Cochrane · systematic review · CD004631
Surgery for thumb (trapeziometacarpal joint) osteoarthritis
Wajon Anne, Vinycomb Toby, Carr Emma, et al. · Cochrane Database of Systematic Reviews · 2015 · Cochrane Library
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
42
current version
GRADE rated
14
No studies
28
Included studies
NR
No studies 28 · 66.7%Ungraded 0 · 0%Very low 3 · 7.1%Low 9 · 21.4%Moderate 2 · 4.8%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Current version onlyTrapeziectomy with ligament reconstruction and tendon interposition (T and LRTI) versus trapeziectomy (T)
Population: Patients with thumb (trapeziometacarpal joint) osteoarthritis
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Pain 100mm VAS . Scale from: 0 to 100. Trapeziectomy with ligament reconstruction and tendon interposition (T and LRTI) vs trapeziectomy (T) | no estimate extracted | 3 studies · 162 participants | Low Downgraded: risk of bias, imprecision |
Physical function DASH Score. Scale from: 0 to 100. Trapeziectomy with ligament reconstruction and tendon interposition (T and LRTI) vs trapeziectomy (T) | no estimate extracted | 3 studies · 211 participants | Low Downgraded: risk of bias, imprecision |
Quality of life ‐ not measured Trapeziectomy with ligament reconstruction and tendon interposition (T and LRTI) vs trapeziectomy (T) | no estimate extracted | NR | No studies |
Global assessment ‐ not measured Trapeziectomy with ligament reconstruction and tendon interposition (T and LRTI) vs trapeziectomy (T) | no estimate extracted | NR | No studies |
Adverse events Complications reported Trapeziectomy with ligament reconstruction and tendon interposition (T and LRTI) vs trapeziectomy (T) | RR 1.81 [0.96, 3.73] | 4 studies · 328 participants | Low Downgraded: risk of bias, imprecision |
Treatment failure ‐ not measured Trapeziectomy with ligament reconstruction and tendon interposition (T and LRTI) vs trapeziectomy (T) | no estimate extracted | NR | No studies |
Trapeziometacarpal joint imaging Scapho‐metacarpal distance Trapeziectomy with ligament reconstruction and tendon interposition (T and LRTI) vs trapeziectomy (T) | no estimate extracted | 1 study · 42 participants | Low Downgraded: risk of bias, imprecision |
Trapeziectomy with ligament reconstruction and tendon interposition (T and LRTI) versus trapeziectomy and ligament reconstruction (T and LR)
Population: Patients with thumb (trapeziometacarpal joint) osteoarthritis
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Pain ‐ not measured Trapeziectomy with ligament reconstruction and tendon interposition (T and LRTI) vs trapeziectomy and ligament reconstruction (T and LR) | no estimate extracted | NR | No studies |
Physical function Buck‐Gramcko score: Number with good‐excellent total score Trapeziectomy with ligament reconstruction and tendon interposition (T and LRTI) vs trapeziectomy and ligament reconstruction (T and LR) | RR 0.82 [0.63, 1.06] | 1 study · 31 participants | Low Downgraded: risk of bias, imprecision |
Quality of life ‐ not measured Trapeziectomy with ligament reconstruction and tendon interposition (T and LRTI) vs trapeziectomy and ligament reconstruction (T and LR) | no estimate extracted | NR | No studies |
Global assessment ‐ not measured Trapeziectomy with ligament reconstruction and tendon interposition (T and LRTI) vs trapeziectomy and ligament reconstruction (T and LR) | no estimate extracted | NR | No studies |
Adverse events Complications reported Trapeziectomy with ligament reconstruction and tendon interposition (T and LRTI) vs trapeziectomy and ligament reconstruction (T and LR) | RR 1.41 [0.27, 7.28] | 1 study · 31 participants | Low Downgraded: risk of bias, imprecision |
Treatment failure ‐ not measured Trapeziectomy with ligament reconstruction and tendon interposition (T and LRTI) vs trapeziectomy and ligament reconstruction (T and LR) | no estimate extracted | NR | No studies |
