New Technologies in the Treatment of Base of Thumb Osteoarthritis.

Journal

The Journal of the American Academy of Orthopaedic Surgeons

ISSN: 1940-5480

Titre abrégé: J Am Acad Orthop Surg

Pays: United States

ID NLM: 9417468

Informations de publication

Date de publication:
01 Oct 2024

Historique:

received: 11 11 2023

accepted: 29 08 2024

medline: 9 10 2024

pubmed: 9 10 2024

entrez: 9 10 2024

Statut: aheadofprint

Résumé

Symptomatic osteoarthritis (OA) of the first carpometacarpal (CMC) joint is prevalent and debilitating, commonly affecting the elderly and postmenopausal population. This review highlights the latest advancements in the treatment of thumb CMC OA, which historically includes a range of nonsurgical and surgical options without a consensus benchmark. We will focus on innovative and emerging technologies. Nonsurgical treatments typically comprise custom braces and corticosteroid injections. In addition, this review explores advanced approaches such as 3D printed braces, which have improved patient satisfaction, and novel intra-articular injectables such as autologous fat, optimized by ultrasonography to enhance treatment precision and outcomes. Although standard surgical treatments include trapeziectomy, with or without ligament reconstruction and tendon interposition, more recent implant arthroplasty designs show promising long-term survival. Newer interventions include patient-specific instrumentation for metacarpal osteotomies, selective joint denervation, and innovative suspensionplasty devices, all marked by their increased precision and personalized care. However, it is important to note that these novel technologies are not yet established as superior to standard treatments of thumb CMC OA.

Identifiants

DOI: 10.5435/JAAOS-D-23-01059 PMID: 39383011

pubmed: 39383011

doi: 10.5435/JAAOS-D-23-01059

pii: 00124635-990000000-01115

doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

Informations de copyright

Références

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