Appendix 1.
Cross-Sectional Survey of Current Practice Patterns in End-Stage Thumb CMC Arthritis
Please choose your ONE best answer to the following 12 questions and statements.
1. In which specialty were you primarily trained?
a. Orthopaedic Surgery
b. Plastic Surgery
c. General Surgery
d. Other (please specify)
2. How many years have you been in practice?
a. 0-5 years
b. 6-10 years
c. 11-20 years
d. More than 20 years
3. What is your current surgical treatment of choice for end-stage thumb CMC arthritis (Eaton stage III/IV) in a non-laborer over the age of 50?
a. Open trapeziectomy only
b. Open trapeziectomy with ligament reconstruction
c. Open trapeziectomy with tendon interposition
d. Open trapeziectomy with ligament reconstruction and tendon interposition (LRTI)
e. Open trapeziectomy with hematoma distraction arthroplasty
f. Open trapeziectomy with interposition of dermal allograft or synthetic material
g. CMC arthrodesis
h. Arthroscopic partial trapeziectomy with or without interposition
i. Arthroscopic complete trapeziectomy with or without interposition
j. Silicone arthroplasty
k. Ceramic arthroplasty
l. Metallic arthroplasty
m. Other (please specify)
4. Does your current treatment of choice differ from what you performed 5 years ago for the same problem?
a. Yes, it differs
b. No, it does not differ
c. I was not in practice 5 years ago
5. Estimate the number of surgical procedures that you perform annually for the treatment of end-stage CMC arthritis.
a. 1-10
b. 11-25
c. 26-50
d. 51-100
e. More than 100
6. How important is a ligament reconstruction to the success of CMC arthroplasty?
a. It is not important at all
b. It has very little importance
c. It is somewhat important
d. It is extremely important
7. If you perform a ligament reconstruction as part of your CMC arthroplasty, what do you use?
a. I do not perform a ligament reconstruction
b. APL
c. ½ FCR
d. whole FCR
e. ECRL
f. Palmaris longus
g. Other (please specify)
8. If you perform a ligament reconstruction, how do you stabilize the graft?
a. I do not perform a ligament reconstruction
b. Bone tunnel with suture repair of tendon-to-tendon or tendon-local tissue (capsule e.g.)
c. Bone tunnel with suture anchor
d. Suture repair without bone tunnel
e. Suture anchor without bone tunnel
f. Other (please specify)
9. How important is an “interposition” to the success of CMC arthroplasty?
a. It is not important at all
b. It has very little importance
c. It is somewhat important
d. It is extremely important
10. If you perform an “interposition”, what do you use?
a. I do not perform an interposition
b. Tendon
c. Hematoma
d. Dermal allograft (GRAFTJACKET)
e. Synthetic material (Artelon)
f. Gelfoam
g. Other (please specify)
11. Choose the statement below that best describes your position on K-wire pinning as part of your procedure?
a. I do not use pinning as part of my procedure
b. I pin for 3 weeks or less
c. I pin for 4-5 weeks
d. I pin for 6 weeks or more
12. How long do you FULLY immobilize your patients after CMC arthroplasty?
a. I do not immobilize my patients
b. 2 weeks or less
c. 3 weeks
d. 4 weeks
e. 5 weeks
f. 6 weeks
g. 7 weeks
h. 8 weeks or more
13. Please add any further comments in this section. Thank you for your participation!