title: De la Caffinière thumb trapeziometacarpal joint arthroplasty: 16-26 year follow-up.
abstract: Seventy-one patients (93 implants) had a de la Caffinière prosthesis implanted between 1980 and 1989 and were reviewed and reported in 1997. We reviewed this series 10 years later. Similar outcome measures were used as in the original study, pinch and grip strength measured and validated outcome scores obtained (DASH and EQ-5D). Radiographic outcome was assessed. Twenty-six patients with 39 implants were available for review at a mean of 19 years (range, 16-26 years). Survivorship at 26 years was 73.9% (95% CI, 61.2 to 86.6) for re-operation and 26.0% (95% CI, 0 to 52.7) for all failure. Patients had satisfactory power and thumb mobility and continued to be satisfied without pain. Registries should log such prostheses and add to implant survival data.
authors.affiliation: Department of Orthopaedics, Norfolk and Norwich University Hospitals NHS Trust, Norwich, UK. phillip.johnston@nhs.net
authors.forename: P
authors.initials: P
authors.lastname: Johnston
authors.forename: A
authors.initials: A
authors.lastname: Getgood
authors.forename: D
authors.initials: D
authors.lastname: Larson
authors.forename: A J
authors.initials: AJ
authors.lastname: Chojnowski
authors.forename: A J
authors.initials: AJ
authors.lastname: Chakrabarti
authors.forename: P G
authors.initials: PG
authors.lastname: Chapman
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019643:Arthroplasty, Replacement / Q000379:methods*; D052737:Carpometacarpal Joints / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007595:Joint Prosthesis; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D011474:Prosthesis Design; D011475:Prosthesis Failure; D020127:Recovery of Function; D013933:Thumb / Q000601:surgery; D016896:Treatment Outcome