Prothèse Roseland® : étude de qualité de vie de 68 patients avec un recul moyen de 43,8 mois

Guardia, Carlos de la; Moutet, F.; Corcella, D.; Forli, Alexandra; Pradel, Philippe

doi:10.1016/j.main.2010.01.005

Cited by 21 publications

(4 citation statements)

References 16 publications

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“…The Roseland prosthesis was reported in five studies, 36 , 39 , 51 , 52 , 59 all of which were descriptive cohorts, with a total of 255 replacements. At a mean of 60 months follow up, failure rates were 9.2%, loosening rates 6.3%, and dislocation rates 2%.…”

Section: Resultsmentioning

confidence: 99%

Thumb CMCJ prosthetic total joint replacement: a systematic review

et al. 2021

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Thumb carpometacarpal joint (CMCJ) arthritis is a common and painful condition. Thumb CMCJ prosthetic replacement aims to restore thumb biomechanics and improve pain and function. Early reviews demonstrated a lack of high-quality studies, but more recently a significant number of higher-quality studies have been published. This review provides a concise and systematic overview of the evidence to date. A systematic review of several databases was conducted according to PRISMA guidelines. Studies evaluating the outcomes of thumb CMCJ prosthetic total joint replacement were included. Data extracted included patient-reported outcome measures (PROMs), pain scores, range of motion, strength, survival rates and complications. A total of 56 studies met all inclusion criteria and were analysed. There was one randomized controlled trial, three prospective comparative cohort studies, five retrospective comparative cohort studies, and 47 descriptive cohort studies. The reported studies included 2731 patients with 3048 thumb total CMCJ prosthetic joint replacements. Follow up ranged from 12 months to 13.1 years. In general, good results were demonstrated, with improvements in PROMs, pain scores and strength. Failure rates ranged from 2.6% to 19.9% depending upon implant studied. Comparative studies demonstrated promising results for replacement when compared to resection arthroplasty, with modest improvements in PROMs but at a cost of increased rates of complications. Studies reporting outcomes in thumb CMCJ prosthetic total joint replacement are increasing in both number and quality. Failure, in terms of loosening and dislocation, remains a concern, although in the medium-term follow up for modern implants this issue appears to be lower when compared to their predecessors. Functional outcomes also look promising compared to resection arthroplasty, but further high-quality studies utilizing a standardized resection arthroplasty technique and modern implants, together with standardized core outcome sets, will be of value. Cite this article: EFORT Open Rev 2021;6:316-330. DOI: 10.1302/2058-5241.6.200152

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Section: Resultsmentioning

confidence: 99%

Thumb CMCJ prosthetic total joint replacement: a systematic review

et al. 2021

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“…Při indikaci se vedle stavu vlastního TMK kloubu řídíme stavem trapezia, který je současně i limitem vlastní implantace (dostatečná výška trapezia, cysty, nekróza, osteoporóza), (10). TMK endoprotéza respektuje anatomii a zachovává kloubní pouzdro a vazivové struktury při resekci pouze samotných kloubních ploch báze I. metakarpu a trapezia (4,6,7,10,13,18,21). Totální endoprotéza zachovává biomechaniku palce tím, že udržuje fyziologické centrum rotace a délku prvního sloupce, čímž se zachovávají anatomické poměry v dané oblasti nutné pro činnost drobných svalů thenaru (4,6,7,13,18,21).…”

Section: Diskuseunclassified

“…TMK endoprotéza respektuje anatomii a zachovává kloubní pouzdro a vazivové struktury při resekci pouze samotných kloubních ploch báze I. metakarpu a trapezia (4,6,7,10,13,18,21). Totální endoprotéza zachovává biomechaniku palce tím, že udržuje fyziologické centrum rotace a délku prvního sloupce, čímž se zachovávají anatomické poměry v dané oblasti nutné pro činnost drobných svalů thenaru (4,6,7,13,18,21). Zajišťuje také plný bezbolestný rozsah hybnosti kloubu, sílu stisku a úchopu.…”

