Early Results of the ARPE Arthroplasty Versus Trapeziectomy for the Treatment of Thumb Carpometacarpal Joint Osteoarthritis

Craik, Johnathan D.; Glasgow, Simon; Andren, James; Sims, M. R.; Mansouri, Reza; Ellahee, N.

doi:10.1142/s0218810417500526

Cited by 15 publications

(31 citation statements)

References 29 publications

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“…Quantifiable satisfaction scores were reported in seven studies, 8 , 11 , 16 , 22 , 24 , 39 , 40 and pain scores in 30 studies. 4 – 7 , 9 – 11 , 13 , 15 – 17 , 19 – 24 , 26 , 27 , 29 – 35 , 38 – 41 Comparable pre and post-operative values were reported in two studies for satisfaction, 16 , 39 and 16 studies for pain.…”

Section: Resultsmentioning

confidence: 99%

“…Survival estimates were provided in 21 studies. 4 – 8 , 11 , 12 , 19 – 21 , 23 , 25 – 28 , 35 , 37 , 38 , 45 , 48 , 57 The definition of survival varied considerably between studies, with the most common definition being that of an implant that has not either been removed or had a component exchanged. The most common cumulative survival analysis method was that of Kaplan-Meier; however, a number of studies either did not perform a formal analysis or did not provide details.…”

Section: Resultsmentioning

confidence: 99%

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Thumb CMCJ prosthetic total joint replacement: a systematic review

et al. 2021

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Thumb carpometacarpal joint (CMCJ) arthritis is a common and painful condition. Thumb CMCJ prosthetic replacement aims to restore thumb biomechanics and improve pain and function. Early reviews demonstrated a lack of high-quality studies, but more recently a significant number of higher-quality studies have been published. This review provides a concise and systematic overview of the evidence to date. A systematic review of several databases was conducted according to PRISMA guidelines. Studies evaluating the outcomes of thumb CMCJ prosthetic total joint replacement were included. Data extracted included patient-reported outcome measures (PROMs), pain scores, range of motion, strength, survival rates and complications. A total of 56 studies met all inclusion criteria and were analysed. There was one randomized controlled trial, three prospective comparative cohort studies, five retrospective comparative cohort studies, and 47 descriptive cohort studies. The reported studies included 2731 patients with 3048 thumb total CMCJ prosthetic joint replacements. Follow up ranged from 12 months to 13.1 years. In general, good results were demonstrated, with improvements in PROMs, pain scores and strength. Failure rates ranged from 2.6% to 19.9% depending upon implant studied. Comparative studies demonstrated promising results for replacement when compared to resection arthroplasty, with modest improvements in PROMs but at a cost of increased rates of complications. Studies reporting outcomes in thumb CMCJ prosthetic total joint replacement are increasing in both number and quality. Failure, in terms of loosening and dislocation, remains a concern, although in the medium-term follow up for modern implants this issue appears to be lower when compared to their predecessors. Functional outcomes also look promising compared to resection arthroplasty, but further high-quality studies utilizing a standardized resection arthroplasty technique and modern implants, together with standardized core outcome sets, will be of value. Cite this article: EFORT Open Rev 2021;6:316-330. DOI: 10.1302/2058-5241.6.200152

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Thumb CMCJ prosthetic total joint replacement: a systematic review

et al. 2021

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“…Thus, embarking on a randomized controlled study comparing trapeziectomy with any TMC total arthroplasty, particularly a new one, carries the risk of becoming irrelevant. This is as the joint replacement, however well it performs in the short-term, may be found to have an unacceptably high revision rate (Craik et al., 2017; Froschauer et al., 2020; Kollig et al., 2017) such that it is withdrawn from the market. Some implants appears to survive better than others (Aebischer et al., 2016), but only when a total joint replacement is shown to have acceptably low long-term failure rates (ideally at 10 years) when inserted by the majority of hand surgeons, will the time be right for such a comparative trial.…”

Section: What Is the Best Surgical Technique For Tmc Osteoarthritis?mentioning

confidence: 99%

Trapeziometacarpal joint arthritis: a personal approach to its treatment

Davis

2020

J Hand Surg Eur Vol

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Many hand surgeons have fixed beliefs on how trapeziometcarapl (TMC) osteoarthritis should be treated. However, not all hand surgeons share the same fixed beliefs, so different factions of hand surgeons can hold contradictory beliefs. Many retain their fixed beliefs, rather than reconsidering them, when the best available evidence challenges them. The problem causing this heterogeneity of fixed beliefs is the lack of high-quality evidence that can withstand critical appraisal and cannot be ignored or simply dismissed by those with rigid contradictory beliefs. This article examines some of the dogmas surrounding the treatment of TMC osteoarthritis.

