Desenlaces en el manejo de la artrosis trapeciometacarpiana: experiencia en hospital II nivel en Latinoamérica

ilustraciones, gráficas, tablas

Autores:: Rodríguez Ramírez, Dimitris

Tipo de recurso:

Fecha de publicación:: 2023

Institución:: Universidad Nacional de Colombia

Repositorio:: Universidad Nacional de Colombia

Idioma:: spa

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repository_id_str
dc.title.spa.fl_str_mv	Desenlaces en el manejo de la artrosis trapeciometacarpiana: experiencia en hospital II nivel en Latinoamérica
dc.title.translated.eng.fl_str_mv	Outcomes in the management of trapeziometacarpal osteoarthritis: experience in a fourth level hospital in Latinamerica
title	Desenlaces en el manejo de la artrosis trapeciometacarpiana: experiencia en hospital II nivel en Latinoamérica
spellingShingle	Desenlaces en el manejo de la artrosis trapeciometacarpiana: experiencia en hospital II nivel en Latinoamérica 610 - Medicina y salud::617 - Cirugía, medicina regional, odontología, oftalmología, otología, audiología Artroplastia de Reemplazo Traumatismos de los Dedos Osteoartritis/rehabilitación Arthroplasty, Replacement Finger Injuries Osteoarthritis/rehabilitation Artroplastia Artrosis de primera articulación carpometacarpiana Rizartrosis Reemplazo articular Trapeciectomía Arthroplasty First carpometacarpal arthrosis (CMC 1) Joint replacement Osteoarthritis Trapeziectomy
title_short	Desenlaces en el manejo de la artrosis trapeciometacarpiana: experiencia en hospital II nivel en Latinoamérica
title_full	Desenlaces en el manejo de la artrosis trapeciometacarpiana: experiencia en hospital II nivel en Latinoamérica
title_fullStr	Desenlaces en el manejo de la artrosis trapeciometacarpiana: experiencia en hospital II nivel en Latinoamérica
title_full_unstemmed	Desenlaces en el manejo de la artrosis trapeciometacarpiana: experiencia en hospital II nivel en Latinoamérica
title_sort	Desenlaces en el manejo de la artrosis trapeciometacarpiana: experiencia en hospital II nivel en Latinoamérica
dc.creator.fl_str_mv	Rodríguez Ramírez, Dimitris
dc.contributor.advisor.spa.fl_str_mv	Martínez Gutiérrez, Diana Carolina Duque Ropero, David Fernando
dc.contributor.author.spa.fl_str_mv	Rodríguez Ramírez, Dimitris
dc.contributor.researchgroup.spa.fl_str_mv	Plasticun
dc.subject.ddc.spa.fl_str_mv	610 - Medicina y salud::617 - Cirugía, medicina regional, odontología, oftalmología, otología, audiología
topic	610 - Medicina y salud::617 - Cirugía, medicina regional, odontología, oftalmología, otología, audiología Artroplastia de Reemplazo Traumatismos de los Dedos Osteoartritis/rehabilitación Arthroplasty, Replacement Finger Injuries Osteoarthritis/rehabilitation Artroplastia Artrosis de primera articulación carpometacarpiana Rizartrosis Reemplazo articular Trapeciectomía Arthroplasty First carpometacarpal arthrosis (CMC 1) Joint replacement Osteoarthritis Trapeziectomy
dc.subject.decs.spa.fl_str_mv	Artroplastia de Reemplazo Traumatismos de los Dedos Osteoartritis/rehabilitación
dc.subject.decs.eng.fl_str_mv	Arthroplasty, Replacement Finger Injuries Osteoarthritis/rehabilitation
dc.subject.proposal.spa.fl_str_mv	Artroplastia Artrosis de primera articulación carpometacarpiana Rizartrosis Reemplazo articular Trapeciectomía
dc.subject.proposal.eng.fl_str_mv	Arthroplasty First carpometacarpal arthrosis (CMC 1) Joint replacement Osteoarthritis Trapeziectomy
description	ilustraciones, gráficas, tablas
publishDate	2023
dc.date.accessioned.none.fl_str_mv	2023-02-07T19:51:36Z
dc.date.available.none.fl_str_mv	2023-02-07T19:51:36Z