Trapeziometacarpal joint imaging Scapho‐metacarpal distance Trapeziectomy with ligament reconstruction and tendon interposition (T and LRTI) vs trapeziectomy and ligament reconstruction (T and LR) | no estimate extracted | 1 study · 20 participants | Low Downgraded: risk of bias, imprecision |
Trapeziectomy with ligament reconstruction and tendon interposition (T and LRTI) versus trapeziectomy and interpositional arthroplasty (T and IA)
Population: Patients with thumb (trapeziometacarpal joint) osteoarthritis
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Pain ‐ not measured Trapeziectomy with ligament reconstruction and tendon interposition (T and LRTI) vs trapeziectomy and interpositional arthroplasty (T and IA) | no estimate extracted | NR | No studies |
Physical function ‐ not measured Trapeziectomy with ligament reconstruction and tendon interposition (T and LRTI) vs trapeziectomy and interpositional arthroplasty (T and IA) | no estimate extracted | NR | No studies |
Quality of life ‐ not measured Trapeziectomy with ligament reconstruction and tendon interposition (T and LRTI) vs trapeziectomy and interpositional arthroplasty (T and IA) | no estimate extracted | NR | No studies |
Global assessment ‐ not measured Trapeziectomy with ligament reconstruction and tendon interposition (T and LRTI) vs trapeziectomy and interpositional arthroplasty (T and IA) | no estimate extracted | NR | No studies |
Adverse events complications reported Trapeziectomy with ligament reconstruction and tendon interposition (T and LRTI) vs trapeziectomy and interpositional arthroplasty (T and IA) | RR 1.36 [0.48, 3.88] | 1 study · 100 participants | Moderate Downgraded: risk of bias, imprecision |
Treatment failure ‐ not measured Trapeziectomy with ligament reconstruction and tendon interposition (T and LRTI) vs trapeziectomy and interpositional arthroplasty (T and IA) | no estimate extracted | NR | No studies |
Trapeziometacarpal joint imaging ‐ not measured Trapeziectomy with ligament reconstruction and tendon interposition (T and LRTI) vs trapeziectomy and interpositional arthroplasty (T and IA) | no estimate extracted | NR | No studies |
Trapeziectomy with interpositional arthroplasty (T and IA) versus Artelon joint resurfacing
Population: Patients with thumb (trapeziometacarpal joint) osteoarthritis
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Pain 100mm VAS. Scale from: 1 to 100. Trapeziectomy with interpositional arthroplasty (T and IA) vs Artelon joint resurfacing | no estimate extracted | 2 studies · 77 participants | Very low Downgraded: risk of bias, imprecision |
Physical function ‐ not measured Trapeziectomy with interpositional arthroplasty (T and IA) vs Artelon joint resurfacing | no estimate extracted | NR | No studies |
Quality of life ‐ not measured Trapeziectomy with interpositional arthroplasty (T and IA) vs Artelon joint resurfacing | no estimate extracted | NR | No studies |
Global assessment ‐ not measured Trapeziectomy with interpositional arthroplasty (T and IA) vs Artelon joint resurfacing | no estimate extracted | NR | No studies |
Adverse events Mild to moderate swelling Trapeziectomy with interpositional arthroplasty (T and IA) vs Artelon joint resurfacing | RR 0.09 [0.01, 0.61] | 1 study · 98 participants | Very low Downgraded: risk of bias, imprecision |
Treatment failure Reoperation due to pain Trapeziectomy with interpositional arthroplasty (T and IA) vs Artelon joint resurfacing | RR 0.14 [0.01, 2.36] | 1 study · 98 participants | Very low Downgraded: risk of bias, imprecision |
Trapeziometacarpal joint imaging ‐ not measured Trapeziectomy with interpositional arthroplasty (T and IA) vs Artelon joint resurfacing | no estimate extracted | NR | No studies |
Trapeziectomy with interpositional arthroplasty (T and IA) versus trapeziometacarpal joint replacement (Swanson)
Population: Patients with thumb (trapeziometacarpal joint) osteoarthritis
