Subscribe to RSS
DOI: 10.1055/s-0044-1787298
Review of the Trapeciometacarpal Thumb Prosthesis of the Patella Type: Surgical Technique and Results of Secondary Trapeziectomy with Ligamentous Reconstruction
Article in several languages: español | English Funding The authors received no financial support for the research, authorship, and/or publication of this article.
Abstract
Objective When revising a failed patella-type trapeziometacarpal (TMC) prosthesis, in some cases it may be necessary to remove the metacarpal stem. The purpose of this work is to present a new surgical technique to remove the metacarpal stem and present the results of secondary trapeziectomy after a failed TMC patella-type prosthesis.
Methods A retrospective review was conducted on a case series of 12 patients who underwent revision surgery for a failed TMC prosthesis between 2007 and 2019. Epidemiological and clinical data were recorded, including visual analog scale (VAS) and Quick DASH, and were statistically analyzed using SPSS® statistical software.
Results In all cases the stem could be removed without complications. The average prosthesis survival time was 32.3 months (range 11.5-53.2) and the average follow-up time after revision surgery was 34.9 months (range 14.4-55.4). The VAS mean was 4.0 (95% CI: 2.4-5.6) with a range of 0 to 8. The quick DASH mean was 52.1 (95% CI: 37.0-67.3).
Conclusion The presented surgical technique provides a useful resource to remove the stem if necessary. The results of secondary trapeziectomy may not be as good as expected.
Informed consent
Not applicable.
Authors' contribution
Guillem Salva-Coll researched the literature and conceived the study, participated in protocol development, recruited patients, and analyzed the data. Xavier Terrades-Cladera participated in patient recruitment and data analysis. Guillem Salva-Coll wrote the first draft of the manuscript. All authors reviewed and edited the manuscript and approved the final version of the manuscript.
Publication History
Received: 01 March 2024
Accepted: 08 April 2024
Article published online:
07 June 2024
© 2024. 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 commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil
-
Bibliografía
- 1 Murray P. Thumb basal joint osteoartrithis. In: Wolfe SW, Hochtkiss RN, Pederson WC, Kozin SH, Cohen M. ed. Green's Operative Hand Surgery. 7th ed.. Elsevier Churchill Livingstone; 2017: 359-365
- 2 Martin-Ferrero M. Ten-year long-term results of total joint arthroplasties with ARPE® implant in the treatment of trapeziometacarpal osteoarthritis. J Hand Surg Eur Vol 2014; 39 (08) 826-832
- 3 Martin-Ferrero M, Simón-Pérez C, Coco-Martín MB, Vega-Castrillo A, Aguado-Hernández H, Mayo-Iscar A. Trapeziometacarpal total joint arthroplasty for osteoarthritis: 199 patients with a minimum of 10 years follow-up. J Hand Surg Eur Vol 2020; 45 (05) 443-451
- 4 Herren DB, Marks M, Neumeister S, Schindele S. Short-term recovery after implant versus resection arthroplasty in trapeziometacarpal joint osteoarthritis. J Hand Surg Eur Vol 2023; 48 (10) 1048-1055
- 5 Huang K, Hollevoet N, Giddins G. Thumb carpometacarpal joint total arthroplasty: a systematic review. J Hand Surg Eur Vol 2015; 40 (04) 338-350
- 6 Kaszap B, Daecke W, Jung M. Outcome comparison of primary trapeziectomy versus secondary trapeziectomy following failed total trapeziometacarpal joint replacement. J Hand Surg Am 2013; 38 (05) 863-871.e3
- 7 Klahn A, Nygaard M, Gvozdenovic R, Boeckstyns MEH. Elektra prosthesis for trapeziometacarpal osteoarthritis: a follow-up of 39 consecutive cases. J Hand Surg Eur Vol 2012; 37 (07) 605-609
- 8 Chanlalit C, Shukla DR, Fitzsimmons JS, An KN, O'Driscoll SW. Stress shielding around radial head prostheses. J Hand Surg Am 2012; 37 (10) 2118-2125
- 9 Harenberg PS, Jakubietz MG, Jakubietz RG, Schmidt K, Meffert RH. Treatment of osteoarthritis of the first carpometacarpal joint by resection-suspension-interposition arthoplasty using the split abductor pollicis longus tendon. Oper Orthop Traumatol 2013; 25 (01) 95-103
- 10 Apard T, Saint-Cast Y. Les reprises de prothèses trapezométacarpiennes ARPE par trapézectomie. Ligamentoplastie selon la technique de Jones: une étude homogène de six cas et revue de la littérature. Chir Main 2007; 26 (02) 95-102
- 11 Bricout M, Rezzouk J. Complications and failures of the trapeziometacarpal Maia® prosthesis: A series of 156 cases. Hand Surg Rehabil 2016; 35 (03) 190-198
- 12 Toffoli A, Teissier J. MAÏA Trapeziometacarpal Joint Arthroplasty: Clinical and Radiological Outcomes of 80 Patients With More than 6 Years of Follow-Up. J Hand Surg Am 2017; 42 (10) 838.e1-838.e8
- 13 Cootjans K, Vanhaecke J, Dezillie M, Barth J, Pottel H, Stockmans F. Joint Survival Analysis and Clinical Outcome of Total Joint Arthroplasties With the ARPE Implant in the Treatment of Trapeziometacarpal Osteoarthritis With a Minimal Follow-Up of 5 Years. J Hand Surg Am 2017; 42 (08) 630-638
- 14 Hansen TB, Snerum L. Elektra trapeziometacarpal prosthesis for treatment of osteoarthrosis of the basal joint of the thumb. Scand J Plast Reconstr Surg Hand Surg 2008; 42 (06) 316-319