title: Early outcomes of Pyrocardan®implants for trapeziometacarpal osteoarthritis.
abstract: The aim of this retrospective study was to assess the early outcomes of trapeziometacarpal osteoarthritis treatment using Pyrocardan®implants in patients with early Eaton (stage I and II) osteoarthritis. We analyzed the results of 27 patients, with a median age of 59 years (range, 34-78 years) and a mean follow-up of 24 months (range, 12-41). The level of satisfaction was assessed using a postoperative questionnaire. Twenty patients mentioned having improvements in their activities of daily living, 20 patients were satisfied with the outcomes of surgery, and 19 patients would consider undergoing the procedure a second time. Five patients needed reoperation for complications, including persistent pain, grinding, or implant dislocation. Pyrocardan®implants may be a valuable temporary therapy as more conventional arthroplasty techniques are still feasible in case of failure. However, multicenter randomized controlled trials with a longer follow-up are needed to assess the long-term outcomes.
authors.affiliation: Maastricht UMC+, Department of plastic, reconstructive and hand surgery, P. Debyelaan 25, 6229 Maastricht, HX, The Netherlands. Electronic address: t.lauwers@mumc.nl.
authors.forename: T M A S
authors.initials: TM
authors.lastname: Lauwers
authors.affiliation: Maastricht UMC+, Department of plastic, reconstructive and hand surgery, P. Debyelaan 25, 6229 Maastricht, HX, The Netherlands.
authors.forename: K
authors.initials: K
authors.lastname: Brouwers
authors.affiliation: Maastricht UMC+, Department of orthopedic surgery, P. Debyelaan 25, 6229 Maastricht, HX, The Netherlands.
authors.forename: H
authors.initials: H
authors.lastname: Staal
authors.affiliation: Maastricht UMC+, Department of plastic, reconstructive and hand surgery, P. Debyelaan 25, 6229 Maastricht, HX, The Netherlands.
authors.forename: L T
authors.initials: LT
authors.lastname: Hoekstra
authors.affiliation: Maastricht UMC+, Department of plastic, reconstructive and hand surgery, P. Debyelaan 25, 6229 Maastricht, HX, The Netherlands.
authors.forename: R R W J
authors.initials: RR
authors.lastname: van der Hulst
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007595:Joint Prosthesis; D008297:Male; D050279:Metacarpal Bones / Q000000981:diagnostic imaging / Q000601:surgery*; D008875:Middle Aged; D010003:Osteoarthritis / Q000000981:diagnostic imaging / Q000601:surgery*; D012189:Retrospective Studies; D051222:Trapezium Bone / Q000000981:diagnostic imaging / Q000601:surgery*
keywords: Arthroplastie; Arthroplasty; Implant Pyrocardan(®); Pyrocarbon; Pyrocarbone; Pyrocardan(®) implant; Rhizarthrose; Trapeziometacarpal osteoarthritis