Comparative functional analysis between pyrolytic carbon prostheses and ligamentous suspension/reconstruction in the treatment of rhizarthrosis
| Autor: | X. Lizano-Díez, G. Pidemunt-Moli, M. Cruz-Sánchez, M. Cuenca-Llavall, J. Cebamanos-Celma |
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| Rok vydání: | 2018 |
| Předmět: |
030222 orthopedics
medicine.medical_specialty business.industry medicine.medical_treatment Radiography Group ii Interposition arthroplasty 030230 surgery Thumb Arthroplasty Prosthesis Surgery 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure medicine Orthopedics and Sports Medicine Implant Pyrolytic carbon business |
| Zdroj: | Revista Española de Cirugía Ortopédica y Traumatología (English Edition). 62:373-379 |
| ISSN: | 1988-8856 |
| Popis: | Objective To evaluate midterm functional outcome after pyrolytic carbon prosthesis (PyroDisk) implantation in the treatment of rhizarthrosis of the thumb, comparing outcomes with those of ligamentous resection/suspension/reconstruction. Material and methods A cross-sectional study retrospectively comparing two patient groups aged between 40 and 65 years with rhizarthrosis of the thumb. Thirty-two patients operated between 2009 and 2013 were distributed between group i (interposition arthroplasty with PyroDisk implant) and group ii (ligamentous resection/suspension/reconstruction arthroplasty). Data on pain, functionality (Quick-Dash questionnaire) and articular movement were collected in 2015. In addition, a radiological study was undertaken using radiographs and CT. Results Thirty-two patients, 16 in each group with a mean follow-up of 35 months (23–47). Pain at the end of follow-up was greater in the group with the pyrolytic carbon prosthesis (p = 0.000). According to the QuickDash questionnaire, the patients in group i achieved a mean functionality of 31.14 (0–70) points compared to 15.81 (8–24) points for group ii (p = 0.027). No differences were found in the degree of mobility at the end of follow-up (p = 0.46). The prosthesis had to be removed in six cases. Discussion The pyrolytic carbon prosthesis has been presented as an alternative treatment for rhizarthrosis of the thumb. The papers published to date highlight the discrepancies in midterm functional outcomes. Conclusions Pyrolytic carbon prostheses have shown inferior functional outcomes, compared with resection/suspension/reconstruction arthroplasties. |
| Databáze: | OpenAIRE |
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