Ivory arthroplasty for trapeziometacarpal osteoarthritis: 10-year follow-up

This prospective study investigates long-term functional outcome after total trapeziometacarpal joint replacement with the Ivory arthroplasty for trapeziometacarpal joint osteoarthritis. Clinical outcome, overall function, pain, and radiologic outcome after a minimum of 10 years were evaluated for 2...

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Veröffentlicht in:The Journal of hand surgery, European volume European volume, 2019-02, Vol.44 (2), p.138-145
Hauptverfasser: Vissers, Gino, Goorens, Chul Ki, Vanmierlo, Bert, Bonte, Francis, Mermuys, Koen, Fils, Jean-François, Goubau, Jean F.
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container_end_page 145
container_issue 2
container_start_page 138
container_title The Journal of hand surgery, European volume
container_volume 44
creator Vissers, Gino
Goorens, Chul Ki
Vanmierlo, Bert
Bonte, Francis
Mermuys, Koen
Fils, Jean-François
Goubau, Jean F.
description This prospective study investigates long-term functional outcome after total trapeziometacarpal joint replacement with the Ivory arthroplasty for trapeziometacarpal joint osteoarthritis. Clinical outcome, overall function, pain, and radiologic outcome after a minimum of 10 years were evaluated for 26 Ivory arthroplasty in 24 patients. Two patients had bilateral arthroplasties. The female to male ratio was 22:2, and the mean age was 71 years (range 57–83). The mean follow-up period was 130 months (range 120–142). Overall functioning as defined by the QuickDASH score and visual analogue pain score improved by 50% and 81%, respectively, when compared with the preoperative status. However, these outcomes deteriorated beyond 5 years after surgery. Long-term results suggest the Ivory arthroplasty to be a reliable treatment for trapeziometacarpal osteoarthritis since it improves overall function and reduces pain up to 10 years postoperatively. However, revision within 10 years after surgery was needed in four of 26 cases. Level of evidence: II
doi_str_mv 10.1177/1753193418797890
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source SAGE Complete A-Z List; MEDLINE; Alma/SFX Local Collection
subjects Aged
Aged, 80 and over
Arthroplasty, Replacement - instrumentation
Carpometacarpal Joints - diagnostic imaging
Carpometacarpal Joints - surgery
Cohort Studies
Disability Evaluation
Female
Follow-Up Studies
Hand Strength
Humans
Joint Prosthesis
Male
Middle Aged
Osteoarthritis - surgery
Patient Satisfaction
Radiography
Reoperation - statistics & numerical data
Visual Analog Scale
title Ivory arthroplasty for trapeziometacarpal osteoarthritis: 10-year follow-up
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