Primary endoprosthetic replacement of the arthritic CMC-1 joint

Borgers, Anton; Verstreken, Andreas; Vanhees, Matthias; Verstreken, Frederik

doi:10.1007/s00064-021-00713-y

Cited by 8 publications

(4 citation statements)

References 41 publications

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“…Appropriate training is essential before embarking on this procedure. Patient selection, precise preparation of the procedure and positioning of the components is essential to avoid complications ( 3 ). The learning curve of thumb CMC total joint replacement is estimated to be 30 cases.…”

Section: Rationale For Total Joint Replacementmentioning

confidence: 99%

“…Knowing that total joint replacement is one of the most successful achievements of orthopedic surgery, many attempts have been made to produce a replacement for the thumb CMC joint that would provide a better outcome. Some of the newer generation implants have stood the test of time, and successful clinical results have been published, making them a valid treatment alternative ( 3 ). This has provoked a growing interest in these procedures, although joint replacement surgery is currently only preferred by 13% of European surgeons and 1.3% of North-American surgeons ( 4 ).…”

Section: Introductionmentioning

confidence: 99%

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Total joint replacement for osteoarthritis of the carpometacarpal joint of the thumb: why and how?

Duerinckx

Verstreken²

2022

EFORT Open Reviews

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Total joint replacement has certain advantages over other surgical treatment methods for osteoarthritis of the thumb carpometacarpal joint, including restoration of thumb length and alignment, good cosmetical result, fast recovery of hand function and prevention of iatrogenic complications at neighbouring joints. Disadvantages include the technical difficulty to perform this surgery and a possible higher complication rate. A meticulous surgical technique is mandatory. Combined with a cementless and modular ball-in-socket implant with a metal-on-polyethylene friction couple, a 10-year survival rate higher than 90% can be expected. Revision surgery is possible with implant exchange or conversion to trapeziectomy.

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Section: Rationale For Total Joint Replacementmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Total joint replacement for osteoarthritis of the carpometacarpal joint of the thumb: why and how?

Duerinckx

Verstreken²

2022

EFORT Open Reviews

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“…The base of the first metacarpal is resect ed with an oscillating saw parallel to the joint surface. When pres ent, palmar osteophytes at the base are resected to prevent later impingement [39]. Next, the trapezium is addressed with minimal resection of the joint surface of the trapezium, and special atten tion is given to the removal of all osteophytes (▶Fig.…”

Section: Total Joint Arthroplastymentioning

confidence: 99%

Our Treatment Strategy for CMC-1 Osteoarthritis

Myncke¹,

Vanhees

Verstreken

2022

Handchir Mikrochir Plast Chir

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Osteoarthritis of the carpometacarpal joint of the thumb ( CMC-1) is a common problem and many patients will seek medical attention and may eventually need surgical treatment. As no treatment option has shown consistent superiority, a variety of surgical procedures have been proposed. In this review paper we present our algorithm for the approach of symptomatic CMC-1 osteoarthritis, supported by scientific evidence and our personal experience. It is primarily based on patient demands, status of CMC-1 disease and associated problems around the thumb. The selection of a successful surgical treatment plan with restoration of a pain free and fully functional thumb is the goal. We’ll outline the pro’s and con’s of the surgical procedures and although trapeziectomy has long been the gold standard, the advent of reliable total joint arthroplasties with good short and long-term outcome reports has changed our treatment protocol completely.

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“…The complication rates associated with the different surgical procedures vary but are generally higher for joint fusion techniques as well as for the various types of joint replacement (Borgers et al., 2021; Krukhaug et al., 2014; Marks et al., 2017; Naram et al., 2016; Raj et al., 2022; van der Heijden and van Laarhoven, 2022; Vanmierlo et al., 2022).…”

Section: Introductionmentioning

confidence: 99%

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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Primary endoprosthetic replacement of the arthritic CMC-1 joint

Cited by 8 publications

References 41 publications

Total joint replacement for osteoarthritis of the carpometacarpal joint of the thumb: why and how?

Total joint replacement for osteoarthritis of the carpometacarpal joint of the thumb: why and how?

Our Treatment Strategy for CMC-1 Osteoarthritis

Basal thumb arthritis surgery: complications and its management

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