Salvage revision arthroplasty after failed TMC joint prosthesis / Katrien Cootjans in Acta Orthopaedica Belgica, Vol. 85/3 (Septembre 2019)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 85/3 (Septembre 2019) . - p. 325-329 Titre : Salvage revision arthroplasty after failed TMC joint prosthesis Type de document : texte imprimé Auteurs : Katrien Cootjans Année de publication : 2019 Article en page(s) : p. 325-329 Langues : Anglais (eng) Mots-clés : Procédure de sauvetage du trapézio métacarpien  TMC  Prothèses et implants Résumé : The purpose of this retrospective study was to describe our experience with failed TMC joint prostheses and to report the results of 7 cases that were treated by a salvage revision arthroplasty. We only performed this salvage arthroplasty when partial (cup replacement) or total replacement of TMC prosthesis was not possible. We performed a resection arthroplasty with (partial) trapezial excision and spacer insertion to prevent scaphometacarpal collaps. We used the proximal part of the Ascencion® MCP implant (Integra) as spacer. Among our 7 patients, 3 were satisfied with a VAS satisfaction of 8 or more. Four patients had pain levels less than or equal to 3. Our mean DASH score was 32.7. Our patients had good opposition and retropulsion scores and the mean TMC joint flexion and abduction values were both 40°. But tip and key pinch ipsilateral was insufficient (mean tip pinch of 2kg and key pinch of 1kg). We believe that the salvage revision arthroplasty with (partial) trapezial excision and spacer insertion is a valuable treatment option for failed TMC joint replacement. But further research needs to compare all the different revision options after TMC joint replacement in a multicenter randomized controlled trial. Permalink : ./index.php?lvl=notice_display&id=92208 [article] Salvage revision arthroplasty after failed TMC joint prosthesis [texte imprimé] / Katrien Cootjans . - 2019 . - p. 325-329. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 85/3 (Septembre 2019) . - p. 325-329 Mots-clés : Procédure de sauvetage du trapézio métacarpien  TMC  Prothèses et implants Résumé : The purpose of this retrospective study was to describe our experience with failed TMC joint prostheses and to report the results of 7 cases that were treated by a salvage revision arthroplasty. We only performed this salvage arthroplasty when partial (cup replacement) or total replacement of TMC prosthesis was not possible. We performed a resection arthroplasty with (partial) trapezial excision and spacer insertion to prevent scaphometacarpal collaps. We used the proximal part of the Ascencion® MCP implant (Integra) as spacer. Among our 7 patients, 3 were satisfied with a VAS satisfaction of 8 or more. Four patients had pain levels less than or equal to 3. Our mean DASH score was 32.7. Our patients had good opposition and retropulsion scores and the mean TMC joint flexion and abduction values were both 40°. But tip and key pinch ipsilateral was insufficient (mean tip pinch of 2kg and key pinch of 1kg). We believe that the salvage revision arthroplasty with (partial) trapezial excision and spacer insertion is a valuable treatment option for failed TMC joint replacement. But further research needs to compare all the different revision options after TMC joint replacement in a multicenter randomized controlled trial. Permalink : ./index.php?lvl=notice_display&id=92208

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt

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