedics Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/68222