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 |
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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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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.</description><identifier>ISSN: 0001-6462</identifier><identifier>PMID: 24563969</identifier><language>eng</language><publisher>Belgium</publisher><subject>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</subject><ispartof>Acta orthopaedica belgica, 2013-12, Vol.79 (6), p.648-654</ispartof><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24563969$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Szalay, Gabor</creatorcontrib><creatorcontrib>Meyer, Christof</creatorcontrib><creatorcontrib>Scheufens, Tanja</creatorcontrib><creatorcontrib>Schnettler, Reinhard</creatorcontrib><creatorcontrib>Christ, Ralph</creatorcontrib><creatorcontrib>Schleicher, Iris</creatorcontrib><title>Pyrocarbon spacer as a trapezium replacement for arthritis of the trapeziometacarpal joint; a follow-up study of 60 cases</title><title>Acta orthopaedica belgica</title><addtitle>Acta Orthop Belg</addtitle><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.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biocompatible Materials - therapeutic use</subject><subject>Carbon - therapeutic use</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Osteoarthritis - diagnostic imaging</subject><subject>Osteoarthritis - surgery</subject><subject>Prostheses and Implants</subject><subject>Prosthesis Design</subject><subject>Prosthesis Implantation - methods</subject><subject>Radiography</subject><subject>Trapezium Bone - surgery</subject><issn>0001-6462</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1kEtLxDAUhbNQnHH0L0iWbgp5NJkGVzL4ggFd6LqkyQ3TIW1ikiL111vRWV045zvf4p6hNSGEVrKWbIUucz4SIhWV9AKtWC0kV1Kt0fw2p2B06sKIc9QGEtYZa1ySjvDdTwNOEP2SDzAW7MJSp3JIfekzDg6XA5zQMEDRiylqj4-hH8vdonHB-_BVTRHnMtn5dyIJNjpDvkLnTvsM1_93gz4eH953z9X-9elld7-vIqO0VMoAlw5qZqlshOhqp2RjRNNQq8BQ0ShGQVNBhZIcCKVN3YFwnbVs20Fj-Qbd_nljCp8T5NIOfTbgvR4hTLmlgjDOCZPbBb35R6duANvG1A86ze3pXfwHdylnDQ</recordid><startdate>20131201</startdate><enddate>20131201</enddate><creator>Szalay, Gabor</creator><creator>Meyer, Christof</creator><creator>Scheufens, Tanja</creator><creator>Schnettler, Reinhard</creator><creator>Christ, Ralph</creator><creator>Schleicher, Iris</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>20131201</creationdate><title>Pyrocarbon spacer as a trapezium replacement for arthritis of the trapeziometacarpal joint; a follow-up study of 60 cases</title><author>Szalay, Gabor ; Meyer, Christof ; Scheufens, Tanja ; Schnettler, Reinhard ; Christ, Ralph ; Schleicher, Iris</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p211t-9ce36fe42d16855b4f968c5881d9ec158921ea1515963e01184be5fbdd27be8d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biocompatible Materials - therapeutic use</topic><topic>Carbon - therapeutic use</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Osteoarthritis - diagnostic imaging</topic><topic>Osteoarthritis - surgery</topic><topic>Prostheses and Implants</topic><topic>Prosthesis Design</topic><topic>Prosthesis Implantation - methods</topic><topic>Radiography</topic><topic>Trapezium Bone - surgery</topic><toplevel>online_resources</toplevel><creatorcontrib>Szalay, Gabor</creatorcontrib><creatorcontrib>Meyer, Christof</creatorcontrib><creatorcontrib>Scheufens, Tanja</creatorcontrib><creatorcontrib>Schnettler, Reinhard</creatorcontrib><creatorcontrib>Christ, Ralph</creatorcontrib><creatorcontrib>Schleicher, Iris</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Acta orthopaedica belgica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Szalay, Gabor</au><au>Meyer, Christof</au><au>Scheufens, Tanja</au><au>Schnettler, Reinhard</au><au>Christ, Ralph</au><au>Schleicher, Iris</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pyrocarbon spacer as a trapezium replacement for arthritis of the trapeziometacarpal joint; a follow-up study of 60 cases</atitle><jtitle>Acta orthopaedica belgica</jtitle><addtitle>Acta Orthop Belg</addtitle><date>2013-12-01</date><risdate>2013</risdate><volume>79</volume><issue>6</issue><spage>648</spage><epage>654</epage><pages>648-654</pages><issn>0001-6462</issn><abstract>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.</abstract><cop>Belgium</cop><pmid>24563969</pmid><tpages>7</tpages></addata></record> |
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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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