Section: Diskuseunclassified

Interposition and Suspension Arthroplasty of Carpometacarpal Joint of the Thumb Using the TIE-IN Implant

Jurča¹,

Havlas²

2018

ACHOT

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PURPOSE OF THE STUDYThe aim of the study was to present the surgical technique combining the interposition and suspension arthroplasty using the TIE-IN implant as a treatment option for advanced symptomatic to final stage rhizarthrosis. MATERIAL AND METHODSSince 2015 we have performed the interposition arthroplasty combined with suspension arthroplasty using the TIE-IN implant in 12 patients, mostly indicated for stage IV rhizarthrosis. In two cases stage III rhizarthrosis with concomitant trapezium destruction was present. In two other cases the patients suffered from secondary osteoarthrosis associated with rheumatoid arthritis. Pain under loads was present in all the patients, of whom in 10 patients also the pain at rest occurred. Preoperatively, a total of 10 patients showed subluxation of the first carpometacarpal joint of 50% of the articular surface width. The ratio between the dominant and non-dominant extremity was 1:1. As a part of the evaluation, correlation was established between the preoperative findings and the postoperative results at 3 months follow-up. The examination included the assessment of pain intensity by VAS scale, the range of motion measurement -by Kapandji thumb opposition test, handgrip strength test and functional evaluation using the scoring systems -DASH score, modified DASH score for thumb, and modified Wrightington score.

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“…The latter can be promoted through the use of bone growth promoting substances, such as hydroxyapatite (HA). HA is a naturally occurring mineral found within bone composition, and its presence on the femoral component supports osseointegration of the stem [1, 2]. While primary stability of the femoral stem in cementless THA models depends on a press fit between the bone and femoral component, long-term stability requires osseointegration of cancellous bone to the HA-coated stem [3].…”

Section: Introductionmentioning

confidence: 99%

Mid-term progressive loosening of hydroxyapatite-coated femoral stems paired with a metal-on-metal bearing

et al. 2019

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Background Several hydroxyapatite (HA)-coated femoral stems from a single manufacturer were identified to have aseptically loosened at mid-term follow-up despite prior radiographic appearance of osseointegration. Possible causes and associated risk factors for stem loosening were explored through radiographic review and implant retrieval analysis. Methods Forty-six retrieved hip stems (Corail, DePuy-Synthes) were identified and grouped by bearing type: metal-on-metal (MoM), metal-on-polyethylene, and ceramic-on-ceramic. Stem lucency was graded on post-operative radiographs up to the time of revision. Stems were examined for stripping of the HA coating, taper corrosion, and bearing wear in metal-on-metal cases. Patient demographics, implant design features, and perioperative data were collected from electronic databases and patient charts. Results Aseptic loosening occurred in 37% of cases examined. MoM bearings were associated with 7.25 times greater risk of loosening compared to other bearing types. Stem radiolucency was more prevalent for MoM cases and, although not statistically significant, demonstrated progressive lucency. Taper corrosion appeared more severe for MoM cases and correlated with proximal stem radiolucency. Removal of the HA coating from the stems was associated with both taper corrosion and MoM bearing wear. Length of implantation was a confounding factor for the MoM cases. Conclusion This study has demonstrated a high risk of mid-term loosening of previously osseointegrated HA-coated femoral stems when paired with a MoM bearing. The mechanism of loosening appears progressive in nature and related to the MoM bearing, possibly interacting with the HA coating. If such loosening is recognized early, rapid revision may allow for retention of the femoral stem.

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Prothèse Roseland® : étude de qualité de vie de 68 patients avec un recul moyen de 43,8 mois

Cited by 21 publications

References 16 publications

Thumb CMCJ prosthetic total joint replacement: a systematic review

Thumb CMCJ prosthetic total joint replacement: a systematic review

Interposition and Suspension Arthroplasty of Carpometacarpal Joint of the Thumb Using the TIE-IN Implant

Mid-term progressive loosening of hydroxyapatite-coated femoral stems paired with a metal-on-metal bearing

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