dc.date.issued.none.fl_str_mv	2023-02
dc.type.spa.fl_str_mv	Trabajo de grado - Especialidad Médica
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dc.type.content.spa.fl_str_mv	Text
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dc.identifier.instname.spa.fl_str_mv	Universidad Nacional de Colombia
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identifier_str_mv	Universidad Nacional de Colombia Repositorio Institucional Universidad Nacional de Colombia
dc.language.iso.spa.fl_str_mv	spa
language	spa
dc.relation.indexed.spa.fl_str_mv	Bireme
dc.relation.references.spa.fl_str_mv	1. Pickrell BB, Eberlin KR. Thumb basal joint arthritis. Clin Plast Surg [Internet]. 2019;46(3):407–13. 2. Wilkens SC, Meghpara MM, Ring D, Coert JH, Jupiter JB, Chen NC. Trapeziometacarpal arthrosis. JBJS Rev [Internet]. 2019;7(1):e8. 3. Bakri K, Moran SL. Thumb carpometacarpal arthritis. Plast Reconstr Surg [Internet]. 2015;135(2):508–20. 4. Becker SJE, Briet JP, Hageman MGJS, Ring D. Death, taxes, and trapeziometacarpal arthrosis. Clin Orthop Relat Res [Internet]. 2013;471(12):3738–44. 5. Eaton RG, Glickel SZ. Trapeziometacarpal osteoarthritis. Staging as a rationale for treatment. Hand Clin. 1987;3(4):455–71. 6. Kennedy CD, Manske MC, Huang JI. Classifications in brief: The Eaton-littler classification of thumb carpometacarpal joint arthrosis. Clin Orthop Relat Res [Internet]. 2016;474(12):2729–33. 7. Sodha S, Ring D, Zurakowski D, Jupiter JB. Prevalence of osteoarthrosis of the trapeziometacarpal joint. J Bone Joint Surg Am [Internet]. 2005;87(12):2614–8. 8. Parker S, Riley N, Dean B, Oxford Upper Limb Collaborative. Management of osteoarthritis at the base of the thumb: A multicentre service evaluation project. Bone Joint J [Internet]. 2020;102-B(5):600–5. 9. Bæk Hansen T. Joint replacement for trapeziometacarpal osteoarthritis: implants and outcomes. J Hand Surg Eur Vol. 2021 Feb;46(2):115-119. 10. Baker RHJ, Al-Shukri J, Davis TRC. Evidence-Based Medicine: Thumb Basal Joint Arthritis. Plast Reconstr Surg. 2017 Jan;139(1):256e-266e. 11. Holme TJ, Karbowiak M, Clements J, Sharma R, Craik J, Ellahee N. Thumb CMCJ prosthetic total joint replacement: a systematic review. EFORT Open Rev [Internet]. 2021;6(5):316–30. 12. Franchignoni F, Vercelli S, Giordano A, Sartorio F, Bravini E, Ferriero G. Minimal clinically important difference of the disabilities of the arm, shoulder and hand outcome measure (DASH) and its shortened version (QuickDASH). J Orthop Sports Phys Ther [Internet]. 2014;44(1):30–9. 13. Cantero-Téllez R, Martín-Valero R, Cuesta-Vargas A. Effect of muscle strength and pain on hand function in patients with trapeziometacarpal osteoarthritis. A cross-sectional study. Reumatol Clin. 2015 Nov-Dec;11(6):340-4. English, Spanish. 14. Teresa Hervás M, Navarro Collado MJ, Peiró S, Rodrigo Pérez JL, López Matéu P, Martínez Tello I. Versión española del cuestionario DASH. Adaptación transcultural, fiabilidad, validez y sensibilidad a los cambios. Med Clin (Barc) [Internet]. 2006;127(12):441–7. 15. García González LA, Aguilar Sierra FJ, Moreno Serrano C, Enciso M. Traduccion, adaptacion cultural y validacion de una escala de funcion del miembro superior: DASH. Rev colomb ortop traumatol [Internet]. 2020;34(3):231–40. 16. García González GLA, Aguilar Sierra SF, Rodríguez Ricardo RMC. Validación de la versión en español de la escala de función del miembro superior abreviada: Quick Dash. Rev colomb ortop traumatol [Internet]. 2018;32(4):215–9. 17. Noback P, Lombardi J, Seetharaman M, Lee D, Strauch R, Rosenwasser M. Development and validation of a disease-specific questionnaire for basal joint arthritis. J Wrist Surg [Internet]. 