Retrospective Review of Long-term Outcomes of Patients Undergoing CMC Arthroplasty With Interposition Scaffold

Marcuzzi, A.; Colzani, Giulia; Acciaro, Andrea Leti; Rosa, Norman Della; Landi, Antonio

doi:10.1177/1558944720918366

Cited by 4 publications

(3 citation statements)

References 18 publications

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“…Das Hauptproblem bleibt die Proximalisierung des Daumens. Gute Ergebnisse mit Scaffolds lassen aber auch hier in den letzten Jahren manchen Operateur umdenken [14].…”

Section: Resektions-inter-positions-arthroplastikunclassified

Korrektur von Fingerdeformitäten

Biehl

Heinrich

et al. 2023

Aktuelle Rheumatologie

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ZusammenfassungDeformitäten der Langfinger sind neben „Rheumaknoten“ die auffälligsten Veränderungen einer bestehenden Rheumatoiden Arthritis. Die Therapie beinhaltet neben der medikamentösen Einstellung der Patienten konservative Maßnahmen, in deren Mittelpunkt die Ergotherapie steht. Neben konservativen und interventionellen Versorgungen sollte die Synovialektomie zu einem frühen Zeitpunkt erwogen werden, um die Gelenke langfristig zu schützen. Bei fortgeschrittenen Deformitäten müssen periartikuläre Strukturen in der Operation adressiert werden, um Funktionsdefizite so gering wie möglich zu halten. Gleichzeitig ist auf Grund der Dynamik der Grunderkrankung immer mit einer Progredienz und erneuten Operationen zu rechnen. Eine einzelne für ein Gelenk spezifische operative Maßnahme existiert nicht, vielmehr gilt es die verschiedenen Möglichkeiten und erforderliche Alternativen in der Planung zu berücksichtigen, um diese in der Operation entsprechend dem Ziel durchführen zu können.

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“…Das Hauptproblem bleibt die Proximalisierung des Daumens. Gute Ergebnisse mit Scaffolds lassen aber auch hier in den letzten Jahren manchen Operateur umdenken [14].…”

Section: Resektions-inter-positions-arthroplastikunclassified

Korrektur von Fingerdeformitäten

Biehl

Heinrich

et al. 2023

Aktuelle Rheumatologie

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“…Несмотря на многочисленные проведенные исследования, на данный момент отсутствует консенсус в отношении как оптимальной методики хирургического лечения ризартроза, так и тактики послеоперационной реабилитации [6][7][8]. Однако, согласно данным последних исследований, известно, что резекционная интерпозиционная артропластика первого запястно-пястного сустава характеризуется прогрессирующим коллапсом основания первой пястной кости и вследствие этого рецидивом болевого синдрома [9], в то время как суспензионная методика демонстрирует стойкое сохранение расстояния между серединой основания первой пястной кости и дистальным полюсом ладьевидной кости [10]. Также при рассмотрении большинства протоколов послеоперационного ведения данной когорты пациентов отмечается требование к длительной непрерывной иммобилизации сустава [1], что, по мнению сторонников ранней мобилизации, необоснованно и снижает комплаентность пациентов [11].…”

Section: Introductionunclassified

Сlinical experience with the modified rehabilitation protocol after trapeziometa- carpal joint resection suspension interposition autotendoplasty.

Egiazaryan,

Parsadanyan,

Greben

et al. 2023

jour

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Aim. The aim of this study is to assess the effectiveness of a modified postoperative rehabilitation protocol in patients who underwent their first carpometacarpal joint resection suspension interposition autotendoplasty.Materials and Methods. The study included 52 patients treated for trapeziometacarpal joint osteoarthritis stage II—IV according to the Eaton-Littler and Kellgren-Lawrence classification in the Upper Limbs Surgery Department of the Bauman City Clinical Hospital from 2017 to 2022. All patients underwent trapeziometacarpal joint resection suspension interposition autotendoplasty and a course of rehabilitation. The evaluation of surgical treatment and rehabilitation results was carried out based on indicators on the VAS, DASH, and hand grip strength scales 12 months after surgery.Results. The complex treatment resulted in the complete restoration of hand function. Twelve months after surgery, there was a significant improvement in hand functional parameters. According to the DASH scale, the improvement was 80 % compared to the preoperative level (p = 0.000). The pain syndrome, according to the VAS scale, decreased by 84 % from the baseline (p = 0.000). Affected hand grip strength reached its maximum value of 26.2 kg, exceeding the preoperative level by 67 % (p = 0.006).Conclusion. The modified rehabilitation protocol used after performing trapeziometacarpal joint resection suspension interposition autotendoplasty in clinical practice enabled the full restoration of affected hand function.

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“…Prosthetic treatment in such context has been described since the early 60s, using silicone implant first and polyethylene-metal joint implant, both cemented and uncemented, afterward [7][8][9]. However, the high rate of failure (due to dislocation, synovitis, metallosis and aseptic loosening) has limited the widespread of these techniques [1, 10,11].…”

Section: Introductionmentioning

confidence: 99%

Partial trapeziectomy and pyrocarbon interpositional implant (Pyrodisk) for trapeziometacarpal osteoarthritis in the active working population: outcomes of a 10 years-experience

Marcuzzi

Vita

Sapino

et al. 2021

Journal of Plastic Surgery and Hand Surgery

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The treatment of trapeziometacarpal (TM) osteoarthritis is still debated, as many surgical options are available, and no technique has proven to be superior. Prosthetic treatment in this context has been described since the early 60s. Recently, the use of pyrolytic carbon-based prosthesis has revolutionized arthroplasty surgery in the hand. We performed a retrospective investigation of our surgical management of TM osteoarthritis since 2010 including the study only patients treated with partial trapeziectomy and Pyrodisk implant, with at least 5 years follow-up. After the application of inclusion criteria, 26 patients (6 males and 20 females) were retained. Despite the literature suggesting that implant TM surgery is well suited for older patients, in our experience, the procedure was mainly proposed to the young manual worker, with high demands in terms of thumb strength and stability (mean age of 53 years old, range 37-65). A statistically significant improvement in post-operative DASH, Kapandji and scores was observed. As well, strength measurements, particularly pinch strength and grip strength, increased significantly after the surgery. According to our findings, the Pyrodisk implant provides satisfactory results in terms of thumb strength and stability even in young and active patients and should therefore be considered as a valuable option in selected cases. Meticulous surgical procedure is mandatory in order to avoid complications and should therefore be executed by an expert surgeon.

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Retrospective Review of Long-term Outcomes of Patients Undergoing CMC Arthroplasty With Interposition Scaffold

Cited by 4 publications

References 18 publications

Korrektur von Fingerdeformitäten

Korrektur von Fingerdeformitäten

Сlinical experience with the modified rehabilitation protocol after trapeziometa- carpal joint resection suspension interposition autotendoplasty.

Partial trapeziectomy and pyrocarbon interpositional implant (Pyrodisk) for trapeziometacarpal osteoarthritis in the active working population: outcomes of a 10 years-experience

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