Results with the Roseland® HAC trapeziometacarpal prosthesis after more than 10 years

被引:50
|
作者
Semere, A. [1 ]
Vuillerme, N. [2 ]
Corcella, D. [1 ]
Forli, A. [1 ]
Moutet, F. [1 ]
机构
[1] CHU Grenoble, Hop Michallon, Serv Chirurg Main & Brules, F-38043 Grenoble 09, France
[2] Univ Grenoble 1, Fac Med, Equipe AFIRM, Lab AGIM FRE 3405, F-38706 La Tronche, France
关键词
Basal thumb osteoarthritis; Trapeziometacarpal arthritis; Roseland (R) prosthesis; Trapeziometacarpal prosthesis; FOLLOW-UP; JOINT PROSTHESIS; THUMB; ARTHROPLASTY; OSTEOARTHRITIS; INTERPOSITION;
D O I
10.1016/j.main.2015.01.004
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The Roseland (R) hydroxyapatite-coated prosthesis is a total trapeziometacarpal joint prosthesis used for the surgical treatment of thumb basal joint arthritis. The aim of this retrospective study was to evaluate its long-term outcomes. Fifty-one patients (64 thumbs) underwent trapeziometacarpal joint replacement with this prosthesis. The mean follow-up was 12.5 years. Survival rate of the prosthesis was 91%. There was either no pain or only occasional pain in 91% of cases. The mean QuickDASH score was 27.6. Abnormal radiographic findings were present in 70% of cases. Since they were often asymptomatic, no further treatment was carried out. Complications were common (25%) and occurred early on but could often be treated without surgery. The long-term results with the Roseland (R) HAG prosthesis are satisfactory in terms of pain relief and function. However, the high complication rate is a major concern. (C) 2015 Elsevier Masson SAS. All rights reserved.
引用
收藏
页码:59 / 66
页数:8
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