2016;06(02):126–33. 18. Johnson L, Karau R, McGee C. Concurrent validity and precision of the thumb disability examination (TDX) in first carpometacarpal osteoarthritis. J Hand Ther [Internet]. 2021; 19. Jha B, Ross M, Reeves SW, Couzens GB, Peters SE. Measuring thumb range of motion in first carpometacarpal joint arthritis: The inter-rater reliability of the Kapandji Index versus goniometry. Hand Ther [Internet]. 2016;21(2):45–53. 20. Leamy, Darren & Kocijan, Jus & Domijan, Katarina & Duffin, Joe & Roche, Richard & Commins, Sean & Collins, Daniel & Ward, Tomas. (2014). An exploration of EEG features during recovery following stroke - Implications for BCI-mediated neurorehabilitation therapy. Journal of neuroengineering and rehabilitation. 21. Raquel, C., Ivan, M., Arturo, S., Santiago, G., & Rocío, M. (2015). Relationship between DASH Questionnaire and Objective Variables in Carpometacarpal Joint Osteoarthritis. Journal of Arthritis, 2015, 1-4. 22 Belcher HJ, Nicholl JE. A comparison of trapeziectomy with and without ligament reconstruction and tendon interposition. J Hand Surg Br. 2000 Aug;25(4):350-6. 23 Gangopadhyay S, McKenna H, Burke FD, Davis TR. Five- to 18-year follow-up for treatment of trapeziometacarpal osteoarthritis: a prospective comparison of excision, tendon interposition, and ligament reconstruction and tendon interposition. J Hand Surg Am. 2012 Mar;37(3):411-7. 24 Salem H, Davis TR. Six year outcome excision of the trapezium for trapeziometacarpal joint osteoarthritis: is it improved by ligament reconstruction and temporary Kirschner wire insertion? J Hand Surg Eur Vol. 2012 Mar;37(3):211-9. 25. Qureshi MK, Halim UA, Khaled AS, Roche SJ, Arshad MS. Trapeziectomy with Ligament Reconstruction and Tendon Interposition versus Trapeziometacarpal Joint Replacement for Thumb Carpometacarpal Osteoarthritis: A Systematic Review and Meta-Analysis. J Wrist Surg. 2021 Jul 15;11(3):272-278. 26. Hamasaki T, Harris PG, Bureau NJ, Gaudreault N, Ziegler D, Choinière M. Efficacy of Surgical Interventions for Trapeziometacarpal (Thumb Base) Osteoarthritis: A Systematic Review. J Hand Surg Glob Online. 2021 Mar 23;3(3):139-148. 27 .Seaourt AC, Dap F, Dautel G, Athlani L. Comparison between the MAIA® Implant and Trapeziectomy for Trapeziometacarpal Osteoarthritis: Outcomes at 9 Years' Follow-Up. J Hand Surg Asian Pac Vol. 2021 Jun;26(2):158-165. 28 Ganhewa AD, Wu R, Chae MP, Tobin V, Miller GS, Smith JA, Rozen WM, Hunter-Smith DJ. Failure Rates of Base of Thumb Arthritis Surgery: A Systematic Review. J Hand Surg Am. 2019 Sep;44(9):728-741.e10. 11- 29. Holme TJ, Karbowiak M, Clements J, et al. Thumb CMCJ prosthetic total joint replacement: a systematic review. EFORT Open Reviews. 2021 May;6(5):316-330. 29. McGinley BM, Siracuse BL, Gottschalk MB, Wagner ER. Treatment of First Carpometacarpal Osteoarthritis with Arthroscopy: A Systematic Review. J Wrist Surg. 2022 May 30;11(6):509-520. 30. Haas EM, Eisele A, Arnoldi A, Paolini M, Ehrl D, Volkmer E, Giunta RE. One-Year Outcomes of Intraarticular Fat Transplantation for Thumb Carpometacarpal Joint Osteoarthritis: Case Review of 99 Joints. Plast Reconstr Surg. 2020 Jan;145(1):151-159. 31. Herold C, Rennekampff HO, Groddeck R, Allert S. Autologous Fat Transfer for Thumb Carpometacarpal Joint Osteoarthritis: A Prospective Study. Plast Reconstr Surg. 2017 Aug;140(2):327-335. 32. Winter R, Hasiba-Pappas SK, Tuca AC, Zrim R, Nischwitz S, Popp D, Lumenta DB, Girsch W, Kamolz LP. Autologous Fat and Platelet-Rich Plasma Injections in Trapeziometacarpal Osteoarthritis: A Systematic Review and Meta-Analysis. Plast Reconstr Surg. 2023 Jan 1;151(1):119-131. 33. Spanish (for Puerto Rico) translation courtesy of Ana L. Mulero Portela, PhD, PT, Carmen L. Colón Santaella, PhD, PT, and Cynthia Cruz Gómez, MPH, PT, University of Puerto Rico, Medical Sciences Campus, San Juan, Puerto Rico. Supported by NIH, NIGMS/MBRS SCORE S06 G
