Outcomes of secondary trapeziectomy after revision of trapeziometacarpal implants: a retrospective comparative matched study

Cerlier, Alexandre; Guinard, D.; Legré, R.

doi:10.1177/17531934211039184

Cited by 7 publications

(6 citation statements)

References 17 publications

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“…If the metacarpal stem is well fixed, only the trapezium needs to be removed. The results of such conversion procedures show similar outcomes compared to those achieved after primary resection arthroplasty (Cerlier et al, 2021;Lenoir et al, 2016). De Quervain's tenosynovitis.…”

Section: Complications After Total Joint Replacement Of the Thumb Cmc...mentioning

confidence: 73%

Basal thumb arthritis surgery: complications and its management

Herren

2024

J Hand Surg Eur Vol

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The management of complications after surgery for basal thumb arthritis is sometimes challenging, and there are no clear recommendations on how to evaluate and manage patients with residual symptoms. The aim of the present article was to review the most common complications after surgery for basal thumb arthritis, with an emphasis on resection arthroplasty, joint replacement and joint fusion. In addition, possible management strategies for the different types of complications will be highlighted.

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Section: Complications After Total Joint Replacement Of the Thumb Cmc...mentioning

confidence: 73%

Basal thumb arthritis surgery: complications and its management

Herren

2024

J Hand Surg Eur Vol

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“…As trapeziectomy is an irreversible procedure, the options for salvage surgery after failure remain limited. In the management of adverse events after total joint arthroplasty, secondary trapeziectomy with capsule closure is currently the gold standard for the management of adverse events and can be performed with comparable results to primary resection arthroplasty [ 10 – 12 ]. Other salvage options after failed TMC arthroplasty can be discussed based on individual risk profiles and patient characteristics, in particular reconstructive exchange procedures to preserve the endoprosthesis [ 43 ].…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, the return-to-work-time is significantly faster [ 7 – 9 ]. While only very limited salvage options are available after trapeziectomy, in case of treatment failure of the prosthesis, a secondary trapeziectomy can be performed with comparably good clinical and functional outcomes regarding primary trapeziectomy [ 10 – 12 ].…”

Section: Introductionmentioning

confidence: 99%

“…In short- and long-term follow-up, numerous models of the first and second generation of TMC joint prostheses with a single-mobility design were associated with various complications – particularly implant dislocation and loosening [ 12 , 13 ]. In contrast, recent studies reported excellent 10-year survival rates of 95% for the ARPE and 93% for the IVORY prosthesis [ 13 , 14 ].…”

Section: Introductionmentioning

confidence: 99%

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Mid- and long-term clinical results of the Elektra and Moovis prosthesis for trapeziometacarpal joint replacement

Frey,

Bühner,

Falkner

et al. 2024

BMC Musculoskelet Disord

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Background Total joint arthroplasty as a surgical treatment option for trapeziometacarpal joint arthritis is recently revived. The aim of this study is to report on mid- and long-term results of the Elektra (single-mobility) and Moovis (dual-mobility) prosthesis for treatment of primary thumb carpometacarpal joint arthritis. Methods In this retrospective, monocentric, descriptive cohort study, 31 prostheses were evaluated that were implanted by a single surgeon in 26 patients between 2009 and 2019. Indication for surgery was trapeziometacarpal joint osteoarthritis (Eaton/Littler Stage II and III). Clinical and radiological follow-up was performed at a minimum of 24 months. The postoperative assessment included range of motion, pain, strength as well as functional scores (DASH, MHQ). Implant survival and complications were the primary endpoints. Results 10 Elektra and 21 Moovis prostheses were implanted between 2009 and 2019 with a mean follow-up of 74.2 months in the Elektra and 41.4 months in the Moovis group. The average patients’ age at surgery was 64 years. Postoperative pain levels (VAS 0–10) were below 2 at rest and under stress in both groups. Grip/pinch strength and range of motion showed results comparable to the contralateral hand. Opposition was excellent with an average Kapandji index of 9.6 in both groups. Elektra achieved slightly better functional scores in the DASH and MHQ score. Satisfaction was high in both groups, and 96% of the patients would recommend the procedure. Metacarpophalangeal hyperextension > 15° was seen in 3 patients per group preoperatively and was corrected to < 5° post-surgery. 3 Elektra prostheses were revised due to cup loosening and dislocation for cup and/or neck replacement or secondary trapeziectomy. 1 Moovis prosthesis was revised with an exchange of the neck to a larger size due to restricted movement. After the mean follow-up of 7.9 years in Elektra and 3.5 years in MOOVIS, cumulative survival was 68.6% vs. 95.2%, respectively. Conclusions In this mid- to long-term retrospective analysis, total joint arthroplasty in primary trapeziometacarpal joint arthritis results in low pain levels, excellent mobility and clinical function. Patient satisfaction is overall high. While revision due to cup loosening occurred more often in patients with single-mobility implants, no cases of dislocation or loosening of components were observed in the dual-mobility group. Trial registration The study was conducted in accordance with the Declaration of Helsinki, and approved by the Ethics Committee of the Medical Faculty of Heidelberg University, reference number S-150/2020.

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“…The knee function and acetabular bone healing of patients with secondary knee traumatic arthritis after total knee arthroplasty and total knee joint surface placement were recorded. The improvement of knee joint function was evaluated by HSS score [ 15 ]. The total score of the scoring system was 100.…”

Section: Methodsmentioning

confidence: 99%

Analysis of Risk Factors and Surgical Strategy of Knee Traumatic Arthritis after Internal Plate Fixation in the Treatment of Tibial Plateau Fracture

Jin¹,

Li²,

Yang³

et al. 2022

Computational and Mathematical Methods in Medicine

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Objective. To explore the risk factors and surgical strategies of knee traumatic arthritis after internal plate fixation in the treatment of tibial plateau fracture. Methods. A total of 300 patients with tibial plateau fractures treated with internal plate fixation in our hospital from January 2019 to April 2021 were retrospectively analyzed. According to whether secondary knee traumatic arthritis occurred after operation, they were divided into control group and research group. The control group was nonsecondary knee traumatic arthritis ( n = 231 ), and the research group was secondary knee traumatic arthritis ( n = 69 ). Univariate and multivariate logistic regression analysis was used in this research. Results. There were significant differences in fracture classification, injury method, osteoporosis, and the time from injury to operation between the two groups, and there are statistically significant differences between groups ( P < 0.05 ). Fracture type, injury method, osteoporosis, and time from injury to operation were the influencing factors of tibial internal fixation, and there are statistically significant differences between groups ( P < 0.05 ). Platform fracture was an independent risk factor for postoperative knee joint traumatic arthritis, and there are statistically significant differences between groups ( P < 0.05 ). The HSS scores of both groups increased after operation, and there are statistically significant differences between groups ( P < 0.05 ). No loosening of the prosthesis was found in all 69 patients with postoperative X-ray examination. Conclusion. Fracture classification, injury mode, osteoporosis, and time from injury to operation are independent risk factors for knee traumatic arthritis in the treatment of tibial plateau fractures with internal plate fixation, incidence of knee trauma.

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Outcomes of secondary trapeziectomy after revision of trapeziometacarpal implants: a retrospective comparative matched study

Cited by 7 publications

References 17 publications

Basal thumb arthritis surgery: complications and its management

Basal thumb arthritis surgery: complications and its management

Mid- and long-term clinical results of the Elektra and Moovis prosthesis for trapeziometacarpal joint replacement

Analysis of Risk Factors and Surgical Strategy of Knee Traumatic Arthritis after Internal Plate Fixation in the Treatment of Tibial Plateau Fracture

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