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American Association for Hand Surgery

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The Utility of Postoperative Radiographs Following Carpometacarpal Arthroplasty
Karly Lorbeer, MD1, Anthony Paterno, MS2, J. Megan M. Patterson, MD3 and Reid W. Draeger, MD3, (1)University North Carolina, Chapel Hill, NC, (2)University of North Carolina, Chapel Hill, NC, (3)Department of Orthopaedics, University of North Carolina, Chapel Hill, NC

Purpose: To evaluate the utility of postoperative radiographs following carpometacarpal arthroplasty.

Methods: A retrospective review of patients who underwent CMC arthroplasty from 2014-2019 at our institution was performed with the objective of determining if radiographs changed management with a primary outcome of need for repeat operative intervention.

Results: On average, patients received 0.87 radiographs following surgery. 61 (39%) patients had no post-operative radiographs. 67 (43%) patients had one post-operative radiograph. 26 (16%) patients had two or more post-operative radiographs.

Four out of 155 (3%) patients required revision surgery. Zero patients required revision CMC arthroplasty. Two had wound infections requiring irrigation and debridement. Two had developed metacarpophalangeal arthritis and underwent fusion. There were no cases where radiographic findings led to repeat operative intervention.

Conclusions: Routine postoperative radiographs following CMC arthroplasty did not correlate with secondary surgical intervention.

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