title: [Foreign body reaction in osteoarthritis of the trapeziometacarpal joint treated by trapezectomy and interposition of a L-polylactic acid "anchovy" (Arex®615R). A series of eight cases].
abstract: Osteoarthritis of the trapeziometacarpal joint is a common pathology. When the trapezium is not large enough to allow using a total joint arthroplasty or in case of peritrapezial osteoarthrosis, the authors used a trapeziectomy with interposition of an absorbable L-polylactic acid anchovy (Arex(®)615R). This technique is simple and fast. From 2006 to 2010, out of 68 implants, nine displayed a prolonged inflammatory reaction, both clinically and radiologically abnormal, leading the patients to undergo revision surgery for removal of the implant before the end of the third postoperative year. Histological analysis highlighted in all the cases a resorptive gigantocellular immune foreign body reaction.
authors.affiliation: Service de chirurgie de la main et des brûlés, centre hospitalier A.-Michallon, hôpital Nord, 38700 La Tronche, France. asemere@chu-grenoble.fr
authors.forename: A
authors.initials: A
authors.lastname: Semere
authors.forename: A
authors.initials: A
authors.lastname: Forli
authors.forename: D
authors.initials: D
authors.lastname: Corcella
authors.forename: V
authors.initials: V
authors.lastname: Mesquida
authors.forename: M G
authors.initials: MG
authors.lastname: Loret
authors.forename: F
authors.initials: F
authors.lastname: Moutet
mesh_terms: D000328:Adult; D000369:Aged, 80 and over; D001178:Arthroplasty / Q000379:methods; D001182:Arthroscopy; D001672:Biocompatible Materials / Q000008:administration & dosage / Q000009:adverse effects*; D052737:Carpometacarpal Joints / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D005549:Foreign-Body Reaction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D019344:Lactic Acid / Q000008:administration & dosage / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D010003:Osteoarthritis / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D010147:Pain Measurement; D017060:Patient Satisfaction; D011091:Polyesters; D011108:Polymers / Q000008:administration & dosage / Q000009:adverse effects*; D019736:Prostheses and Implants; D011859:Radiography; D012307:Risk Factors; D013997:Time Factors; D051222:Trapezium Bone / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome
chemical_list: D001672:Biocompatible Materials; D011091:Polyesters; D011108:Polymers; D019344:Lactic Acid; C033616:poly(lactide)