{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T23:56:52Z","timestamp":1781135812354,"version":"3.54.1"},"reference-count":17,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Handchir Mikrochir Plast Chir"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>This retrospective non-randomized study aimed to compare the clinical and\n                    radiological outcomes of oblique versus transverse tunnels in ligament\n                    reconstruction and tendon interposition arthroplasty. This study included 15\n                    patients with oblique tunnels (Group 1) and 13 patients with transverse tunnels\n                    (Group 2), all of whom had been diagnosed with Eaton stage 3 or 4\n                    carpometacarpal arthritis and had undergone trapeziectomy with the ligament\n                    reconstruction and tendon interposition surgery. The visual analogue scale was\n                    used to assess pain levels, while the Quick Disabilities of the Arm, Shoulder\n                    and Hand questionnaire was used to evaluate functional limitations in activities\n                    of daily living. Preoperative and postoperative radiological findings as well as\n                    the thumb range of motion, grip strength, key pinch strength, and tip pinch\n                    strength were measured. Demographic data and complications were also documented.\n                    The change in Quick Disabilities of the Arm, Shoulder and Hand scores in Group 1\n                    was significantly greater than that in Group 2. No significant differences were\n                    found between the two groups in visual analogue scale changes, range of motions,\n                    pinch strength assessments, or any radiological outcomes. In the treatment of\n                    thumb carpometacarpal joint arthritis with the ligament reconstruction and\n                    tendon interposition surgery, the oblique tunnel orientation in the ligament\n                    reconstruction and tendon interposition surgery for thumb carpometacarpal\n                    arthritis improves the Quick Disabilities of the Arm, Shoulder and Hand score,\n                    but does not significantly affect pain, complications, or radiological outcomes.\n                    These findings provide important insights for the selection of tunnel\n                    orientation in ligament reconstruction and tendon interposition\n                    applications.<\/jats:p>","DOI":"10.1055\/a-2777-9614","type":"journal-article","created":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T00:29:55Z","timestamp":1772065795000},"page":"214-219","source":"Crossref","is-referenced-by-count":0,"title":["Comparative Outcomes of Oblique vs. Transverse Bone Tunnels in\n                    Ligament Reconstruction and Tendon Interposition for Thumb Carpometacarpal\n                    Arthritis"],"prefix":"10.1055","volume":"58","author":[{"given":"Sevin\u00e7 \u00d6d\u00fcl","family":"Oru\u00e7","sequence":"additional","affiliation":[{"name":"Hand Surgery, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9177-2457","authenticated-orcid":false,"given":"Osman","family":"Orman","sequence":"additional","affiliation":[{"name":"Hand Surgery, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hakan","family":"Ertem","sequence":"additional","affiliation":[{"name":"Hand Surgery, Malatya, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ethem Ayhan","family":"\u00dcnkar","sequence":"additional","affiliation":[{"name":"Hand Surgery, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehmet","family":"Baydar","sequence":"additional","affiliation":[{"name":"Hand Surgery, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u0130brahim Faruk","family":"Ad\u0131g\u00fczel","sequence":"additional","affiliation":[{"name":"Hand Surgery, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,2,25]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"804","DOI":"10.1177\/1558944719897137","article-title":"Bone Tunnel Orientation in Suspension Arthroplasty of the Thumb Carpometacarpal\n                    Joint: An Anatomical Cadaver Study","volume":"16","author":"L Van B\u00f6mmel","year":"2021","journal-title":"Hand (NY)"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"562","DOI":"10.5435\/JAAOS-D-17-00374","article-title":"Thumb Basal Joint Arthritis","volume":"26","author":"A C Weiss","year":"2018","journal-title":"J Am Acad Orthop Surg"},{"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":"157","DOI":"10.1016\/j.jhsa.2010.10.028","article-title":"Surgical Management of Primary Thumb