Swanson vs APL tendon arthroplasty in the treatment of osteoarthritis of the first carpometacarpal joint: A prospective randomized study

Osteoarthritis and prosthetic joints in the hand

“…94 Cemented implant designs appear more successful for basal thumb arthritis than uncemented equivalents, with high rates of early loosening observed with the Ledoux, Moje and Elektra uncemented ball and socket designs although, as with the cemented arthroplasties, this does not always lead to revision or have a detrimental effect on the outcome. 106,110,111 A systematic Cochrane review identified no benefits of arthroplasty over simple trapeziectomy, with the latter producing fewer complications. Silicone arthroplasty, despite early promising reports, has been shown to be associated with high rates of joint subluxation, implant fragmentation and silicone synovitis in osteoarthtic patients at 15 years follow-up.…”