title: [Long-term results of total trapezium-metacarpal joint arthroplasty using the de la Caffinière cemented prosthesis].
abstract: We report a series of 13 arthroplasties using De la Caffinière cemented trapezium-metacarpal prostheses which were implanted to treat unstable and painful TM arthrosis in our department. 10 patients were women and 1 was a man. Mean age, 65 years (range 50 to 75 years). 2 patients received bilateral implants. The mean follow-up was 8 years. The mean mobility of the operated side compared with the opposite thumb were: abduction 38 degrees/39 degrees, flexion 7 degrees/9 degrees y extension 29 degrees/31 degrees. The radiography showed in one case a radiolucent area around the trapezium component of the prosthesis with no clinical repercussion. The subjective results were good in 9 cases and acceptable in 2. The good long-term results of this procedure make it a valid alternative for the treatment of painful TMC arthrosis which limits normal function.
authors.affiliation: Departamento de Cirugía Ortopédica y Traumatología, Facultad de Medicina, Clínica Universitaria, Universidad de Navarra. samillo@unav.es
authors.forename: S
authors.initials: S
authors.lastname: Amillo
authors.forename: A
authors.initials: A
authors.lastname: Samper
authors.forename: J A
authors.initials: JA
authors.lastname: Illescas
mesh_terms: D000368:Aged; D019643:Arthroplasty, Replacement; D001843:Bone Cements; D002348:Carpal Bones / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007595:Joint Prosthesis; D008297:Male; D008663:Metacarpus / Q000000981:diagnostic imaging / Q000601:surgery*; D008875:Middle Aged; D010003:Osteoarthritis / Q000601:surgery; D011474:Prosthesis Design; D011859:Radiography; D012189:Retrospective Studies; D016896:Treatment Outcome
chemical_list: D001843:Bone Cements