Carpometacarpal Osteoarthritis: A\n                    Systematic Review","volume":"36","author":"G M Vermeulen","year":"2011","journal-title":"J Hand Surg Am"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"e1","DOI":"10.1016\/j.jhsa.2017.03.011","article-title":"Mean 5-Year Follow-up for Suture Button Suspensionplasty in the Treatment of\n                    Thumb Carpometacarpal Joint Osteoarthritis","volume":"42","author":"J Yao","year":"2017","journal-title":"J Hand Surg Am"},{"key":"ref6","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 arthroplasty","volume":"11","author":"R I Burton","year":"1986","journal-title":"J Hand Surg Am"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"237","DOI":"10.1016\/j.jpra.2024.01.001","article-title":"Ligament reconstruction in thumb carpometacarpal joint instability: A systematic\n                    review","volume":"39","author":"I C Jongen","year":"2024","journal-title":"JPRAS Open"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"183","DOI":"10.1007\/s00064-021-00715-w","article-title":"Resektionsarthroplastik des Daumensattelgelenks mit ihren Varianten","volume":"33","author":"M F Langer","year":"2021","journal-title":"Oper Orthop Traumatol"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"335","DOI":"10.1177\/1753193415616959","article-title":"Comparison of clinical outcome with radiological findings after trapeziectomy\n                    with ligament reconstruction and tendon interposition","volume":"41","author":"L Reissner","year":"2016","journal-title":"J Hand Surg Eur Vol"},{"key":"ref10","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":"ref11","doi-asserted-by":"publisher","first-page":"365","DOI":"10.1177\/1753193416641590","article-title":"Why and how to report surgeons\u2019 levels of expertise","volume":"41","author":"J B Tang","year":"2016","journal-title":"J Hand Surg Eur"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"100160","DOI":"10.1016\/j.jham.2024.100160","article-title":"A systematic review of systematic reviews comparing simple trapeziectomy versus\n                    trapeziectomy with ligament reconstruction and tendon interposition for\n                    trapeziometacarpal osteoarthritis","volume":"21","author":"E Fang","year":"2024","journal-title":"J Hand Microsurg"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"100050","DOI":"10.1016\/j.jham.2024.100050","article-title":"Simple trapeziectomy for thumb basal joint arthrosis. Forty-four thumbs\n                    re-reviewed after 7.5 years","volume":"16","author":"S Engvik","year":"2024","journal-title":"J Hand Microsurg"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"346","DOI":"10.2106\/00004623-199503000-00003","article-title":"Arthroplasty of the basal joint of the thumb. Long-term\n                    follow-up after ligament reconstruction with tendon\n                    interposition","volume":"77","author":"M M Tomaino","year":"1995","journal-title":"J Bone Joint Surg Am"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"1201","DOI":"10.1177\/17531934231186495","article-title":"Biomechanical analysis of three techniques of suspensionplasty after\n                    trapeziectomy: a cadaveric study","volume":"48","author":"H Lui","year":"2023","journal-title":"J Hand Surg Eur"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1177\/15589447251339505","article-title":"Changes in Sagittal Balance of Motion at the Thumb Metacarpophalangeal Joint\n                    After Sequential Trapeziectomy, Suspensionplasty, and Extensor Pollicis Brevis\n                    Tenodesis: A Cadaveric Study","author":"J De Torres Urrea","year":"2025","journal-title":"Hand"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"357","DOI":"10.1016\/j.otsr.2019.11.020","article-title":"Chronological changes in surgical outcomes after trapeziectomy with ligament\n                    reconstruction and tendon interposition arthroplasty for thumb carpometacarpal\n                    osteoarthritis","volume":"106","author":"S Komura","year":"2020","journal-title":"Orthop Traumatol Surg Res"}],"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-2777-9614.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T23:04:26Z","timestamp":1781132666000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2777-9614"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,25]]},"references-count":17,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2026,6,10]]},"published-print":{"date-parts":[[2026,6]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2777-9614","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":[[2026,2,25]]}}}