Silicone arthroplasty of the trapezio-metacarpal joint.
نویسنده
چکیده
a procedure characterised by simple excision of the trapezium (Gervis 1949). This procedure does not restore the trapezio-metacarpal joint, but rather creates a gap between the articular surfaces of the metacarpal and the scaphoid bones. Recently Swanson described a new technique, in which the trapezium was replaced by a silicone implant. Reports of the early results ofhis method and some technical considerations have already appeared in the literature (Swanson 1968, Swanson 1970, Eiken 1971, Weilby 1971). In 1966 another type of arthroplasty was developed, aimed towards a proper reconstruction of the trapezio-metacarpal joint, without interfering with the adjacent joints. With this technique the trapezium was left undisturbed and reconstruction was by a limited excision of the base of the first metacarpal with replacement by a moulded silicone implant* (Kessler and Axer 1971). The purpose of the present paper is to describe this method of arthroplasty of the trapezio-
منابع مشابه
Long term results of surgical intervention for osteoarthritis of the trapeziometacarpal joint : comparison of resection arthroplasty, trapeziectomy with tendon interposition and trapezio-metacarpal arthrodesis.
Trapeziometacarpal osteoarthritis is a common entity, often bilateral and predominantly affecting postmenopausal women. In the case of failure of conservative treatment, surgery is a good option. The aim of this study was to compare three surgical procedures. 63 patients (74 thumbs) with osteoarthritis of the trapezio-metacarpal joint were surgically treated; 54 patients were seen for follow-up...
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Arthritis affecting the trapezio-metacarpal joint (TMJ) of the thumb is a very common condition, and in the upper limb represents the site most often requiring surgery for symptomatic osteoarthritis. The condition predominantly affects women, especially those who are post menopausal. Management of the condition initially entails the use of conservative measures. Many of these are administered i...
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INTRODUCTION Isolated dislocations of the trapezio metacarpal joint without associated fracture has been reported very rarely in the literature. There are reports of associated injuries like fracture of the trapezium, dislocation of the metacarpophalangeal joint and fractures of the base of the thumb metacarpal. CASE REPORT Authors report a case of isolated carpometacarpal dislocation of the ...
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ورودعنوان ژورنال:
- The Journal of bone and joint surgery. British volume
دوره 55 2 شماره
صفحات -
تاریخ انتشار 1973