Medium to Long-Term Follow-Up After Pyrocarbon Disc Interposition Arthroplasty for Treatment of CMC Thumb Joint Arthritis
| Autor: | Arnold H. Schuurman, Brigitte van der Heijden, Bastiaan T. van Hoorn, Mark van Heijl, Janna S.E. Ottenhoff, Cecile M.C.A. van Laarhoven |
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| Přispěvatelé: | Plastic and Reconstructive Surgery and Hand Surgery |
| Rok vydání: | 2021 |
| Předmět: |
Michigan
Osteoarthritis 030230 surgery Pinch Strength Thumb Wrist Arthroplasty Kapandji score 03 medical and health sciences 0302 clinical medicine Patient satisfaction Humans Medicine Orthopedics and Sports Medicine Range of Motion Articular Survival rate Orthodontics 030222 orthopedics Hand Strength business.industry Carpometacarpal Joints medicine.disease Carbon Reconstructive and regenerative medicine Radboud Institute for Health Sciences [Radboudumc 10] body regions Cross-Sectional Studies Trapezium Bone medicine.anatomical_structure Surgery business Range of motion Follow-Up Studies |
| Zdroj: | The Journal of Hand Surgery, 46, 150.e1-150.e14 Journal of Hand Surgery, 46(2), 150.e1-150.e14 The Journal of Hand Surgery, 46, 2, pp. 150.e1-150.e14 |
| ISSN: | 0363-5023 |
| Popis: | Item does not contain fulltext PURPOSE: Pyrocarbon disc interposition arthroplasty has been designed for the surgical treatment of Eaton-Glickel grade II/III carpometacarpal thumb joint arthritis. This study presents the results of this technique with a minimum 5-year follow up. METHODS: We assessed 4 questionnaires for patient-reported outcome measurements in a cross-sectional study: the Patient-Rated Wrist and Hand Evaluation, Disabilities of Arm, Shoulder, and Hand questionnaire, Michigan Hand Questionnaire, and questions about satisfaction at the 5-year follow up. We evaluated grip and pinch strength, range of motion, and the radiological position of the disc. Finally, a Kaplan-Meier survival analysis was performed. RESULTS: A total of 164 thumbs (in 137 patients) were available for follow-up varying from 5 to 12 years. Median Patient-Rated Wrist and Hand Evaluation, Disabilities of Arm, Shoulder, and Hand, and Michigan Hand Questionnaire scores were 17, 18, and 76, respectively. The satisfaction score was 9 (Likert scale of 1-10). Grip and pinch strength reached nearly 100% compared with the contralateral hand. Range of motion resulted in a Kapandji score of 10. Thumb height showed a marginal loss and the Kaplan-Meier survival curve showed a survival rate of 91%. CONCLUSIONS: Our study suggests that pyrocarbon disc interposition arthroplasty is a reliable and feasible treatment for carpometacarpal thumb joint arthritis at medium-term follow-up. It was associated with a high level of patient satisfaction; it maintained thumb height and the implant survived in 91% of patients. Strength and range of motion were comparable to the contralateral hand after a minimum follow-up of 5 years. TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic IV. |
| Databáze: | OpenAIRE |
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