Cemented and non-cemented replacements of the trapeziometacarpal joint

Abstract

The survival rate for the Ledoux prosthesis was 58.9% at 16 months and for the de la Caffinière implant 66.4% at 68 months. Loosening occurred in 15% of the Ledoux stems, in 46% of the Ledoux cups, in 24% of the de la Caffinière stems and in 28% of the de la Caffinière cups.Both prostheses behaved similarly, and it is clear that a constrained ball-and-socket prosthesis is not suitable for the trapeziometacarpal joint.

Total Joint Arthroplasty in the Treatment of Advanced Stages of Thumb Carpometacarpal Joint Osteoarthritis

“…The reason for revision in this case was posttraumatic loosening with a painful joint. This is in contrast to previous studies 36,65,66,68,69,70,71,73,76,77,[81][82][83] in which the most common indication for revision was symptomatic nontraumatic loosening. The sole patient who had revision surgery in our series had a satisfactory result.…”

“…In 1985 Braun 36 reported 2 cases of posttraumatic loosening that required revision surgery. Complications such as asymptomatic or symptomatic loosening, 36,65,66,69,70,71,82,83 heterotropic ossification, 36,66,71 cement extrusion with tendon and nerve injury, 36 or reflex sympathetic dystrophy 36 were not seen in our series.…”

“…An objective assessment was performed with the BuckGramcko score. 88,89 Radiologic Evaluation Posteroanterior and lateral radiographs were obtained at the final follow-up evaluations to evalu- ate cup migration, stem subsidence, zones of osteolysis, and joint subluxation as defined by Wachtl et al 83,90 …”

Chronic wrist pain: Diagnosis and management

“…14 Total joint arthroplasty of the TMC joint is still in its infancy and has a high reported failure rate of the trapezial component. 15 Scaphotrapeziotrapezoidal (STT) joint osteoarthritis. Involvement of the STT joint is usually secondary to TMC joint osteoarthritis.…”

A Cemented Surface Replacement Prosthesis in the Basal Thumb Joint

“…Various designs for prostheses were introduced, uncemented 9 -14 as well as cemented. 8,11,[15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33] The postoperative outcomes (strength of grip and pinch, pain relief, and mobility) varied. The most common complication with the cemented, 15,18,19,21,[23][24][25][26][27] but especially the uncemented, 9 -14 implants was loosening.…”