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Pain 100mm VAS. Scale from: 0 to 100. Trapeziectomy with interpositional arthroplasty (T and IA) vs trapeziometacarpal joint replacement (Swanson) | no estimate extracted | 1 study · 26 participants | Low Downgraded: risk of bias, imprecision |
Physical function ‐ not measured Trapeziectomy with interpositional arthroplasty (T and IA) vs trapeziometacarpal joint replacement (Swanson) | no estimate extracted | NR | No studies |
Quality of life ‐ not measured Trapeziectomy with interpositional arthroplasty (T and IA) vs trapeziometacarpal joint replacement (Swanson) | no estimate extracted | NR | No studies |
Global assessment ‐ not measured Trapeziectomy with interpositional arthroplasty (T and IA) vs trapeziometacarpal joint replacement (Swanson) | no estimate extracted | NR | No studies |
Adverse events Complications reported Trapeziectomy with interpositional arthroplasty (T and IA) vs trapeziometacarpal joint replacement (Swanson) | RR 0.2 [0.01, 3.8] | 1 study · 26 participants | Low Downgraded: risk of bias, imprecision |
Treatment failure ‐ not measured Trapeziectomy with interpositional arthroplasty (T and IA) vs trapeziometacarpal joint replacement (Swanson) | no estimate extracted | NR | No studies |
Trapeziometacarpal joint imaging ‐ not measured Trapeziectomy with interpositional arthroplasty (T and IA) vs trapeziometacarpal joint replacement (Swanson) | no estimate extracted | NR | No studies |
Trapeziectomy with interpositional arthroplasty (T and IA) versus trapeziectomy (T)
Population: Patients with thumb (trapeziometacarpal joint) osteoarthritis
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Pain ‐ not measured Trapeziectomy with interpositional arthroplasty (T and IA) vs trapeziectomy (T) | no estimate extracted | NR | No studies |
Physical function ‐ not measured Trapeziectomy with interpositional arthroplasty (T and IA) vs trapeziectomy (T) | no estimate extracted | NR | No studies |
Quality of life ‐ not measured Trapeziectomy with interpositional arthroplasty (T and IA) vs trapeziectomy (T) | no estimate extracted | NR | No studies |
Global assessment ‐ not measured Trapeziectomy with interpositional arthroplasty (T and IA) vs trapeziectomy (T) | no estimate extracted | NR | No studies |
Adverse events Complications reported Trapeziectomy with interpositional arthroplasty (T and IA) vs trapeziectomy (T) | RR 1.44 [0.41, 5.05] | 1 study · 99 participants | Moderate Downgraded: risk of bias, imprecision |
Treatment failure ‐ not measured Trapeziectomy with interpositional arthroplasty (T and IA) vs trapeziectomy (T) | no estimate extracted | NR | No studies |
Trapeziometacarpal joint imaging ‐ not measured Trapeziectomy with interpositional arthroplasty (T and IA) vs trapeziectomy (T) | no estimate extracted | NR | No studies |
Trapeziectomy with ligament reconstruction and tendon interposition (T and LRTI) versus trapeziectomy (T)
Population: patients with Thumb (trapeziometacarpal joint) osteoarthritis
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
pain ‐ 100mm VAS mm. Scale from: 0 to 100. Trapeziectomy with ligament reconstruction and tendon interposition (T and LRTI) vs trapeziectomy (T) | no estimate extracted | 3 studies · 162 participants | Low Downgraded: risk of bias |
pain ‐ number of participants with resting pain resting pain Trapeziectomy with ligament reconstruction and tendon interposition (T and LRTI) vs trapeziectomy (T) | RR 1 [0.34, 2.93] | 1 study · 124 participants | Low Downgraded: risk of bias |
physical function ‐ 100mm score mm. Scale from: 0 to 100. Trapeziectomy with ligament reconstruction and tendon interposition (T and LRTI) vs trapeziectomy (T) | no estimate extracted | 2 studies · 97 participants | Low Downgraded: risk of bias |