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dc.format.extent.spa.fl_str_mv	ix, 49 páginas
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dc.publisher.spa.fl_str_mv	Universidad Nacional de Colombia
dc.publisher.program.spa.fl_str_mv	Bogotá - Medicina - Especialidad en Cirugía Plástica
dc.publisher.faculty.spa.fl_str_mv	Facultad de Medicina
dc.publisher.place.spa.fl_str_mv	Bogotá, Colombia
dc.publisher.branch.spa.fl_str_mv	Universidad Nacional de Colombia - Sede Bogotá
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spelling	Reconocimiento 4.0 Internacionalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Martínez Gutiérrez, Diana Carolinaf093ed25ad8e0be92da7e0e04e4db242Duque Ropero, David Fernando3d8703786c46461cd4a5853845bd664bRodríguez Ramírez, Dimitris4eacf669ce18539916c03f47e06bb6b9Plasticun2023-02-07T19:51:36Z2023-02-07T19:51:36Z2023-02https://repositorio.unal.edu.co/handle/unal/83369Universidad Nacional de ColombiaRepositorio Institucional Universidad Nacional de Colombiahttps://repositorio.unal.edu.co/ilustraciones, gráficas, tablasObjetivo: El objetivo de este estudio es registrar los desenlaces de las diferentes intervenciones quirúrgicas, realizadas en un mismo centro de atención, y evaluar si existen diferencias significativas entre los grupos de intervención en términos de dolor o funcionalidad del pulgar Métodos: Se realizó un estudio descriptivo ambispectivo de corte transversal en un único centro de seguimiento, de todos los pacientes con diagnóstico de artrosis trapeciometacarpiana llevados a intervención quirúrgica, en un periodo de 10 años (2011-2021). donde se compararon los desenlaces de los diferentes manejos quirúrgicos (reemplazo articular, trapeciectomía, artroplastia de interposición), evaluando la funcionalidad durante el seguimiento POP tardío (mayor a 6 meses), dolor pre y postoperatorio con la escala visual análoga dolor (VAS), así como las complicaciones y requerimiento de reintervenciones de cada grupo de pacientes. Resultados: Se incluyeron 28 intervenciones en 26 pacientes que cumplían los criterios de inclusión con la siguiente distribución: 11 intervenciones en el grupo de reemplazo articular, 12 en el grupo de trapeciectomía, 5 en el grupo de artroplastia, donde se encontró una mejoría significativa respecto al estado preoperatorio del dolor y la movilidad del pulgar (escala Kapandji) con las diferentes técnicas quirúrgicas, sin diferencias significativas entre los subgrupos de intervención en la funcionalidad evaluada en escala DASH y TDX, dolor POP, adicionalmente una diferencia significativa en el tiempo de incapacidad laboral con mayor tiempo para reintegro laboral en los pacientes llevados a reemplazo articular. Conclusiones: La realización de reemplazo articular, trapeciectomía y artroplastia son técnicas quirúrgicas efectivas para el manejo del dolor y funcionalidad como parte del tratamiento de la artrosis trapecio-metacarpiana, sin evidenciar superioridad en ninguna de las técnicas, sin embargo, con mayor tiempo de incapacidad y reintegro laboral en los pacientes sometidos a reemplazo articular. (Texto tomado de la fuente).Purpose: The