Isolated scaphotrapeziotrapezoid osteoarthritis treatment using resurfacing arthroplasty with scaphoid anchorage

Alvarez, Grace; Pérez, C. Simón; Medrano, Belén García; Martín, O. Faour; Rodríguez, J.J. Marcos; Castrillo, Aurelio Vega; Ferrero, M.A. Martín

doi:10.1016/j.recote.2017.10.010

Cited by 2 publications

(3 citation statements)

References 31 publications

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“…9 40 41 This can be due to the STT ligament complex being damaged because of overresection. More recently, Humada Álvarez et al 42 reported the results of resurfacing arthroplasty of the distal pole of scaphoid with encouraging short-term results. At 26 months of follow-up, strength and wrist mobility was restored to more than 90% on the contralateral side.…”

Section: Discussionmentioning

confidence: 99%

Pyrocardan Scaphotrapeziotrapezoid Joint Arthroplasty for Isolated Osteoarthritis: Results after a Mean Follow-Up of 5 Years

et al. 2021

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Background Isolated scaphotrapeziotrapezoid (STT) osteoarthritis (OA) mainly develops in women over 50 years of age in a bilateral manner. Many surgical treatments are available, including distal scaphoid resection with or without interposition, trapeziectomy, and STT arthrodesis. However, there is a controversy about which procedure is the most effective. Purposes The purpose of this study was to report the outcomes of the Pyrocardan implant for treating STT isolated OA at a mean follow-up of 5 years. Patients and Methods Consecutive patients who underwent STT arthroplasty using the Pyrocardan were reviewed retrospectively by an independent examiner who performed a clinical and radiological evaluation. Results The mean follow-up time was 5 years (range 3–8 years). Thirteen patients (76%) were followed for more than 5 years. Between the preoperative assessment and the last follow-up, pain levels decreased significantly. There was no significant difference in the mean Kapandji opposition score. Grip and pinch strengths were 88 and 91% of the contralateral side. The active range of motion in flexion–extension and radioulnar deviation was not significantly different to the contralateral side (119° vs. 121° and 58° vs. 52°, p > 0.1). Functional scores were improved significantly. No identifiable differences were found in the radioscaphoid, capitolunate, and scapholunate angles before and after surgery. In three cases, the preoperative dorsal intercalated scapholunate instability (DISI) failed to be corrected. In one case, DISI appeared after the procedure. There was one asymptomatic dislocation of the implant. Calcification around the trapezium and/or distal scaphoid was found in four cases. The survival rate of the implant without reoperation was 95%. Conclusions In the medium term, Pyrocardan implant is an effective treatment for STT OA as it reduces pain, increases grip strength, and maintains wrist mobility. This is consistent with the results of other published case series using pyrocarbon implants. It provides a high rate of patient satisfaction. Nevertheless, the surgical procedure must be done carefully to avoid STT ligament damage, periarticular calcifications, or dislocation.

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Section: Discussionmentioning

confidence: 99%

Pyrocardan Scaphotrapeziotrapezoid Joint Arthroplasty for Isolated Osteoarthritis: Results after a Mean Follow-Up of 5 Years

et al. 2021

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“…Marcuzzi et al subsequently compared distal scaphoid resection alone vs. resection with pyrocarbon arthroplasty and found improved pain in both groups and unchanged radiolunate angles in the implant group 50 . Alvarez et al reported pain relief and no postoperative DISI in 10 patients treated with implant arthroplasty 48 . Although the preliminary results of using pyrocarbon implants are promising, further studies with longitudinal follow-up are necessary.…”

Section: Operative Treatmentmentioning

confidence: 99%

“…However, follow-up studies demonstrating an increased risk of complications resulted in the abandonment of this prosthesis 45,46 . The development of pyrocarbon implants has revitalized the idea of implant arthroplasty after distal scaphoid resection and has been used with varying results 47–50 . In 2006, Pegoli et al demonstrated promising results with a pyrocarbon implant in 10 patients, with complications including 2 prosthetic dislocations 49 .…”

Section: Operative Treatmentmentioning

confidence: 99%

Management of Scaphotrapeziotrapezoid Osteoarthritis

Alder,

Feroe,

Karim

2023

JBJS Reviews

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» The scaphotrapeziotrapezoid (STT) joint is a common location of degenerative osteoarthritis (OA) in the wrist.» STT OA may occur in isolation or with concomitant thumb carpometacarpal joint (CMCJ) OA or scapholunate advanced collapse (SLAC) and other wrist OA patterns.» Nonoperative management strategies include activity modification, bracing, anti-inflammatory medications, occupational therapy, and injections.» Surgical treatment may be determined by whether the STT OA occurs in isolation or with concomitant thumb CMCJ or SLAC OA and includes STT arthrodesis, distal scaphoid excision with or without interposition or implant arthroplasty, trapeziectomy with proximal trapezoid excision, four-corner fusion in combination with scaphoid/radial column excision, and proximal row carpectomy.

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Isolated scaphotrapeziotrapezoid osteoarthritis treatment using resurfacing arthroplasty with scaphoid anchorage

Cited by 2 publications

References 31 publications

Pyrocardan Scaphotrapeziotrapezoid Joint Arthroplasty for Isolated Osteoarthritis: Results after a Mean Follow-Up of 5 Years

Pyrocardan Scaphotrapeziotrapezoid Joint Arthroplasty for Isolated Osteoarthritis: Results after a Mean Follow-Up of 5 Years

Management of Scaphotrapeziotrapezoid Osteoarthritis

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