adverse effects complications reported Trapeziectomy with ligament reconstruction and tendon interposition (T and LRTI) vs trapeziectomy (T) | RR 2.21 [1.18, 4.15] | 3 studies · 231 participants | Moderate Downgraded: risk of bias |
range of motion ‐palmar abduction degrees Trapeziectomy with ligament reconstruction and tendon interposition (T and LRTI) vs trapeziectomy (T) | no estimate extracted | 1 study · 65 participants | Low Downgraded: risk of bias |
strength ‐ lateral pinch strength kg Trapeziectomy with ligament reconstruction and tendon interposition (T and LRTI) vs trapeziectomy (T) | no estimate extracted | 3 studies · 223 participants | Low Downgraded: risk of bias |
trapeziometacarpal joint imaging ‐ SMD at rest mm Trapeziectomy with ligament reconstruction and tendon interposition (T and LRTI) vs trapeziectomy (T) | no estimate extracted | 1 study · 42 participants | Low Downgraded: risk of bias |
Trapeziectomy with ligament reconstruction and tendon interposition (T and LRTI) compared to Trapeziectomy and ligament reconstruction (T and LR) trapeziometacarpal joint) osteoarthritis
Population: patients with Thumb (trapeziometacarpal joint) osteoarthritis
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
pain ‐ number of participants with frequent or constant pain frequent or constant pain Trapeziectomy with ligament reconstruction and tendon interposition (T and LRTI) vs Trapeziectomy and ligament reconstruction (T and LR) trapeziometacarpal joint) osteoarthritis | RR 2.81 [0.33, 24.16] | 1 study · 31 participants | Low Downgraded: risk of bias |
physical function ‐ number of participants with difficulty with daily function moderate or severe difficulty Trapeziectomy with ligament reconstruction and tendon interposition (T and LRTI) vs Trapeziectomy and ligament reconstruction (T and LR) trapeziometacarpal joint) osteoarthritis | RR 2.81 [0.33, 24.16] | 1 study · 31 participants | Low Downgraded: risk of bias |
adverse effects complications reported Trapeziectomy with ligament reconstruction and tendon interposition (T and LRTI) vs Trapeziectomy and ligament reconstruction (T and LR) trapeziometacarpal joint) osteoarthritis | RR 1.41 [0.27, 7.28] | 1 study · 31 participants | Low Downgraded: risk of bias |
patient global assessment ‐ Buck‐Gramcko score number with good‐excellent total score Trapeziectomy with ligament reconstruction and tendon interposition (T and LRTI) vs Trapeziectomy and ligament reconstruction (T and LR) trapeziometacarpal joint) osteoarthritis | RR 0.82 [0.63, 1.06] | 1 study · 31 participants | Low Downgraded: risk of bias |
range of motion ‐ palmar abduction degrees Trapeziectomy with ligament reconstruction and tendon interposition (T and LRTI) vs Trapeziectomy and ligament reconstruction (T and LR) trapeziometacarpal joint) osteoarthritis | no estimate extracted | 2 studies · 51 participants | Low Downgraded: risk of bias |
strength ‐ lateral pinch strength kg Trapeziectomy with ligament reconstruction and tendon interposition (T and LRTI) vs Trapeziectomy and ligament reconstruction (T and LR) trapeziometacarpal joint) osteoarthritis | no estimate extracted | 1 study · 20 participants | Low Downgraded: risk of bias |
trapeziometacarpal joint imaging ‐ SMD at rest mm Trapeziectomy with ligament reconstruction and tendon interposition (T and LRTI) vs Trapeziectomy and ligament reconstruction (T and LR) trapeziometacarpal joint) osteoarthritis | no estimate extracted | 1 study · 20 participants | Low Downgraded: risk of bias |
Trapeziectomy with ligament reconstruction and tendon interposition (T and LRTI) versus Trapeziectomy and interpositional arthroplasty (T and IA)
Population: patients with Thumb (trapeziometacarpal joint) osteoarthritis
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
pain ‐ number of participants with resting pain resting pain Trapeziectomy with ligament reconstruction and tendon interposition (T and LRTI) vs Trapeziectomy and interpositional arthroplasty (T and IA) | RR 0.95 [0.33, 2.79] | 1 study · 121 participants | Low Downgraded: risk of bias |
