Comparative study on the effectiveness of bone grafting for arthrodesis of the thumb carpometacarpal arthritis

Tomoki Matsuo, Taku Suzuki, Katsuhiko Hayakawa, Hiroo Kimura, Noboru Matsumura, Takuji Iwamoto

Research output: Contribution to journalArticlepeer-review

Abstract

The aim of this retrospective study was to assess the effectiveness of autogenous bone grafting for arthrodesis of the thumb carpometacarpal joint by comparing the bone union rates with and without bone grafting. We included 36 patients who underwent arthrodesis of the thumb carpometacarpal joint for arthritis (20 patients with bone grafts and 16 without bone grafts). Implants used for internal fixation were K-wire, tension band wiring, headless compression screw and locking plate. The presence of bone union and the time from surgery to bone union were evaluated. The bone union rate was 20/20 (100%) in the bone grafting group and 12/16 (75%) in the non-bone grafting group (p = 0.03). There were no significant differences between the two groups in the time from surgery to bone union and patient characteristics. In conclusion, autogenous bone grafting may contribute to the bone union in the arthrodesis of thumb carpometacarpal arthritis.

Original languageEnglish
Pages (from-to)309-315
Number of pages7
JournalJournal of Hand Surgery: European Volume
Volume48
Issue number4
DOIs
Publication statusPublished - 2023 Apr

Keywords

  • arthrodesis
  • bone grafting
  • bone union
  • Carpometacarpal arthritis
  • carpometacarpal joint
  • carpometacarpal osteoarthritis

ASJC Scopus subject areas

  • Surgery

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