Paul C. Dell

Treatment of trapeziometacarpal arthritis: Results of resection arthroplasty

Ninety-one thumbs with symptomatic trapeziometacarpal arthritis were studied and classified by the severity of trapeziometacarpal arthritis, as seen on the roentgenogram. Thirty-five patients with mild changes had satisfactory relief of pain after treatment with anti-inflammatory drugs and a C-splint. Operation, consisting of resection of the trapezium and shortening by 1.5 cm of the abductor pollicis longus tendon was performed on 16 thumbs. In six patients a rolled palmaris longus tendon was inserted between the metacarpal base and the scaphoid. All patients had relief of pain, improvement of pinch and grip strength, and an increased range of thumb pronation after operation. There was no difference in the results of those patients treated with or without tendon interposition. Trapezial resection was found to be an effective means of treating patients with symptomatic trapeziometacarpal arthritis who failed to improve with conservative care.

A roentgenographic, biomechanical, and histological evaluation of vascularized and non-vascularized segmental fibular canine autografts.

Advocates of vascularized bone grafts believe that these grafts should have a decreased time to graft-host union, and that they should be mechanically stronger than conventional (non-vascularized) grafts. The objectives of the present study were to determine the rate and pattern of repair in vascularized autogenous cortical bone grafts, to determine the mechanical strength of the grafts, and to correlate the mechanical strength with the biological repair. Forty-nine adult male mongrel dogs were divided into six groups to evaluate conventional (non-vascularized), cuff (periosteal-encased, non-vascularized), and vascularized segmental grafts. The fibula was the site of experimentation and all grafts were four-centimeter cortical segments. The vascularized and conventional grafts were analyzed at two, six, twelve, and twenty-four weeks. The cuff grafts were analyzed at twenty-four weeks and were compared with conventional grafts to assess the effect of the periosteal soft tissue. Roentgenograms were made every two weeks to evaluate the time to union. The mechanical strength of each graft was assessed by determining rapid torsional load to failure. Biological repair was assessed by tetracycline labeling for new-bone formation and by microradiographic techniques for porosity and cross-sectional areas. The study showed that conventional and cuff grafts were similar in terms of mechanical and biological repair at six months. At all sampling intervals, the vascularized grafts exhibited histological findings that were consistent with viability. The conventional and vascularized grafts underwent different mechanisms of repair. The conventional, non-vascularized grafts healed by peripheral and internal resorption followed by callus encasement and osteonal remodeling.(ABSTRACT TRUNCATED AT 250 WORDS)

Histologic anatomy of the triangular fibrocartilage

The collagen arrangement of the triangular fibrocartilage complex was studied in 20 fresh cadaver wrists by means of standard and polarized light microscopy and scanning electron microscopy. The collagen fibres in the articular disk are arranged in undulating sheets oriented at oblique angles to each other. The fibers of the radioulnar ligaments are oriented longitudinally from the radial origin to the ulnar insertion. The origin of the articular disk from the radius is characterized by thick fibers 1 to 2 mm in length radiating from the radius into the articular disk. Five specimens were also injected with india ink. The radioulnar ligaments and the peripheral 15% to 20% of the articular disk are well vascularized, whereas the central 80% of the articular disk is avascular.

Complications of intercarpal arthrodesis

Fifty patients who underwent intercarpal arthrodesis were retrospectively reviewed at an average follow-up period of 34 months. Eighteen patients had a good result, 16 results were fair, and 13 were poor. Thirty-six patients experienced some complication, and 25 patients underwent further surgical therapy: The most common indication for secondary surgery was nonunion (16 patients). Good results were significantly decreased among patients who experienced nonunion, required secondary surgery, or experienced any complication. Patients with static carpal instability treated by scaphoid trapezoid trapezium arthrodesis had a significantly greater proportion of good results.

Intraosseous blood supply of the capitate and its correlation with aseptic necrosis

Isolated capitate fractures that result in the development of aseptic necrosis of the proximal pole are uncommon. Five patients were treated who developed aseptic necrosis of the proximal pole. Four had a history of trauma with radiographic evidence of nonunion. In vitro arterial injection studies were done to correlate clinical problem with intraosseous capitate vascularity. Palmar vessels were found to contribute the majority of the blood supply to the capitate. Three patterns of intraosseous blood supply were seen. In each pattern, the proximal pole received its blood supply exclusively in a retrograde fashion across the capitate waist analogous to the proximal scaphoid. Aseptic necrosis without collapse of the proximal pole was successfully managed with curettage and bone grafting in three patients. The remaining two patients, with collapse and pericapitate degenerative changes, were managed with intercarpal fusion.

