title: Results with the Roseland(®) HAC trapeziometacarpal prosthesis after more than 10 years.
abstract: The Roseland(®) hydroxyapatite-coated prosthesis is a total trapeziometacarpal joint prosthesis used for the surgical treatment of thumb basal joint arthritis. The aim of this retrospective study was to evaluate its long-term outcomes. Fifty-one patients (64 thumbs) underwent trapeziometacarpal joint replacement with this prosthesis. The mean follow-up was 12.5 years. Survival rate of the prosthesis was 91%. There was either no pain or only occasional pain in 91% of cases. The mean QuickDASH score was 27.6. Abnormal radiographic findings were present in 70% of cases. Since they were often asymptomatic, no further treatment was carried out. Complications were common (25%) and occurred early on but could often be treated without surgery. The long-term results with the Roseland(®) HAC prosthesis are satisfactory in terms of pain relief and function. However, the high complication rate is a major concern.
authors.affiliation: Service de chirurgie de la main et des brûlés, hôpital Michallon, CHU de Grenoble, boulevard de la Chantourne, BP217, 38043 Grenoble cedex 09, France. Electronic address: asemere@chu-grenoble.fr.
authors.forename: A
authors.initials: A
authors.lastname: Semere
authors.affiliation: Laboratoire AGIM-FRE 3405 équipe AFIRM, faculté de médecine, université Joseph-Fourier, domaine de la Merci, 38706 La Tronche, France.
authors.forename: N
authors.initials: N
authors.lastname: Vuillerme
authors.affiliation: Service de chirurgie de la main et des brûlés, hôpital Michallon, CHU de Grenoble, boulevard de la Chantourne, BP217, 38043 Grenoble cedex 09, France.
authors.forename: D
authors.initials: D
authors.lastname: Corcella
authors.affiliation: Service de chirurgie de la main et des brûlés, hôpital Michallon, CHU de Grenoble, boulevard de la Chantourne, BP217, 38043 Grenoble cedex 09, France.
authors.forename: A
authors.initials: A
authors.lastname: Forli
authors.affiliation: Service de chirurgie de la main et des brûlés, hôpital Michallon, CHU de Grenoble, boulevard de la Chantourne, BP217, 38043 Grenoble cedex 09, France.
authors.forename: F
authors.initials: F
authors.lastname: Moutet
mesh_terms: D052737:Carpometacarpal Joints / Q000000981:diagnostic imaging / Q000601:surgery*; D017886:Durapatite; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019736:Prostheses and Implants; D011474:Prosthesis Design; D011475:Prosthesis Failure; D011859:Radiography; D012189:Retrospective Studies; D013997:Time Factors; D051222:Trapezium Bone / Q000000981:diagnostic imaging / Q000601:surgery*
chemical_list: D017886:Durapatite
keywords: Arthrose basale du pouce; Basal thumb osteoarthritis; Prothèse Roseland(®); Prothèse trapézo-métacarpienne; Rhizarthrose; Roseland(®) prosthesis; Trapeziometacarpal arthritis; Trapeziometacarpal prosthesis