Total joint arthroplasty for osteoarthritis of the thumb basal joint.
A survey of 43 cemented arthroplasties of the trapeziometacarpal joint with a la Caffinière prosthesis in 40 patients is presented. A 70% patient satisfaction rate was obtained, with a mean DASH score of 24.2. Good range of motion was preserved (opposition 9/10 on Kapandji's scale) and gripping force as well as key pinch force increased from 18 kg to 24 kg and from 5.3 to 6.0 kg respectively. However loosening was seen in 44% of the implants. Loosening was related to younger age. We conclude that despite good clinical outcome, radiographic loosening is a threat for the future of this implant.
De Smet
Luc
L
Hand Unit, Orthopaedic Department, University Hospital Pellenberg, Catholic University of Leuven, Lubbeek-Pellenberg, Belgium. luc.desmet@uz.kuleuven.ac.be
Sioen
Wouter
W
Spaepen
Dominique
D
Van Ransbeeck
Hilde
H
D000328:Adult; D000368:Aged; D019643:Arthroplasty, Replacement / Q000009:adverse effects / Q000379:methods*; D005260:Female; D005384:Finger Joint / Q000503:physiopathology / Q000601:surgery; D019538:Health Care Surveys; D006801:Humans; D007593:Joint Instability / Q000517:prevention & control; D007595:Joint Prosthesis; D008297:Male; D008875:Middle Aged; D010003:Osteoarthritis / Q000175:diagnosis / Q000601:surgery*; D010147:Pain Measurement; D011379:Prognosis; D011446:Prospective Studies; D016059:Range of Motion, Articular / Q000502:physiology*; D020127:Recovery of Function; D018570:Risk Assessment; D012720:Severity of Illness Index; D013933:Thumb; D016896:Treatment Outcome