Early Outcome of Spherical Ceramic Trapezial-Metacarpal Arthroplasty

Adams, Brian D.; Pomerance, Jay; Nguyen, Anthony; Kuhl, Taften L.

doi:10.1016/j.jhsa.2008.10.017

Cited by 41 publications

(25 citation statements)

References 17 publications

(7 reference statements)

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“…Intraoperative periprosthetic fracture in MCPJ arthroplasty such as in our case is a concern, its occurrence is reported to be 3% associated with an increased risk with the use of pyrocarbon implants, cementless fixation of components such as in our case, and in the presence of diabetes mellitus [26]. Ceramic prostheses for replacement of the small joints in the hand are discussed in general in the literature critically [27][28][29][30].…”

Section: Discussionmentioning

confidence: 74%

A 10-Year Follow-Up of Uncemented Constrained Metacarpophalangeal Joint Arthroplasties Using the RM Prosthesis in a Patient with Rheumatoid Arthritis.

Schmidt¹

2017

JRAD

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A 72-year-old male with high-demand activities of daily living presented with rheumatoid arthritis mostly affected finger joints of his right hand. Radiographically, there was severe destruction with luxation of metacarpophalangeal joints (MCPJs) II-V. The constrained RM prostheses were inserted into the MCPJs II-V typically in the uncemented manner, and the course was primarily complicated due to periprosthetic fracture of the metacarpal IV intraoperatively, that was treated with immobilization in a plaster splint for 6 weeks. After that, the course was uncomplicated. Eight years after primary surgery, the patient reported increasing pain with loss of function isolated in his MCPJ IV since 6 months; all other finger joints did not reveal any clinically relevant symptoms. Radiographically, distinctive osteolyses with cortical thinning around all components of the 4 RM prostheses were seen, and the hinge joint of implant in MCPJ IV was broken. A total exchange arthroplasty of the MCPJ IV using the unconstrained MCPJ resurfacing SR TM MCP implant with cementation of both components was performed. At the 10-year follow-up, that includes a 2-year followup after MCPJ IV exchange arthroplasty, there was unchanged correct positioning of all MCPJ implants; and despite distinctive radiographic loosening and subsidence of the 3 other RM prostheses, the patient is able to perform his high-demand activities of daily living.

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Section: Discussionmentioning

confidence: 74%

A 10-Year Follow-Up of Uncemented Constrained Metacarpophalangeal Joint Arthroplasties Using the RM Prosthesis in a Patient with Rheumatoid Arthritis.

Schmidt¹

2017

JRAD

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“…While initial results seemed favorable, longer-term studies of some initially successful implants have shown an increasing incidence of prosthetic failure requiring revision [1,21]. The dearth of reports of new prosthetic designs in the more recent literature would seem to reflect a shift away from this approach while, during the same period, there continue to be reports introducing new modifications of resection arthroplasty [19,36].…”

Section: Perspectivementioning

confidence: 99%

Surgical Treatment of Trapeziometacarpal Joint Arthritis: A Historical Perspective

Hentz¹

2014

Clinical Orthopaedics &Amp; Related Research

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Background The trapeziometacarpal (TMC) joint's unique anatomy and biomechanics render it susceptible to degeneration. For 60 years, treatment of the painful joint has been surgical when nonoperative modalities have failed. Dozens of different operations have been proposed, including total or subtotal resection of the trapezium or resection and implant arthroplasty. Proponents initially report high levels of patient satisfaction, but longer-term reports sometimes fail to support initial good results. To date, no one procedure has been shown to be superior to another. Questions/purposes This review sought to identify factors responsible for the development of many different procedures to treat the same pathology and factors influencing whether procedures remain in the armamentarium or are abandoned.

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“…It is a simplistic approach to treating trapezoid metacarpal arthritis using an uncemented spherical interposition device made of a yttriumstabilized zirconia. 8 Indications include stage II or III thumb carpometacarpal osteoarthritis. The implant is placed after minimal resection of the carpometacarpal joint with hemispheric reaming of both the thumb metacarpal and trapezium.…”

Section: Nonautologous Interposition Arthroplastymentioning

confidence: 99%

“…11 Multiple designs and materials have been used for implant arthroplasty of the thumb carpometacarpal joint but with varying success. 8 Initial thumb carpometacarpal joint implants made of silicone were popularized by Swanson and Niebauer and colleagues 12,13 in the 1960s. Later in the 1970s, ball-and-socket total joint prostheses with a metal metacarpal and polyethylene trapezium were developed similar to the total hip arthroplasty concept.…”

mentioning

confidence: 99%

Implant Arthroplasty of the Carpometacarpal Joint of the Thumb

Bozentka

2010

Hand Clinics

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Early Outcome of Spherical Ceramic Trapezial-Metacarpal Arthroplasty

Cited by 41 publications

References 17 publications

A 10-Year Follow-Up of Uncemented Constrained Metacarpophalangeal Joint Arthroplasties Using the RM Prosthesis in a Patient with Rheumatoid Arthritis.

A 10-Year Follow-Up of Uncemented Constrained Metacarpophalangeal Joint Arthroplasties Using the RM Prosthesis in a Patient with Rheumatoid Arthritis.

Surgical Treatment of Trapeziometacarpal Joint Arthritis: A Historical Perspective

Implant Arthroplasty of the Carpometacarpal Joint of the Thumb

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