{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,14]],"date-time":"2026-06-14T09:30:15Z","timestamp":1781429415596,"version":"3.54.1"},"reference-count":24,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Handchir Mikrochir Plast Chir"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Die Rhizarthrose ist eine der h\u00e4ufigsten arthrotischen Ver\u00e4nderungen der Hand,\n                    sodass in den vergangenen Jahren eine Vielzahl an Operationsmethoden entwickelt\n                    wurden. Neben der \u201eklassischen\u201c Resektionsarthroplastik mit Sehnenaufh\u00e4ngung\n                    oder -interposition werden auch Daumensattelgelenksprothesen immer h\u00e4ufiger\n                    angewendet. Diese kommen jedoch f\u00fcr einen Teil der Patienten wie bei\n                    ausgepr\u00e4gter Osteoporose, starker Nickelallergie, unzureichender H\u00f6he des\n                    Trapeziums oder STT-Arthrose nicht in Frage. Vor diesem Hintergrund wurde in der\n                    vorliegenden Arbeit herausgearbeitet, ob die \u201eklassischen\u201c Operationsmethoden\n                    auch weiterhin ihre Daseinsberechtigung haben oder von den Prothesen abgel\u00f6st\n                    werden. In einer retrospektiven Studie mit prospektiver Datenerhebung wurden 48\n                    H\u00e4nde von 45 Patienten 2,5 Jahre nach stattgehabter Resektionsarthroplastik\/\n                    Resektions-Suspensions-Interpositionsarthroplastik mittels Flexor carpi radialis\n                    (FCR)- oder Abductor pollicis longus (APL)-Sehnenstreifen in den Jahren\n                    2015\u20132018 bei diagnostizierter Rhizarthrose in den Stadien II und III nach Eaton\n                    und Littler klinisch nachuntersucht. Das postoperative Outcome wurde anhand der\n                    Beweglichkeit, Griffkraft, Zwei-Punkte-Diskrimination nach Weber, der\n                    postoperativen Zufriedenheit hinsichtlich Schmerzen und Belastbarkeit sowie\n                    anhand des DASH und MHQ-Fragebogens bewertet. Signifikante Unterschiede zeigten\n                    sich weder bei der Dauer der Operation, der Arbeitsunf\u00e4higkeit, bis zur\n                    Vollbelastung, den Schmerzen, der Zufriedenheit, noch bei der Griffkraft und\n                    Beweglichkeit. Unabh\u00e4ngig von der verwendeten Operationsmethode bestand eine\n                    nahezu freie Daumen- und Handgelenksbeweglichkeit sowie altersentsprechende\n                    Handkraft. Ruheschmerzen bestanden selten, 48% waren schmerzfrei bei Belastung.\n                    Beim DASH-Fragebogen wurden 20, 14 sowie 22 Punkte und beim MHQ 76, 79 und 79\n                    Punkte erzielt. Somit zeigten die \u201eklassischen\u201c Operationstechniken ein gutes\n                    postoperatives Ergebnis mit hoher Patientenzufriedenheit. \u201eNeuere Verfahren\u201c wie\n                    die Endoprothese bieten vielversprechende Ergebnisse bez\u00fcglich einer schnellere\n                    Regenerationszeit. Dem gegen\u00fcberzustellen sind jedoch eine verl\u00e4ngerte\n                    Operationsdauer und h\u00f6here Materialkosten, sodass die Resektionsarthroplastiken\n                    bei geringem Komplikationspotential und einer niedrigeren Revisionsrate ein\n                    langbew\u00e4hrtes Verfahren darstellen und insbesondere bei relativen\n                    Kontraindikationen f\u00fcr eine Endoprothese weiterhin genutzt werden sollten.<\/jats:p>","DOI":"10.1055\/a-2231-2279","type":"journal-article","created":{"date-parts":[[2024,3,21]],"date-time":"2024-03-21T00:18:55Z","timestamp":1710980335000},"page":"219-226","source":"Crossref","is-referenced-by-count":4,"title":["Rhizarthrose: Resektionsarthroplastik versus\n                Resektionssuspensionsarthroplastik \u2013 immer noch der Goldstandard?"],"prefix":"10.1055","volume":"56","author":[{"given":"Saskia Carolin","family":"Tosun","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Hand-, Plastische, Rekonstruktive und Verbrennungschirurgie,\n                    BG Klinik T\u00fcbingen, T\u00fcbingen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leonie Barbara","family":"Pietzsch","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Hand-, Plastische, Rekonstruktive und Verbrennungschirurgie,\n                    BG Klinik T\u00fcbingen, T\u00fcbingen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuel","family":"Held","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Hand-, Plastische, Rekonstruktive