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Hasiba-Pappas, S; Kamolz, LP; Luze, H; Nischwitz, SP; Lumenta, DB; Winter, R.
Regenerative Therapies for Basal Thumb Arthritis-A Systematic Review.
Int J Mol Sci. 2023; 24(19): Doi: 10.3390/ijms241914909 [OPEN ACCESS]
Web of Science PubMed PUBMED Central FullText FullText_MUG

 

Führende Autor*innen der Med Uni Graz
Winter Raimund
Co-Autor*innen der Med Uni Graz
Kamolz Lars-Peter
Lumenta David Benjamin
Luze Hanna
Nischwitz Sebastian
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Abstract:
Basal thumb arthritis is a painful and debilitating pathology that can severely reduce a patients' quality of life. Common therapies include oral pain control, local steroid injections and/or surgery. Yet, therapeutic data on long-term improvement and even cartilage repair are scarce. This review aims to present the currently available literature on novel therapies for basal thumb arthritis, including platelet-rich plasma (PRP), fat grafting and phototherapy, and investigate their potential efficacy. The entire OVID database and PubMed were searched for studies containing the topics PRP injection, lipofilling, laser treatment and regenerative treatment for carpometacarpal arthritis. Seven studies on the effect of fat tissue on basal thumb arthritis were found. Four authors reported on PRP injections, one RCT examined a combinational treatment of PRP and fat grafting, another phototherapy for the thumb joint and one prospective trial on chondrocyte transplantation was found. Pain improvement and decreased impairment were reported in the majority of PRP and/or fat grafting studies as well as after chondrocyte implantation. Phototherapy did not significantly improve the condition. This review revealed that only limited data on regenerative therapies for carpometacarpal arthritis are currently available, yet PRP and lipofilling show promising results and merit further investigation.

Find related publications in this database (Keywords)
carpometacarpal arthritis
rhizarthrosis
regenerative therapy
platelet-rich plasma
fat grafting
lipofilling
phototherapy
LLLT
chondrocyte transplant
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