adverse effects complications reported Trapeziectomy with ligament reconstruction and tendon interposition (T and LRTI) vs Trapeziectomy and interpositional arthroplasty (T and IA) | RR 1.29 [0.72, 2.33] | 1 study · 121 participants | Low Downgraded: risk of bias |
strength ‐ lateral pinch strength kg Trapeziectomy with ligament reconstruction and tendon interposition (T and LRTI) vs Trapeziectomy and interpositional arthroplasty (T and IA) | no estimate extracted | 1 study · 117 participants | Low Downgraded: risk of bias |
Trapeziectomy with ligament reconstruction and tendon interposition (T and LRTI) versus Artelon joint resurfacing (Three year follow up)
Population: patients with Thumb (trapeziometacarpal joint) osteoarthritis
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
pain ‐ 100mm VAS mm. Scale from: 0 to 100. Trapeziectomy with ligament reconstruction and tendon interposition (T and LRTI) vs Artelon joint resurfacing (Three year follow up) | no estimate extracted | 1 study · 15 participants | Very low Downgraded: indirectness |
range of motion ‐ palmar abduction degrees Trapeziectomy with ligament reconstruction and tendon interposition (T and LRTI) vs Artelon joint resurfacing (Three year follow up) | no estimate extracted | 1 study · 15 participants | Very low Downgraded: indirectness |
strength ‐ lateral pinch strength kg Trapeziectomy with ligament reconstruction and tendon interposition (T and LRTI) vs Artelon joint resurfacing (Three year follow up) | no estimate extracted | 1 study · 15 participants | Very low Downgraded: indirectness |
Trapeziectomy with interpositional arthroplasty (T and IA) versus Trapeziometacarpal joint replacement (Swanson)
Population: patients with Thumb (trapeziometacarpal joint) osteoarthritis
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
pain ‐ 100mm VAS mm. Scale from: 0 to 100. Trapeziectomy with interpositional arthroplasty (T and IA) vs Trapeziometacarpal joint replacement (Swanson) | no estimate extracted | 1 study · 26 participants | Low Downgraded: risk of bias |
adverse effects complications reported Trapeziectomy with interpositional arthroplasty (T and IA) vs Trapeziometacarpal joint replacement (Swanson) | RR 0.2 [0.01, 3.8] | 1 study · 26 participants | Low Downgraded: risk of bias |
range of motion ‐ palmar abduction degrees Trapeziectomy with interpositional arthroplasty (T and IA) vs Trapeziometacarpal joint replacement (Swanson) | no estimate extracted | 1 study · 26 participants | Low Downgraded: risk of bias |
strength ‐ lateral pinch strength martin vigorometer (kp/cm2) Trapeziectomy with interpositional arthroplasty (T and IA) vs Trapeziometacarpal joint replacement (Swanson) | no estimate extracted | 1 study · 26 participants | Low Downgraded: risk of bias |
trapeziometacarpal joint imaging ‐ SMD mm Trapeziectomy with interpositional arthroplasty (T and IA) vs Trapeziometacarpal joint replacement (Swanson) | no estimate extracted | 1 study · 26 participants | Low Downgraded: risk of bias |
Trapeziectomy with interpositional arthroplasty (T and IA) versus Trapeziectomy (T)
Population: patients with Thumb (trapeziometacarpal joint) osteoarthritis
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
pain ‐ number of participants with resting pain resting pain Trapeziectomy with interpositional arthroplasty (T and IA) vs Trapeziectomy (T) | RR 1.05 [0.36, 3.08] | 1 study · 121 participants | Low Downgraded: risk of bias |
adverse effects complications reported Trapeziectomy with interpositional arthroplasty (T and IA) vs Trapeziectomy (T) | RR 1.63 [0.77, 3.49] | 1 study · 121 participants | Low Downgraded: risk of bias |
strength ‐ lateral pinch strength kg Trapeziectomy with interpositional arthroplasty (T and IA) vs Trapeziectomy (T) | no estimate extracted | 1 study · 119 participants | Low Downgraded: risk of bias |