title: First metacarpal resurfacing with polyvinyl alcohol implant in osteoarthritis: preliminary study.
abstract: Osteoarthritis of first carpometacarpal (CMC) joint is a condition that is frequently encountered in hand surgery. If conservative treatment fails, several surgical procedures are available ranging from arthroscopic debridement to total joint arthroplasty. This study focuses on a new resurfacing technique for the base of the first metacarpal using a polyvinyl alcohol hydrogel implant. Our preliminary study found good clinical outcomes and no inflammatory reaction after a follow-up of 30 months. However prospective studies with a longer follow-up and more patient are needed to confirm these results.
authors.affiliation: Hand surgery department, Beneficência Portuguesa de Sao Paulo Hospital, Sao Paulo, Brazil; Hand surgery department, University Hospital of Strasbourg, 21075 Illkirch, France. Electronic address: chihab.taleb@gmail.com.
authors.forename: C
authors.initials: C
authors.lastname: Taleb
authors.affiliation: Hand surgery department, Sinai Hospital of Baltimore, Maryland, USA.
authors.forename: S
authors.initials: S
authors.lastname: Berner
authors.affiliation: Hand surgery department, Beneficência Portuguesa de Sao Paulo Hospital, Sao Paulo, Brazil.
authors.forename: G
authors.initials: G
authors.lastname: Mantovani Ruggiero
mesh_terms: D000368:Aged; D050806:Arthroplasty, Replacement, Finger; D052737:Carpometacarpal Joints / Q000000981:diagnostic imaging / Q000601:surgery*; D004185:Disability Evaluation; D005260:Female; D005500:Follow-Up Studies; D018737:Hand Strength; D006801:Humans; D020100:Hydrogels; D007595:Joint Prosthesis; D050279:Metacarpal Bones / Q000000981:diagnostic imaging / Q000601:surgery*; D008875:Middle Aged; D010003:Osteoarthritis / Q000601:surgery*; D011142:Polyvinyl Alcohol; D011859:Radiography
chemical_list: D020100:Hydrogels; C062364:polyvinyl alcohol hydrogel; D011142:Polyvinyl Alcohol
keywords: Articulation trapézo-métacarpienne; Basal joint arthritis; Implant polyvinyle alcoolique; Joint resurfacing; Polyvinyl alcohol implant; Resurfaçage articulaire; Rhizarthrose; Trapeziometacarpal joint