aim of this study is to record the outcomes of different surgical interventions, performed in the same care center, and to assess whether there are significant differences between the intervention groups in terms of thumb pain or functionality. Methods: A retrospective descriptive cross-sectional study was performed in a single follow-up center, of all patients with a diagnosis of trapeziometacarpal osteoarthritis taken to surgical intervention, over a 10-year period (2011-2021), where the outcomes of the different surgical managements were compared (joint replacement, trapeziectomy, interposition arthroplasty), evaluating functionality during late POP follow-up (greater than 6 months), pre- and postoperative pain with the visual analog pain scale (VAS), as well as complications and the need for reoperation in each group of patients. Results: 28 interventions were included in 26 patients who met the inclusion criteria with the following distribution: 11 interventions in the joint replacement group, 12 in the trapeziectomy group, 5 in the arthroplasty group, where a significant improvement was found regarding the preoperative status of pain and thumb mobility (Kapandji scale) with the different surgical techniques, without significant differences between the intervention subgroups in the functionality evaluated in DASH and TDX scale, POP pain, additionally a significant difference in the time of work incapacity with longer time for reintegration to work in patients taken to joint replacement. Conclusions: The performance of joint replacement, trapeziectomy and arthroplasty are effective surgical techniques for the management of pain and functionality as part of the treatment of trapeziometacarpal arthrosis, without showing superiority in any of the techniques, however, with greater time of incapacity and return to work in patients undergoing joint replacement, therefore joint replacement is not recommended as it is the least cost-effective in terms of work incapacity.Incluye anexosEspecialidades MédicasEspecialista en Cirugía PlásticaSe realizó un estudio descriptivo ambispectivo de corte transversal en un único centro de seguimiento, de todos los pacientes con diagnóstico de artrosis trapeciometacarpiana llevados a intervención quirúrgica, en un periodo de 10 años (2011-2021). donde se compararon los desenlaces de los diferentes manejos quirúrgicos (reemplazo articular, trapeciectomía, artroplastia de interposición), evaluando la funcionalidad durante el seguimiento POP tardío (mayor a 6 meses), dolor pre y postoperatorio con la escala visual análoga dolor (VAS), así como las complicaciones y requerimiento de reintervenciones de cada grupo de pacientes.Cirugía de mano y microcirugíaix, 49 páginasapplication/pdfspaUniversidad Nacional de ColombiaBogotá - Medicina - Especialidad en Cirugía PlásticaFacultad de MedicinaBogotá, ColombiaUniversidad Nacional de Colombia - Sede Bogotá610 - Medicina y salud::617 - Cirugía, medicina regional, odontología, oftalmología, otología, audiologíaArtroplastia de ReemplazoTraumatismos de los DedosOsteoartritis/rehabilitaciónArthroplasty, ReplacementFinger InjuriesOsteoarthritis/rehabilitationArtroplastiaArtrosis de primera articulación carpometacarpianaRizartrosisReemplazo articularTrapeciectomíaArthroplastyFirst carpometacarpal arthrosis (CMC 1)Joint replacementOsteoarthritisTrapeziectomyDesenlaces en el manejo de la artrosis trapeciometacarpiana: experiencia en hospital II nivel en LatinoaméricaOutcomes in the management of trapeziometacarpal osteoarthritis: experience in a fourth level hospital in LatinamericaTrabajo de grado - Especialidad Médicainfo:eu-repo/semantics/masterThesisinfo:eu-repo/semantics/acceptedVersionTexthttp://purl.org/redcol/resource_type/TMBireme1. Pickrell BB, Eberlin KR. Thumb basal joint arthritis. Clin Plast Surg [Internet]. 