Vascularized bone grafts in the treatment of infected forearm nonunions

Infected nonunions of both-bone forearm fractures may not respond to conventional treatment. Four patients with infected nonunions were successfully treated with vascularized fibular grafts and conversion to a one-bone forearm after failure of as many as six procedures. The fibula was fixed to the ulna proximally and the radius distally with internal fixation, and this was supplemented with an external fixator in three of the four patients. All wounds healed and all bone junctures healed primarily with the exception of one that required supplemental cancellous grafting. Free vascularized fibular grafts should be considered for infected nonunions that are unresponsive to properly executed conventional surgical and antibiotic treatment.

Results of zone I and zone II flexor tendon repairs in children

In a combined study of three hand surgery practices, 78 patients younger than 16 years who had sustained flexor tendon lacerations in zone I or zone II of 95 digits were available for critical evaluation. The average postrepair follow-up period was 24 months (range, 3-144 months). Patient age was divided into three groups: 0-5 years, 6-10 years, and 11-15 years. Performance of all digits was assessed to determine the percentage return of normal digital function following repair. Data were analyzed to determine the effect of age, the effect of varying periods of postrepair immobilization, and the long-term changes in digital performance resulting from growth. All profundus repairs in zone I returned excellent function. Isolated profundus and combined profundus and superficialis repairs in zone II achieved comparable results when managed with an early passive motion program or following immobilization for 3 or 4 weeks. Immobilization for longer than 4 weeks resulted in an appreciable deterioration of function. Digital motion following zone II flexor digitorum profundus and superficialis injuries treated with less than 4 weeks of immobilization or early motion was not significantly different in the three age groups studied. Digits with associated digital nerve and/or palmar plate lacerations fared less favorably when compared with isolated tendon lacerations. In many digits, a modest improvement in digital motion was found when patients returned after several years of growth.

Interposition arthroplasty of the trapeziometacarpal joint for osteoarthritis.

Resection arthroplasty of the trapezium with either Gelfoam (Upjohn Co., Kalamazoo, Michigan) or tendon interposition was performed in 28 thumbs. Postoperatively, all thumbs were stable and all patients noted diminished pain and improvement in strength. Adduction contracture and metacarpophalangeal joint hyperextension must be corrected at the time of surgery. Interposition arthroplasty of the trapeziometacarpal joint accomplishes the surgical objectives and obviates the need for an implant. Subsequently, the rare complication of silicone synovitis following implant surgery is avoided.

Manipulation of the stiff elbow with patient under anesthesia.

Eleven patients had elbow manipulation under general anesthesia to improve a dysfunctional range of motion. Six (55%) patients improved their motion, three (27%) patients had no significant change, and two (18%) patients lost motion. Type of injury, extremity dominance, previous surgical procedures, delay to manipulation, or use of postoperative steroid injections and continuous passive motion did not correlate with successful results. Two transient sensory ulnar neuropathies were the only complications and no heterotopic bone formation or exacerbation was observed. Manipulation under anesthesia should be considered in patients with a dysfunctional elbow range of motion after failure of well-supervised rehabilitation.

A Clinical Report of the Effect of Mechanical Stress on Functional Results after Fasciectomy for Dupuytren's Contracture

Early postoperative treatment after Dupuytrens fasciectomy traditionally has included the application of mechanical stress to digital extension with splints and exercise. This study examines the effect of mechanical stress, which may compromise nutrient delivery to the tissues, on inflammation, flare, hypertrophic scar, digital range of motion (ROM), and therapy visits. The authors compared functional outcomes in operated digits treated postoperatively with tension applied (TA) and no tension applied (NTA), retrospectively from 1983 to 1993 (TA only) and prospectively from 1993 to 1999 (TA and NTA). The charts of 268 patients who underwent Dupuytrens fasciectomy were reviewed and divided into 2 groups (TA and NTA). Each case was analyzed with respect to age, sex, number of digits operated, postoperative management technique, therapy visits, metacarpophalangeal joint and proximal interphalangeal joint ROM, degree of flare, and scar. There were significant differences in ROM, scar formation, flare, and treatment time in favor of the NTA technique. The results indicate that postoperative management that prevents applied mechanical tension in the early phases of wound healing decreases complications after this surgery and that no digital motion is lost to extension with the NTA technique.