| Hippensteel et al.6 (2017) |
RCT |
27 |
CMC arthrodesis |
There were no significant differences in the amount of change in grip or pinch strength, patient-reported outcomes, or functional hand testing between TMA and LRTI. The TMA group had significantly increased thumb tip opposition distance. The TMA group was complicated by a 26% overall nonunion rate of which 8% were symptomatic. The LRTI group (Wagner incision) had a significantly increased incidence of superficial branch of the radial nerve paresthesia. The incidence of complications was similar between operative groups, but revision surgery was more common after TMA. |
| 25 |
LRTI |
| Esenwein et al. 9 (2011) |
RCT |
30 |
T + LRTI(APL) |
Similar results can be obtained using the technically less demanding APL-procedure when compared with the FCR-technique 8 months postoperatively. |
| 25 |
T+LRTI (FCR) |
| Vermeulen et al.10 (2014) |
RCT |
36 |
T+ LRTI(FCR) with tunnel |
After the bone tunnel technique, patients have better function and less pain 3 months after surgery than do those in the nonebone tunnel group, which indicates faster recovery. However, 12 months after surgery, the functional outcome was similar. |
| 36 |
T +LRTI (FCR) without tunnel |
| Spekreijse et al.11 (2015) |
RCT |
36 |
T+ LRTI(FCR) with tunnel |
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 TMC thumb osteoarthritis was maintained after 5 years. |
| 36 |
T +LRTI (FCR) without tunnel |
| Zajonc et al. 12 (2016) |
RCT |
19 |
T + LRTI(APL) Lundborg |
Both resection-suspension arthroplasty procedures led to a statiscally signifcant postoperative reducion of pain, a significant improvement in radial and palmar abduction, a significant gain in quality of life and signifcant assymptomatic proximalisation of the first metacarpal bone. There was no signifcant difference in postoperative strength. |
| 19 |
T + LRTI(APL) Sirotakova |
| Nanno et al.13 (2019) |
RCT |
10 |
T +LRTI (APL original) |
There were no statiscally significant differences in the thumb palmar abduction angle, pinch power, grip strength, Quick DASH score, or VAS score between groups. Patients in group 2 had a significantly better range of motion of radial abduction. |
| 20 |
T+LRTI(APL modif) |
| Salem et al.14 (2011) |
RCT |
59 |
T |
There were no significant differences between the two treatments in any subjective or objective outcome measure at 6-year follow-up Eighty-two percent of the thumbs were painless or only ached after use. The DASH and Patient Evaluation Measure scores were significantly better than preoperatively. |
| 55 |
T+LRTI (FCR) |
| Gangopadhyay et al. 15 (2012) |
RCT |
53 |
T |
The outcomes of these 3 variations of trapeziectomy were similar after a minimum follow-up of 5 years. There appears to be no benefit to tendon interposition or ligament reconstruction in the longer term |
| 46 |
T + TI (PL) |
| 54 |
T +LRTI (FCR) |
| Corain et al.16 (2016) |
RCT |
64 |
T + TI (APL) |
We demonstrate that the trapezium excision and bone space distraction technique require a smaller incision, a shorter surgical time, an easier surgical technique, and a less painful recovery, maintaining overlapping levels of functional restore. |
| 56 |
T + hematoma and distraction |
| Vermeulen et al.17 (2014) |
RCT |
21 |
T + LRTI (FCR) |
Women who are forty years or older with trapeziometacarpal osteoarthritis have fewer moderate and severe complications after trapeziectomy with ligament reconstruction and tendon interposition and are more likely to consider the surgery again under the same circumstances than are those who undergo arthrodesis. Twelve months after surgery, the PRWHE and DASH scores were similar in both groups. We do not recommend routine use of arthrodesis with plate and screws in the treatment of women who are forty years or older with stage-II or III trapeziometacarpal osteoarthritis. |
| 17 |
Arthrodesis |
| Li et al.18 (2019) |
RCT |
22 |
Arthrodesis |
In Chinese patients, both techniques relieved pain and improve grip strength. Arthrodesis displayed better pinch strength, while arthroplasty displayed better motor function. Patients were satisfied with the effects of both techniques. |
| 17 |
T + LRTI (FCR) |
| Thorkildsen et al.19 (2019) |
RCT |
20 |
T + LRTI |
Significantly better function in the joint replacement group in the early rehabilitation period as shown by the secondary outcome measures, Kapandji score and strength of key and tip pinch. In addition, the range of motion in abduction and extension was better at the final follow-up. Patient satisfaction was high in both groups despite more complications after joint replacement. Trapeziectomy with LRTI proved to be a safe and effective treatment with few complications in this trial. |
| 20 |
uncemented prostheses |
| Hansen et al.20 (2013) |
RCT |
16 |
cemented prostheses |
Grip strength, pain, and DASH scores were similar between groups at all measurement points. Early implant fixation and clinical outcome were equally good with both cup designs. |
| 16 |
uncemented prostheses |
| Salibi et al.21 (2019) |
RCT |
19 |
Trapeziectomy |
There was no difference between the two treatments. First CMCJ denervation does not appear to be superior to trapeziectomy. However, the advantage of rapid rehabilitation makes it more favored by patients but at the expense of 30% reoperation rate. |
| 26 |
Trapezial denervation |
| Marks et al.22 (2017) |
RCT |
29 |
T +LRTI (FCR) |
The use of the FCR tendon or allograft for trapeziectomy with suspension interposition arthroplasty in patients with CMC I OA leads to similar outcomes with more complications, mainly tendon irritations, associated with the latter. Allograft was used only in cases of severe instability requiring a larger amount of suspension-interposition material or for revision procedures after failed suspension-interposition with the FCR tendon. |
| 31 |
T+ allograft |
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