und Verbrennungschirurgie,\n                    BG Klinik T\u00fcbingen, T\u00fcbingen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrien","family":"Daigeler","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Hand-, Plastische, Rekonstruktive und Verbrennungschirurgie,\n                    BG Klinik T\u00fcbingen, T\u00fcbingen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wiebke","family":"Eisler","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Hand-, Plastische, Rekonstruktive und Verbrennungschirurgie,\n                    BG Klinik T\u00fcbingen, T\u00fcbingen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2024,3,20]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"953","DOI":"10.1016\/j.joca.2006.04.013","article-title":"Joint-specific prevalence of osteoarthritis of the hand","volume":"14","author":"F V Wilder","year":"2006","journal-title":"Osteoarthritis Cartilage"},{"key":"ref2","first-page":"492","article-title":"Osteo-arthritis of the Trapezio-metacarpal Joint treated by Excision of the\n                    Trapezium","volume":"40","author":"W H Gervis","year":"1947","journal-title":"Proc R Soc Med"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"1655","DOI":"10.2106\/00004623-197355080-00010","article-title":"Ligament reconstruction for the painful thumb carpometacarpal joint","volume":"55","author":"R G Eaton","year":"1973","journal-title":"J Bone Joint Surg Am"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"324","DOI":"10.1016\/S0363-5023(86)80137-X","article-title":"Surgical management of basal Joint arthritis of the thumb. Part II. Ligament\n                    reconstruction with tendon interposition arthroplast","volume":"11","author":"R I Burton","year":"1986","journal-title":"J Hand Surg Am"},{"key":"ref5","first-page":"168","article-title":"Surgical treatment of the saddle joint arthrosis","volume":"15","author":"W Epping","year":"1983","journal-title":"Handchir Mikrochir Plast Chir"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"73","DOI":"10.3109\/02844319109034926","article-title":"Abductor Pollicis Longus Tendon Arthroplasty for Treatment of Arthrosis in the\n                    First Carpometacarpal Joint","volume":"25","author":"R Sigfusson","year":"1991","journal-title":"Scand J Plast Reconstr Surg Hand Surg"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"134","DOI":"10.1016\/j.jor.2022.11.011","article-title":"Arthroplasty in thumb trapeziometacarpal (CMC joint) osteoarthritis: An\n                    alternative to excision arthroplasty","volume":"35","author":"A Newton","year":"2023","journal-title":"J Orthop"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1016\/S0749-0712(21)00761-7","article-title":"Trapeziometacarpal osteoarthritis. Staging as a rationale for treatment","volume":"3","author":"R G Eaton","year":"1987","journal-title":"Hand Clin"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"602","DOI":"10.1002\/(SICI)1097-0274(199606)29:6<602::AID-AJIM4>3.0.CO;2-L","article-title":"Development of an upper extremity outcome measure: The DASH (disabilities of the\n                    arm, shoulder, and hand)","volume":"29","author":"P L Hudak","year":"1996","journal-title":"Am J Ind Med"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"619","DOI":"10.1097\/00000637-199906000-00006","article-title":"The Michigan Hand Outcomes Questionnaire (MHQ): Assessment of Responsiveness to\n                    Clinical Change","volume":"42","author":"K C Chung","year":"1999","journal-title":"Ann Plast Surg"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"39e","DOI":"10.1097\/PRS.0b013e318218fd70","article-title":"German Standardized Translation of the Michigan Hand Outcomes Questionnaire for\n                    Patient-Related Outcome Measurement in Dupuytren Disease","volume":"128","author":"K Knobloch","year":"2011","journal-title":"Plast Reconstr Surg"},{"key":"ref12","first-page":"CD004631","volume-title":"Surgery for thumb (trapeziometacarpal joint) osteoarthritis. In: The Cochrane\n                    Collaboration, Hrsg. Cochrane Database of Systematic Reviews","author":"A Wajon","year":"2015"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"1069","DOI":"10.1016\/j.jhsa.2004.06.017","article-title":"Excision of the trapezium for osteoarthritis of the trapeziometacarpal joint: A\n                    study of the benefit of ligament reconstruction or tendon interposition","volume":"29","author":"TR C Davis","year":"2004","journal-title":"J Hand