We compared the effects of capsule resection versus capsule suturing in patients treated with a dual-mobility trapeziometacarpal joint prosthesis. We included 131 patients with capsular resection and 57 patients with repair. The mean scores for pain and the brief Michigan Hand Outcomes Questionnaire were similar between the groups preoperatively and at 6 weeks and 1 year postoperatively. Mean key pinch strength was also similar in both groups before surgery and at 1 year, but higher in the capsular resection than in the suture group at 6 weeks. The incidence of complications reported throughout the 1-year postoperative period was not significantly different between the groups. One implant in the capsular resection group was revised for reasons most likely unrelated to capsule management. We conclude that the capsule can be safely resected during trapeziometacarpal joint implant arthroplasty.
AndrzejewskiALedouxP.Maïa® trapeziometacarpal joint arthroplasty: Survival and clinical outcomes at 5 years' follow-up. Hand Surg Rehabil. 2019,
38: 169–73.
2.
BenchimolEISmeethLGuttmannA, et al.
The REporting of studies Conducted using Observational Routinely-collected health Data (RECORD) statement. PLoS Med. 2015,
12: e1001885.
3.
de la CaffiniereJYAucouturierP.Trapezio-metacarpal arthroplasty by total prosthesis. Hand. 1979,
11: 41–6.
4.
EatonRGGlickelSZ.Trapeziometacarpal osteoarthritis. Staging as a rationale for treatment. Hand Clin. 1987,
3: 455–71.
5.
FalknerFTumkayaAMThomasBPanzramBBickertBHarhausL.Dual mobility prosthesis for trapeziometacarpal osteoarthritis: results from a prospective study of 55 prostheses. J Hand Surg Eur. 2023,
48: 566–74.
6.
FessEEMoranC.Clinical assessment recommendations.
American Society of Hand Therapists. 1981, 6–8.
7.
Gonzalez-EspinoPPottierMDetrembleurCGoffinD.Touch(R) double mobility arthroplasty for trapeziometacarpal osteoarthritis: outcomes for 92 prostheses. Hand Surg Rehabil. 2021,
40: 760–4.
8.
HarrisPATaylorRThielkeRPayneJGonzalezNCondeJG.Research Electronic Data Capture (REDCap) - A metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform. 2009,
42: 377–81.
9.
International Organization for Standardization. ISO 14155:2020. Clinical investigation of medical devices for human subjects—Good clinical practice. 2020. https://www.iso.org/standard/71690.html (accessed 11 December 2023)
10.
KapandjiA.[Clinical test of apposition and counter-apposition of the thumb]. Ann Chir Main. 1986,
5: 67–73.
11.
KnoblochKKraemerRPapstSSorgHVogtPM.German version of the brief Michigan Hand Outcomes Questionnaire: implications for early quality of life following collagenase injection in Dupuytren contracture. Plast Reconstr Surg. 2012,
129: 886e–7e.
12.
KobayashiNKamonoEKamedaK, et al.
Is there any clinical advantage of capsular repair over capsular resection for total hip arthroplasty? An updated systematic review and meta-analysis. Arch Orthop Trauma Surg. 2023,
143: 1689–97.
13.
LaneJCCraigRReesJL, et al.
Low rates of serious complications and further procedures following surgery for base of thumb osteoarthritis: analysis of a national cohort of 43 076 surgeries. BMJ Open. 2021,
11: e045614.
14.
LussiezBFalaiseCLedouxP.Dual mobility trapeziometacarpal prosthesis: a prospective study of 107 cases with a follow-up of more than 3 years. J Hand Surg Eur. 2021,
46: 961–7.
15.
MirandaLQuarantaMOlivaFGiulianoAMaffulliN.Capsular repair vs capsulectomy in total hip arthroplasty. Br Med Bull. 2021,
139: 36–47.
16.
SchwartzAMGoelRKSweeneyAPBradburyTL Jr.Capsular management in direct anterior total hip arthroplasty: a randomized, single-blind, controlled trial. J Arthroplasty. 2021,
36: 2836–42.
17.
SeaourtACDapFDautelGAthlaniL.Comparison between the MAIA® implant and trapeziectomy for trapeziometacarpal osteoarthritis: outcomes at 9 years’ follow-up. J Hand Surg Asian Pac Vol. 2021,
26: 158–65.
18.
StadelmannVARudigerHANauerSLeunigM.Impact of capsular preservation on patient-reported outcomes and complication rates in total hip arthroplasty using the direct anterior approach. Bone Joint J. 2022,
104-B: 826–32.
19.
TangJBGiddinsG.Why and how to report surgeons’ levels of expertise. J Hand Surg Eur. 2016,
41: 365–6.
20.
ToffoliATeissierJ.MAIA trapeziometacarpal joint arthroplasty: clinical and radiological outcomes of 80 patients with more than 6 years of follow-up. J Hand Surg Am. 2017,
42: 838.e1–e8.
21.
Van MelkebekeLCaekebekePDuerinckxJ.Early results of double mobility trapeziometacarpal total joint arthroplasty: prospective series of 82 Touch prosthesis. Minerva. 2022,
73: 241–6.
22.
VandeputteFJVanbiervlietJSaracCDriesenRCortenK.Capsular resection versus capsular repair in direct anterior approach for total hip arthroplasty: a randomized controlled trial. Bone Joint J. 2021,
103-B: 321–8.
23.
WaljeeJFKimHMBurnsPBChungKC.Development of a brief, 12-item version of the Michigan Hand Questionnaire. Plast Reconstr Surg. 2011,
128: 208–20.
24.
WehrliMHenslerSSchindeleSHerrenDBMarksM.Measurement properties of the brief Michigan Hand Outcomes Questionnaire in Patients with Dupuytren contracture. J Hand Surg Am. 2016,
41: 896–902.
