Total Joint Replacement of the Trapeziometacarpal Joint

Non-cemented replacement of the trapeziometacarpal joint.

We treated 43 patients (38 women and 5 men) with osteoarthritis of the basal joint of the thumb by non-cemented arthroplasty of the first carpometacarpal joint as described by Ledoux. The probability of a patient avoiding revision for 12 months was 62% and for 16 months 59%. The indications for revision were aseptic loosening in 83% and luxation in 17%. The surviving prostheses were reviewed cl...

Trapeziometacarpal joint replacement with the Arpe prosthesis.

The purpose of the study was to assess the subjective outcome and five-year survival of non-cemented total joint replacement of the trapeziometacarpal joint with the Arpe prothesis. Forty-nine hands were operated on. Outcome scores were obtained with a mean follow-up of 6 years (range: 3-11 years) for 35 prostheses. Mean disability of the arm, shoulder and hand (DASH) score was 8, mean visual a...

Complications of total joint replacement

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...

Anesthesia for total joint replacement.