Early Clinical Failure of a Cementless Thumb Basal Joint Hemiarthroplasty for the Treatment of Trapeziometacarpal Osteoarthritis

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A Promising Thumb Basal Joint Hemiarthroplasty for Treatment of Trapeziometacarpal Osteoarthritis

BACKGROUND Trapeziometacarpal joint osteoarthritis is a painful, disabling condition that primarily affects women who are postmenopausal. Arthroplasty has been performed to treat this condition; however, subluxation has been a problem with all previous implants. We report the results of hemiarthroplasty using a prosthesis designed to address the problems associated with previous implants. QUE...

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Basal thumb metacarpal osteotomy for trapeziometacarpal osteoarthritis.

PURPOSE To review the subjective and functional results of basal thumb metacarpal osteotomy for the treatment of trapeziometacarpal osteoarthritis. METHODS Between July 1993 and November 1998, 35 thumb osteotomies without internal fixation were performed on 33 patients in the Christchurch Hospital, New Zealand. Records of 28 thumbs (13 right and 15 left) of 26 patients (17 women and 9 men) we...

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Trapeziectomy With Ligament Reconstruction and Tendon Interposition Versus a Trapeziometacarpal Prosthesis for the Treatment of Thumb Basal Joint Osteoarthritis.

Numerous surgical procedures have been described to treat trapeziometacarpal osteoarthritis, but no approach is currently considered superior. Good long-term outcomes have been reported with multiple procedures. No studies have been published comparing outcomes of the Arpe joint replacement (Biomet, Valence, France) with those of ligament reconstruction and tendon interposition (LRTI) using the...

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Total joint arthroplasty for osteoarthritis of the thumb basal joint.

A survey of 43 cemented arthroplasties of the trapeziometacarpal joint with a la Caffinière prosthesis in 40 patients is presented. A 70% patient satisfaction rate was obtained, with a mean DASH score of 24.2. Good range of motion was preserved (opposition 9/10 on Kapandji's scale) and gripping force as well as key pinch force increased from 18 kg to 24 kg and from 5.3 to 6.0 kg respectively. H...

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The kinesiology of the thumb trapeziometacarpal joint.

To measure the motions of the trapeziometacarpal joint of the thumb quantitatively, a roentgenographic method was developed and tested using T-shaped metal markers, a special cassette-holder, and biplane roentgenograms. Two experiments were performed. In the first one, the metal markers were fixed to the trapezium and third metacarpal in ten cadaver specimens, and a fixed spatial relationship b...

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ژورنال

عنوان ژورنال: The Journal of Hand Surgery

سال: 2016

ISSN: 0363-5023

DOI: 10.1016/j.jhsa.2016.07.021