Pyrocarbon spacer as a trapezium replacement for arthritis of the trapeziometacarpal joint; a follow-up study of 60 cases

Rhizarthrosis is the most common degenerative joint disease of the hand, affecting about 10% of the population. We report our results with trapezium replacement using a pyrocarbon spacer. Between January 2005 and April 2010, 70 patients underwent trapeziectomy with interposition of a pyrocarbon spac...

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Veröffentlicht in:Acta orthopaedica belgica 2013-12, Vol.79 (6), p.648-654
Hauptverfasser: Szalay, Gabor, Meyer, Christof, Scheufens, Tanja, Schnettler, Reinhard, Christ, Ralph, Schleicher, Iris
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container_issue 6
container_start_page 648
container_title Acta orthopaedica belgica
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creator Szalay, Gabor
Meyer, Christof
Scheufens, Tanja
Schnettler, Reinhard
Christ, Ralph
Schleicher, Iris
description Rhizarthrosis is the most common degenerative joint disease of the hand, affecting about 10% of the population. We report our results with trapezium replacement using a pyrocarbon spacer. Between January 2005 and April 2010, 70 patients underwent trapeziectomy with interposition of a pyrocarbon spacer. Sixty patients were examined at an average follow-up of 23.6 (5-64) months after the operation. Six (8.6%) of the 70 implanted pyrocarbon spacers dislocated. Based on the assessment scale devised by Buck-Gramcko, 19 patients achieved a very good outcome (31.6%), 31 patients (51.6%) had a good outcome, six results were satisfactory (10%) and four patients (6.6%) had a poor result. In this study, trapeziectomy and implantation of a pyrocarbon spacer achieved good or very good results in 83.2% of cases. The high cost of the implant and the observed rate of spacer dislocation should however be considered critically. While the short-term results of this method are encouraging, long-term outcomes will show whether this technique can keep up with the good results of suspension arthroplasty.
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects Adult
Aged
Aged, 80 and over
Biocompatible Materials - therapeutic use
Carbon - therapeutic use
Female
Humans
Male
Middle Aged
Osteoarthritis - diagnostic imaging
Osteoarthritis - surgery
Prostheses and Implants
Prosthesis Design
Prosthesis Implantation - methods
Radiography
Trapezium Bone - surgery
title Pyrocarbon spacer as a trapezium replacement for arthritis of the trapeziometacarpal joint; a follow-up study of 60 cases
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