2019;46(3):407–13.2. Wilkens SC, Meghpara MM, Ring D, Coert JH, Jupiter JB, Chen NC. Trapeziometacarpal arthrosis. JBJS Rev [Internet]. 2019;7(1):e8.3. Bakri K, Moran SL. Thumb carpometacarpal arthritis. Plast Reconstr Surg [Internet]. 2015;135(2):508–20.4. Becker SJE, Briet JP, Hageman MGJS, Ring D. Death, taxes, and trapeziometacarpal arthrosis. Clin Orthop Relat Res [Internet]. 2013;471(12):3738–44.5. Eaton RG, Glickel SZ. Trapeziometacarpal osteoarthritis. Staging as a rationale for treatment. Hand Clin. 1987;3(4):455–71.6. Kennedy CD, Manske MC, Huang JI. Classifications in brief: The Eaton-littler classification of thumb carpometacarpal joint arthrosis. Clin Orthop Relat Res [Internet]. 2016;474(12):2729–33.7. Sodha S, Ring D, Zurakowski D, Jupiter JB. Prevalence of osteoarthrosis of the trapeziometacarpal joint. J Bone Joint Surg Am [Internet]. 2005;87(12):2614–8.8. Parker S, Riley N, Dean B, Oxford Upper Limb Collaborative. Management of osteoarthritis at the base of the thumb: A multicentre service evaluation project. Bone Joint J [Internet]. 2020;102-B(5):600–5.9. Bæk Hansen T. Joint replacement for trapeziometacarpal osteoarthritis: implants and outcomes. J Hand Surg Eur Vol. 2021 Feb;46(2):115-119.10. Baker RHJ, Al-Shukri J, Davis TRC. Evidence-Based Medicine: Thumb Basal Joint Arthritis. Plast Reconstr Surg. 2017 Jan;139(1):256e-266e.11. Holme TJ, Karbowiak M, Clements J, Sharma R, Craik J, Ellahee N. Thumb CMCJ prosthetic total joint replacement: a systematic review. EFORT Open Rev [Internet]. 2021;6(5):316–30.12. Franchignoni F, Vercelli S, Giordano A, Sartorio F, Bravini E, Ferriero G. Minimal clinically important difference of the disabilities of the arm, shoulder and hand outcome measure (DASH) and its shortened version (QuickDASH). J Orthop Sports Phys Ther [Internet]. 2014;44(1):30–9.13. Cantero-Téllez R, Martín-Valero R, Cuesta-Vargas A. Effect of muscle strength and pain on hand function in patients with trapeziometacarpal osteoarthritis. A cross-sectional study. Reumatol Clin. 2015 Nov-Dec;11(6):340-4. English, Spanish.14. Teresa Hervás M, Navarro Collado MJ, Peiró S, Rodrigo Pérez JL, López Matéu P, Martínez Tello I. Versión española del cuestionario DASH. Adaptación transcultural, fiabilidad, validez y sensibilidad a los cambios. Med Clin (Barc) [Internet]. 2006;127(12):441–7.15. García González LA, Aguilar Sierra FJ, Moreno Serrano C, Enciso M. Traduccion, adaptacion cultural y validacion de una escala de funcion del miembro superior: DASH. Rev colomb ortop traumatol [Internet]. 2020;34(3):231–40.16. García González GLA, Aguilar Sierra SF, Rodríguez Ricardo RMC. Validación de la versión en español de la escala de función del miembro superior abreviada: Quick Dash. Rev colomb ortop traumatol [Internet]. 2018;32(4):215–9.17. Noback P, Lombardi J, Seetharaman M, Lee D, Strauch R, Rosenwasser M. Development and validation of a disease-specific questionnaire for basal joint arthritis. J Wrist Surg [Internet]. 2016;06(02):126–33.18. Johnson L, Karau R, McGee C. Concurrent validity and precision of the thumb disability examination (TDX) in first carpometacarpal osteoarthritis. J Hand Ther [Internet]. 2021;19. Jha B, Ross M, Reeves SW, Couzens GB, Peters SE. Measuring thumb range of motion in first carpometacarpal joint arthritis: The inter-rater reliability of the Kapandji Index versus goniometry. Hand Ther [Internet]. 