title: Niebauer trapeziometacarpal arthroplasty: a long-term follow-up.
abstract: A retrospective review of long-term follow-up of Niebauer trapeziometacarpal arthroplasty for treatment of disabling arthritis of the basal joint was performed. Thirty implants in 27 patients were reviewed, with an average follow-up of 9 years (minimum, 4 years). All surgical procedures were performed by the senior author. Eighty-eight percent of the patients were subjectively pleased and would undergo the procedure again. Postoperative subluxation occurred in 83% of the patients. This was not painful unless the prosthesis dislocated. Subluxation increased with time. One case of silicone synovitis necessitated implant removal; however, this was also after removal of a previous Eaton prosthesis. In the light of our results, we believe that the Niebauer trapeziometacarpal arthroplasty is a worthwhile procedure with a rare incidence of particulate synovitis. In 24 of 27 patients, pain was relieved and satisfactory motion and stability were achieved.
authors.affiliation: Department of Surgery, Duke University Medical Center, Durham, N.C.
authors.forename: D G
authors.initials: DG
authors.lastname: Sotereanos
authors.forename: J
authors.initials: J
authors.lastname: Taras
authors.forename: J R
authors.initials: JR
authors.lastname: Urbaniak
mesh_terms: D001172:Arthritis, Rheumatoid / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000601:surgery; D001175:Arthrography; D002348:Carpal Bones; D005260:Female; D005384:Finger Joint / Q000000981:diagnostic imaging / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000453:epidemiology; D007595:Joint Prosthesis / Q000379:methods* / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D011093:Polyethylene Terephthalates; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000453:epidemiology; D016059:Range of Motion, Articular; D012189:Retrospective Studies; D012828:Silicones; D013933:Thumb
chemical_list: D011093:Polyethylene Terephthalates; D012828:Silicones