Trends in Trapeziometacarpal Implant Design: A Systematic Survey Based on Patents and Administrative Databases

Lerebours, Augustin; Marin, F.; Bouvier, Salima; Egles, Christophe; Rassineux, Alain; Masquelet, Alain-Charles

doi:10.1016/j.jhsa.2019.11.015

Cited by 18 publications

(20 citation statements)

References 64 publications

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“…Huang et al reported that ball and socket implants couldn’t restore normal CMC joint kinematics. If we were to pursue the restoration of normal kinematics further, the use of a saddle joint prosthesis aimed at anatomical reconstruction ( Uchiyama et al, 1999 ) would be a consideration; however, they are currently not used because of their poor results ( Lerebours et al, 2020 ). Therefore, we investigated the COR that reproduce the most normal kinematics possible with the best-performing balls and sockets at present.…”

Section: Discussionmentioning

confidence: 99%

“…Although there are various reasons for dislocation and loosening, such as fracture of the trapezium, metallosis, mechanical impingement between the prosthetic neck and the cup, or imperfect cup placement ( Facca and Liverneaux, 2012 ; Vitale et al, 2013 ; Brauns et al, 2019 ), it is important to place prostheses in the correct position ( Duerinckx and Caekebeke, 2016 ; Cootjans et al, 2017 ) and restore normal CMC joint kinematics ( Lerebours et al, 2020 ) using a prosthesis in order to prevent complications, such as loosening or dislocation of the prosthesis ( Lerebours et al, 2020 ). However, the surgical methods for placement of prostheses are based on expert experience ( Duerinckx and Caekebeke, 2016 ) and the optimal position for the implant has not yet been determined ( Brauns et al, 2019 ).…”

Section: Introductionmentioning

confidence: 99%

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Optimal Center of Rotation for Ball-And-Socket Thumb Carpometacarpal Arthroplasty Identified Using Three-Dimensional Kinematic Analysis: A Pilot Study

Murai

Kurosawa

Tada

et al. 2022

Front. Bioeng. Biotechnol.

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Total joint arthroplasty is one of the surgical option for thumb carpometacarpal (CMC) joint arthritis, however the optimal position the center of rotation (COR) has not been quantified. The purpose of this study is to identify ideal ball-and-socket thumb carpometacarpal joint implants and the optimal position of the COR. We obtained eight right thumb computed tomography images each from ten healthy men, comprising four images each of thumbs at various angles of flexion-extension and abduction-adduction. We reconstructed 3D bone models on 3D CAD, created virtual ball-and-socket implants with three variables (neck offset, implant height, neck rotation), and found the optimal COR where the position change in the COR was smallest across various thumb positions. When the offset was 4.5 mm, neck rotation angle was 130.6° from the radial side to the palmar side of the first metacarpal, and implant height from the distal end of the metacarpal was 43.6 mm, we could restore almost normal kinematics. This study could serve as a reference for implant development and surgical technique guidelines.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Optimal Center of Rotation for Ball-And-Socket Thumb Carpometacarpal Arthroplasty Identified Using Three-Dimensional Kinematic Analysis: A Pilot Study

Murai

Kurosawa

Tada

et al. 2022

Front. Bioeng. Biotechnol.

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“…Worth noticing is that all controlled trials comparing trapeziectomy and total joint arthroplasty have investigated ball-and-socket design implants and not saddle-shaped SR implants as used in this study. The SR TMC joint prosthesis has been developed to preserve normal anatomy and kinematics of the thumb, striving for better survival [ 19 ]. Although controlled trials comparing the two implants have not been performed, short-term survival of the SR implant appeared to be inferior to ball-and-socket implants whereafter the prosthesis was withdrawn from the market [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

A radiostereometric and clinical long-term follow-up study of the surface replacement trapeziometacarpal joint prosthesis

Brinke

Mathijssen

Blom

et al. 2021

BMC Musculoskelet Disord

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Background The aim of this study was to determine long-term survival and clinical outcomes of the surface replacement trapeziometacarpal joint prosthesis (SR™TMC) and to evaluate implant migration using radiostereometric analysis (RSA). Methods In this clinical long-term follow-up study outcomes of ten patients who received the SR™TMC joint prosthesis were evaluated using DASH and Nelson scores, Visual Analogue Scale (VAS) of pain, and key pinch strength. RSA-radiographs were obtained direct postoperatively and 6 months, 1, 5 and 10 years postoperatively and were analyzed using model-based RSA software. Results During follow-up, two early revisions took place. Mean pre-operative DASH and Nelson scores were 54 (SD 15) and 54 (SD 17), improved significantly after 6 months (DASH 25 (SD 20), Nelson 75 (SD 18)) and remained excellent during long-term follow-up in all patients with a stable implant. At final follow-up, clinical scores deteriorated clearly in two patients with a loose implant in situ. Conclusions Long-term survival of the SR™TMC joint prosthesis is relatively poor. However, clinical outcomes improved significantly in the short-term and remained excellent in the long-term in those patients with a stable implant, but deteriorated clearly in case of loosening. The role of RSA in TMC joint arthroplasty is potentially valuable but needs to be further investigated. Several challenges of RSA in the TMC joint have been addressed by the authors and suggestions to optimize RSA-data are given. Trial registration This study was registered in the Netherlands Trial Register (NL7126).

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“…It is integral to fine motor activities such as pinch, key and chuck grips as well as having an important role in power grips. 2,3 CMCJ osteoarthritis is more common in post-menopausal women, who make up approximately 80% of the patient population. The dominant hand is involved in 60-65% of cases.…”

Section: Discussionmentioning

confidence: 99%

“…A variety of implantable devices have been described with varying results in the literature. 3,4,8,22 They can be divided into five groups on the basis of the classification described by Vitale. These include: 1) total joint replacement, 2) hemiarthroplasty, 3) interposition of implant with partial trapezial resection, 4) interposition of implant with complete trapezial resection and 5) interposition of implant with no trapezial resection.…”

Section: Implant-associated Proceduresmentioning

confidence: 99%

Basal thumb arthritis: Treatment strategies for managing pain

Shridhar

Williams

2020

Aust J Gen Pract

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Trends in Trapeziometacarpal Implant Design: A Systematic Survey Based on Patents and Administrative Databases

Cited by 18 publications

References 64 publications

Optimal Center of Rotation for Ball-And-Socket Thumb Carpometacarpal Arthroplasty Identified Using Three-Dimensional Kinematic Analysis: A Pilot Study

Optimal Center of Rotation for Ball-And-Socket Thumb Carpometacarpal Arthroplasty Identified Using Three-Dimensional Kinematic Analysis: A Pilot Study

A radiostereometric and clinical long-term follow-up study of the surface replacement trapeziometacarpal joint prosthesis

Basal thumb arthritis: Treatment strategies for managing pain

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