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“…The only subjective data almost always recorded was pain. In the 46 total implant arthroplasty articles (excluding silastic replacements) published between 2000 and 2019 (Apard and Saint-Cast, 2007; Badia and Sambandam, 2006; Brikout and Rezzouk, 2016; Brutus and Kinnen, 2004; Caekebeke and Duerinckx, 2018; Cebrian-Gomez et al., 2019; Chug et al., 2014; Cootjans et al., 2017; Craik et al., 2017; De Smet et al., 2004; Dehl et al., 2017; Dreant and Poumellec, 2019; Erne et al., 2018; Goubau et al., 2013; Guardia et al., 2010; Hansen and Vainorius, 2008; Hernández-Cortés et al., 2012; Isselin, 2001; Jacoulet, 2005; Jager et al., 2013; Johnston et al., 2012; Kaszap and Daecke, 2012; Klahn et al., 2012; Kollig et al., 2017; Krukhaug et al., 2014; Lemoine et al., 2009; Maes et al., 2010; Martin-Ferrero, 2014; Masmejean et al., 2003; Moutet et al., 2001; Pendse et al., 2009; Pérez-Ubeda et al. 2003; Regnard, 2006; Robles-Molina et al., 2017; Schuhl, 2001; Semere et al., 2015; Seng and Chantelot, 2013; Spaans et al., 2016; ten Brinke et al., 2016; Thillerman et al., 2016; Toffoli and Teissier, 2017; Ulrich-Vinther et al., 2008; Vander Eecken et al., 2012; van Rijn and Gosens, 2010; Vissers et al., 2019; Zollinger et al., 2008) functional scores were used infrequently (Table 1).…”

Section: Functional Outcomesmentioning

confidence: 99%

“…In the six published prospective studies comparing resection arthroplasty and trapeziectomy with ligamentoplasty, there have been comparisons with the Arpe (Craik et al., 2017; Robles-Molina et al., 2017), de la Caffinière (De Smet et al., 2013), the Electra (Ulrich-Vinter et al., 2008), the Maia (Degeorge et al., 2018) and the Ivory prostheses (Cebrian-Gomez et al., 2019). The mean functional outcomes scores, VAS and pinch grip were better, and pain relief was faster with total joint prostheses than with trapeziectomy and ligamentoplasty, but the numbers are small and the authors compare different implants.…”

Section: Functional Outcomesmentioning

confidence: 99%

Functional outcomes after surgery for thumb carpometacarpal joint arthritis

Giddins

2019

J Hand Surg Eur Vol

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There are a number of possible assessments of functional outcomes for thumb carpometacarpal joint arthritis. The most important and easiest to measure is pain, but it is not the only material outcome. Functional scores for measuring the outcome of the treatment of thumb carpometacarpal joint arthritis have been recommended for some time, but are still not widely used even in published studies. It is also unclear which functional scores are the most valuable. Easily used scores, such as the Disabilities of the Arm Shoulder and Hand questionnaire, are freely available, but may not be sensitive enough to assess outcomes especially of thumb carpometacarpal joint arthroplasty. The optimal functional outcome measurement would be weighted for the individual patient. A minimum dataset needs to be defined in order to compare studies and derive meaningful data.

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Early Results of the ARPE Arthroplasty Versus Trapeziectomy for the Treatment of Thumb Carpometacarpal Joint Osteoarthritis

Cited by 15 publications

References 29 publications

Thumb CMCJ prosthetic total joint replacement: a systematic review

Thumb CMCJ prosthetic total joint replacement: a systematic review

Trapeziometacarpal joint arthritis: a personal approach to its treatment

Functional outcomes after surgery for thumb carpometacarpal joint arthritis

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