Failed total carpometacarpal joint prosthesis of the thumb: results after resection arthroplasty.

Scand J Plast Reconstr Surg Hand Surg 2010 Jun;44(3):171-4

Section of Hand Surgery, Department of Orthopaedics, Regional Hospital Holstebro, Holstebro, Denmark.

Total joint prosthesis in carpometacarpal joint arthritis of the thumb often fails. Loosening of the implant is often treated by resection arthroplasty, and we reviewed 10 patients, mean age 54 years (range 47-63) who were treated by resection arthroplasty after a failed total joint prosthesis. The male:female ratio was 1:4 and the mean duration of observation 32 months (range 6-52). In three patients the revised implant was a MOJE uncemented carpometacarpal joint prosthesis and in seven patients an Elektra uncemented one. At follow-up grip strength was reduced to less than 90% of the other hand in eight of 10 patients, but the mean Disabilities of the arm, shoulder, and hand (DASH) scores, self-reported pinch-grip-related function, and pain were comparable with our earlier published results with the Elektra carpometacarpal total joint prosthesis.

Download full-text PDF

Source
http://dx.doi.org/10.3109/02844311.2010.483126DOI Listing
June 2010
8 Reads

Publication Analysis

Top Keywords

joint prosthesis
20
resection arthroplasty
12
total joint
12
carpometacarpal joint
12
failed total
8
treated resection
8
joint
6
prosthesis
5
moje uncemented
4
prosthesis patients
4
uncemented carpometacarpal
4
follow-up grip
4
grip strength
4
uncemented follow-up
4
elektra uncemented
4
patients elektra
4
patients revised
4
observation months
4
duration observation
4
ratio duration
4

References

(Supplied by CrossRef)

Cooney WP et al.
J Bone Joint Surg 2007

Davis TR et al.
J Hand Surg 1997

Belcher H et al.
J Hand Surg 2000

Downing ND et al.
J Hand Surg 2000

Davis TR et al.
J Hand Surg 2004

Kriegs-Au G et al.
J Bone Joint Surg 2004

Conolly WB et al.
J Hand Surg 1993

Renfree KJ et al.
J Hand Surg 2002

Cooney WP et al.
J Hand Surg 2006

Glard Y et al.
J Hand Surg 2006

Similar Publications