[Foreign body reaction in osteoarthrosis of the trapeziometacarpal joint treated with trapezectomy and interposition of a Dacron "anchovy". A series of 5 cases].
Osteoarthritis of the trapeziometacarpal joint is a common pathology. Numerous surgical procedures exist without any of one of them showing an obvious superiority. In our practice, when the trapezium is not big enough to allow use of a Roseland total joint arthroplasty, we used a combination of trapeziectomy and Dacron anchovy interposition. This simple and fast technique gives results similar to others in terms of pain, joint motion and strength. It appeared to be a safe technique until 2000, where an abnormal complication appeared: five implants (11% of the 46 used between 2000 and 2002) displayed a foreign body reaction both clinical and radiological, and three patients underwent revision surgery for ablation of the implant. Histological analysis confirmed this adverse reaction in all of the cases. In view of the delay between surgery and reaction we expect new cases to appear, thereby increasing the current rate. In view of the lack of any other explanation for these findings, the authors have stopped using the Dacron implant, and have instead reverted to a classical tendon interposition.
Martinet
X
X
Service de chirurgie plastique de la main et des brûlés, CHU de Grenoble, 38043 Grenoble, France. XMartinet@chu-grenoble.fr
Belfkira
F
F
Corcella
D
D
Guinard
D
D
Moutet
F
F
D005260:Female; D005549:Foreign-Body Reaction / Q000209:etiology*; D006801:Humans; D008297:Male; D008663:Metacarpus; D008875:Middle Aged; D010003:Osteoarthritis / Q000601:surgery*; D011093:Polyethylene Terephthalates / Q000009:adverse effects*; D019736:Prostheses and Implants / Q000009:adverse effects*
D011093:Polyethylene Terephthalates