2016;21(2):45–53.20. Leamy, Darren & Kocijan, Jus & Domijan, Katarina & Duffin, Joe & Roche, Richard & Commins, Sean & Collins, Daniel & Ward, Tomas. (2014). An exploration of EEG features during recovery following stroke - Implications for BCI-mediated neurorehabilitation therapy. Journal of neuroengineering and rehabilitation.21. Raquel, C., Ivan, M., Arturo, S., Santiago, G., & Rocío, M. (2015). Relationship between DASH Questionnaire and Objective Variables in Carpometacarpal Joint Osteoarthritis. Journal of Arthritis, 2015, 1-4.22 Belcher HJ, Nicholl JE. A comparison of trapeziectomy with and without ligament reconstruction and tendon interposition. J Hand Surg Br. 2000 Aug;25(4):350-6.23 Gangopadhyay S, McKenna H, Burke FD, Davis TR. Five- to 18-year follow-up for treatment of trapeziometacarpal osteoarthritis: a prospective comparison of excision, tendon interposition, and ligament reconstruction and tendon interposition. J Hand Surg Am. 2012 Mar;37(3):411-7.24 Salem H, Davis TR. Six year outcome excision of the trapezium for trapeziometacarpal joint osteoarthritis: is it improved by ligament reconstruction and temporary Kirschner wire insertion? J Hand Surg Eur Vol. 2012 Mar;37(3):211-9.25. Qureshi MK, Halim UA, Khaled AS, Roche SJ, Arshad MS. Trapeziectomy with Ligament Reconstruction and Tendon Interposition versus Trapeziometacarpal Joint Replacement for Thumb Carpometacarpal Osteoarthritis: A Systematic Review and Meta-Analysis. J Wrist Surg. 2021 Jul 15;11(3):272-278.26. Hamasaki T, Harris PG, Bureau NJ, Gaudreault N, Ziegler D, Choinière M. Efficacy of Surgical Interventions for Trapeziometacarpal (Thumb Base) Osteoarthritis: A Systematic Review. J Hand Surg Glob Online. 2021 Mar 23;3(3):139-148.27 .Seaourt AC, Dap F, Dautel G, Athlani L. Comparison between the MAIA® Implant and Trapeziectomy for Trapeziometacarpal Osteoarthritis: Outcomes at 9 Years' Follow-Up. J Hand Surg Asian Pac Vol. 2021 Jun;26(2):158-165.28 Ganhewa AD, Wu R, Chae MP, Tobin V, Miller GS, Smith JA, Rozen WM, Hunter-Smith DJ. Failure Rates of Base of Thumb Arthritis Surgery: A Systematic Review. J Hand Surg Am. 2019 Sep;44(9):728-741.e10. 11- 29. Holme TJ, Karbowiak M, Clements J, et al. Thumb CMCJ prosthetic total joint replacement: a systematic review. EFORT Open Reviews. 2021 May;6(5):316-330.29. McGinley BM, Siracuse BL, Gottschalk MB, Wagner ER. Treatment of First Carpometacarpal Osteoarthritis with Arthroscopy: A Systematic Review. J Wrist Surg. 2022 May 30;11(6):509-520.30. Haas EM, Eisele A, Arnoldi A, Paolini M, Ehrl D, Volkmer E, Giunta RE. One-Year Outcomes of Intraarticular Fat Transplantation for Thumb Carpometacarpal Joint Osteoarthritis: Case Review of 99 Joints. Plast Reconstr Surg. 2020 Jan;145(1):151-159.31. Herold C, Rennekampff HO, Groddeck R, Allert S. Autologous Fat Transfer for Thumb Carpometacarpal Joint Osteoarthritis: A Prospective Study. Plast Reconstr Surg. 2017 Aug;140(2):327-335.32. Winter R, Hasiba-Pappas SK, Tuca AC, Zrim R, Nischwitz S, Popp D, Lumenta DB, Girsch W, Kamolz LP. Autologous Fat and Platelet-Rich Plasma Injections in Trapeziometacarpal Osteoarthritis: A Systematic Review and Meta-Analysis. Plast Reconstr Surg. 2023 Jan 1;151(1):119-131.33. Spanish (for Puerto Rico) translation courtesy of Ana L. Mulero Portela, PhD, PT, Carmen L. Colón Santaella, PhD, PT, and Cynthia Cruz Gómez, MPH, PT, University of Puerto Rico, Medical Sciences Campus, San Juan, Puerto Rico. 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