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CC BY-NC-ND 4.0 · Revista Iberoamericana de Cirugía de la Mano 2021; 49(01): 037-045
DOI: 10.1055/s-0041-1729998
Original Article | Artículo Original

Pyrocarbon Implant for Trapeziometacarpal Arthritis: Mid-term Clinical and Radiological Results

Article in several languages: English | español
Elisabete Ribeiro 
1   Departament of Orthopedics and Traumatology, Hospital de Braga, Braga, Portugal
,
Melanie Ribau 
1   Departament of Orthopedics and Traumatology, Hospital de Braga, Braga, Portugal
,
Juvenália Ribeiro
1   Departament of Orthopedics and Traumatology, Hospital de Braga, Braga, Portugal
,
Pedro Varanda 
1   Departament of Orthopedics and Traumatology, Hospital de Braga, Braga, Portugal
,
Luis Filipe Rodrigues 
1   Departament of Orthopedics and Traumatology, Hospital de Braga, Braga, Portugal
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Abstract

Pyrolytic carbon implants for trapeziometacarpal (TMC) arthritis have been extensively studied, but there is still discrepancy in the literature concerning the mid-term functional results. Our group describes the clinical and radiological results after five years of surgical management of TMC arthritis with Pyrodisk (Integra Life Sciences, Plainsboro, NJ, US). A total of 19 patients (2 males and 17 females) aged 56.45 ± 5.95 (range: 44 to 67) years were reviewed with a mean follow-up of 74.05 ± 14.43 (range: 60.00 to 105.83) months. At the final follow-up, the score on the Visual Analogue Scale (VAS) for pain was of 1.76 ± 2.05, the average score on the Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) questionnaire was of 22.73 ± 22.33, and all functional parameters were above the 90% barrier of the contralateral side. The progression of radiolucency was 89% at 1 year and 11% at 5 years of follow-up respectively, but it was not related to the clinical outcomes. The prevalence of subluxation (around one-fourth of the center of the implant) was of 24% in asymptomatic patients, and dislocation was not observed. The overall survival of the implant was of 89%. Revision took place in 11% of the cases due to persistent pain and implant breakage after direct impact. More than 75% of the patients were very or highly satisfied with the treatment. In conclusion, Pyrodisk enabled us to obtain good functional mid-term results, with an acceptable survival of the implant and low risk of dislocation. Radiological findings do not necessarily translate into clinical symptoms.

Keywords

Trapeziometacarpal Arthritis - Pyrodisk - Radiolucency


Publication History

Received: 05 September 2020

Accepted: 21 January 2021

Article published online:
02 July 2021

© 2021. SECMA Foundation. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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