@article{Concina_Crucil_Saggin_Gherlinzoni_2020, title={Trapezio-metacarpal arthritis: functional and radiographic results at an average 5-year follow-up using trapeziectomy associated to a modified Ceruso’s suspensionplasty.}, volume={91}, url={https://mattioli1885journals.com/index.php/actabiomedica/article/view/10976}, DOI={10.23750/abm.v91i14-S.10976}, abstractNote={<p><em>Background and aim:</em> Trapezial-metacarpal arthritis (TMA) is a common and highly disabling pathology. Trapeziectomy and Ceruso’s suspensionplasty is described for moderate-severe stages. The aim of the present study was to assess functional and radiographic results at an average 5-year follow-up using a modified Ceruso’s technique where the Abductor Pollicis Longus (APL) is passed twice around the Flexor Carpi Radialis (FCR) and a suture mini-anchor in the base of the first metacarpal is used to further stabilize the thumb.</p> <p><em>Methods:</em> 85 consecutive modified Ceruso’s suspensionplasty were performed from 2012 and 2018. All the patients were evaluated at an average 5.1-year follow-up (21-96 months). Subjective patient satisfaction rate, NRS, DASH score, abduction angle, Kapandji score and pinch strength using functional tests were assessed. The scapho-metacarpal distance was measured at follow-up radiographs.</p> <p><em>Results:</em> 90.6% of the patients were satisfied by the treatment. The NRS and the DASH score improved (from 8.5 pre-operatively to 1.53 and from 87.5 to 24.6 respectively-p<0.001). The Kapandji test was rated from 7 to 10 in 65.9% of the patients. The pinch strength was good in 75.3% of the patients at follow-up. The abduction angle of the thumb was 38.2° (20°-55°). The mean scapho-trapezial distance decreased of 2.45 mm (from 9.87 mm to 7.42 mm - p<0.05). 8 patients had persistent pain and thumb disfunction, 1 patient had De Quervain’s tenosynovitis.</p> <p><em>Conclusions</em>: Suspensionplasty according to Ceruso’s is a relatively simple and reproducible technique for moderate-severe TMA. It improves pain and thumb function, giving good stability without significant shortening.</p>}, number={14-S}, journal={Acta Biomedica Atenei Parmensis}, author={Concina, Chiara and Crucil, Marina and Saggin, Giorgio and Gherlinzoni, Franco}, year={2020}, month={Dec.}, pages={e2020026} }