Surg Am"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"350","DOI":"10.1054\/jhsb.2000.0431","article-title":"A Comparison of Trapeziectomy with and without Ligament Reconstruction and\n                    Tendon Interposition","volume":"25","author":"HJC R Belcher","year":"2000","journal-title":"J Hand Surg Br"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"98","DOI":"10.1055\/s-2006-924061","article-title":"Ergebnisse nach Resektions-Suspensions-Arthroplastik bei Rhizarthrose: Vergleich\n                    der Abductor pollicis longus- mit der Flexor carpi\n                    radialis-Sehnensuspension","volume":"38","author":"M Rab","year":"2006","journal-title":"Handchir Mikrochir Plast Chir"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"e1737","DOI":"10.1097\/GOX.0000000000001737","article-title":"Total Endoprosthesis Versus Lundborg\u00b4s Resection Arthroplasty for the Treatment\n                    of Trapeziometacarpal Joint Osteoarthritis","volume":"6","author":"H Erne","year":"2018","journal-title":"Plast Reconstr Surg - Glob Open"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"439","DOI":"10.1016\/j.jhsa.2017.11.019","article-title":"Sick Leave After Surgery for Thumb Carpometacarpal Osteoarthritis: A\n                    Population-Based Study","volume":"43","author":"J M Wolf","year":"2018","journal-title":"J Hand Surg Am"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1177\/15589447231185584","article-title":"Interposition Arthroplasty versus Dual Cup Mobility Prosthesis in Treatment of\n                    Trapeziometacarpal Joint Osteoarthritis: A Prospective Randomized Study","author":"M Guzzini","year":"2023","journal-title":"HAND"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1177\/17531934231188407","article-title":"Short-term recovery after implant versus resection arthroplasty in\n                    trapeziometacarpal joint osteoarthritis","author":"D B Herren","year":"2023","journal-title":"J Hand Surg Eur Vol"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"208","DOI":"10.2106\/00004623-200202000-00007","article-title":"The American Academy of Orthopaedic Surgeons Outcomes Instruments: Normative\n                    Values from the General Population","volume":"84","author":"F G Hunsaker","year":"2002","journal-title":"J Bone Joint Surg Am"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"211","DOI":"10.1177\/1753193411414516","article-title":"Six year outcome excision of the trapezium for trapeziometacarpal joint\n                    osteoarthritis: is it improved by ligament reconstruction and temporary\n                    Kirschner wire insertion?","volume":"37","author":"H Salem","year":"2012","journal-title":"J Hand Surg Eur Vol"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"1555","DOI":"10.1007\/s00590-018-2173-3","article-title":"Results of the treatment of first carpometacarpal joint osteoarthritis:\n                    trapeziectomy alone versus trapeziectomy associated with suspensionplasty","volume":"28","author":"L Barthel","year":"2018","journal-title":"Eur J Orthop Surg Traumatol"},{"key":"ref23","first-page":"20","article-title":"Ligament reconstruction\/tendon interposition arthroplasty for thumb basal joint\n                    osteoarthritis preliminary results of a prospective outcome study","volume":"68","author":"L De Smet","year":"2002","journal-title":"Acta Orthop Belg"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"1001","DOI":"10.1007\/s00590-021-03070-5","article-title":"Trapeziectomy versus joint replacement for first carpometacarpal (CMC 1) joint\n                    osteoarthritis: a systematic review and meta-analysis","volume":"32","author":"S Raj","year":"2022","journal-title":"Eur J Orthop Surg Traumatol"}],"container-title":["Handchirurgie \u00b7 Mikrochirurgie \u00b7 Plastische Chirurgie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2231-2279.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T10:34:05Z","timestamp":1730802845000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2231-2279"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3,20]]},"references-count":24,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2024,6,11]]},"published-print":{"date-parts":[[2024,6]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2231-2279","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0722-1819","1439-3980"],"issn-type":[{"value":"0722-1819","type":"print"},{"value":"1439-3980","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3,20]]}}}