Surgical therapy of conservatively exhausted rhizarthrosis – total joint replacement or resection arthroplasty? A systematic review. - Summary - MDSpire
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Surgical therapy of conservatively exhausted rhizarthrosis – total joint replacement or resection arthroplasty? A systematic review.
To evaluate the effectiveness (defined as pain relief, functional improvement, and complication rates) of total joint replacement versus resection arthroplasty in the surgical management of advanced rhizarthrosis.
Key Findings:
Modern thumb CMC joint prostheses provide faster postoperative pain relief and earlier functional improvement compared to trapeziectomy, with significant differences in pain scores and functional metrics.
Prosthetic treatment outperformed resection arthroplasty in multiple outcome measures (e.g., pain relief, range of motion) within the first 6 to 12 weeks.
Meta-analytic data indicated that early advantages of prosthetic treatment diminish over time, particularly in pain and functional scores.
Interpretation:
The findings suggest that while modern prosthetic options offer significant short-term benefits (e.g., reduced pain and improved function), the long-term outcomes may not be as favorable compared to traditional resection arthroplasty.
Limitations:
Limited number of studies included in the review, which may affect the robustness of the conclusions drawn.
Short follow-up periods for some studies may not capture long-term outcomes, potentially skewing the effectiveness assessment.
Conclusion:
Total joint replacement may be preferred for early postoperative outcomes in rhizarthrosis, but further long-term studies are critically needed to fully understand the comparative effectiveness over time.
Systematic review found robotic-assisted total hip arthroplasty improved implant positioning precision without demonstrating better patient-reported outcomes or lower complication rates than conventional surgery.
