The Experts below are selected from a list of 312 Experts worldwide ranked by ideXlab platform

T Gosens - One of the best experts on this subject based on the ideXlab platform.

  • traumatic thumb Carpometacarpal Joint dislocations
    Journal of Hand Surgery (European Volume), 2008
    Co-Authors: B Bosmans, M H J Verhofstad, T Gosens
    Abstract:

    Isolated traumatic dislocation of the thumb Carpometacarpal Joint, also called the trapeziometacarpal Joint, is a rare injury. Controversy still exists concerning which ligaments are the true key stabilizers for the Joint and therefore need to be damaged to result in dislocation, and optimal treatment strategies for thumb Carpometacarpal Joint dislocations are the subject of continuing debate. We give a review of the literature concerning traumatic dislocations of the Carpometacarpal Joint of the thumb and propose a treatment algorithm.

Grey Giddins - One of the best experts on this subject based on the ideXlab platform.

  • Functional outcomes after surgery for thumb Carpometacarpal Joint arthritis
    Journal of Hand Surgery (European Volume), 2019
    Co-Authors: Grey Giddins
    Abstract:

    There are a number of possible assessments of functional outcomes for thumb Carpometacarpal Joint arthritis. The most important and easiest to measure is pain, but it is not the only material outco...

  • thumb Carpometacarpal Joint total arthroplasty a systematic review
    Journal of Hand Surgery (European Volume), 2015
    Co-Authors: Kai Huang, Nadine Hollevoet, Grey Giddins
    Abstract:

    Thumb Carpometacarpal Joint total arthroplasty has been undertaken for many years. The proponents believe the short-term outcomes are better than trapeziectomy and its variants, but the longer term complications are often higher. This systematic review of all peer reviewed articles on thumb Carpometacarpal Joint total arthroplasty for osteoarthritis shows that there are reports of many implants. Some are no longer available. The reported outcomes are very variable: for some there are good long-term outcomes to beyond 10 years; for others there are unacceptably high early rates of failure. Overall the published evidence does not show that total arthroplasty is better than trapeziectomy and its variants yet there is a higher complication rate and significant extra cost of using an implant. Future research needs to compare total arthroplasty with trapeziectomy to assess short term results where the arthroplasties may be better, long-term outcomes and the healthcare and personal costs so that surgeons and pat...

B Bosmans - One of the best experts on this subject based on the ideXlab platform.

  • traumatic thumb Carpometacarpal Joint dislocations
    Journal of Hand Surgery (European Volume), 2008
    Co-Authors: B Bosmans, M H J Verhofstad, T Gosens
    Abstract:

    Isolated traumatic dislocation of the thumb Carpometacarpal Joint, also called the trapeziometacarpal Joint, is a rare injury. Controversy still exists concerning which ligaments are the true key stabilizers for the Joint and therefore need to be damaged to result in dislocation, and optimal treatment strategies for thumb Carpometacarpal Joint dislocations are the subject of continuing debate. We give a review of the literature concerning traumatic dislocations of the Carpometacarpal Joint of the thumb and propose a treatment algorithm.

Kevin C Chung - One of the best experts on this subject based on the ideXlab platform.

Achilleas Thoma - One of the best experts on this subject based on the ideXlab platform.

  • surgical treatment of osteoarthritis of the Carpometacarpal Joint of the thumb a systematic review
    Plastic and Reconstructive Surgery, 2004
    Co-Authors: Glyka Martou, Karen Veltri, Achilleas Thoma
    Abstract:

    : In most cases of basal Joint osteoarthritis, surgery becomes an option at stages II, III, and IV, as classified by Eaton. Controversy exists regarding which technique achieves the best outcome. This systematic review was undertaken to address the question of which technique, if any, offers the best outcome to patients with osteoarthritis of the first Carpometacarpal Joint greater than stage II. A thorough search of the electronic databases Cochrane, Cinahl, Healthstar, and MEDLINE/PubMed was undertaken to identify reviews and articles on primary comparative studies of the different surgical options. The methodological quality of the retrieved articles was assessed on the basis of specific criteria. Inclusion criteria were applied to 44 of 254 possibly relevant articles. Eight reviews and 18 comparative studies met the criteria and were reviewed. Each of the techniques, arthrodesis, trapeziectomy with or without biological/synthetic interposition, osteotomy, and Joint replacement, was associated with unique benefits and risks. There was great variability in outcome measurements. The majority of retrieved review articles claim that ligamentous reconstruction and tendon interposition may represent the best option; however, validity assessment of these studies revealed methodological flaws. Furthermore, results from the articles on comparative studies indicate that ligamentous reconstruction and tendon interposition may provide no additional benefit when compared with arthrodesis and trapeziectomy alone or with tendon interposition. There is no consensus as to which clinical outcomes are most important in thumb basal Joint surgery and how these should be measured. This renders the appraisal and comparison of such studies a challenging task. Until large randomized controlled trials that compare techniques in similar populations with respect to staging and prognostic factors are undertaken and the clinical outcomes are clearly defined, surgeons will continue to claim superiority of one technique over another without supporting evidence.