Maia® trapeziometacarpal joint arthroplasty: Survival and clinical outcomes at 5 years' follow-up

被引:46
作者
Andrzejewski, A. [1 ]
Ledoux, P. [1 ,2 ]
机构
[1] Ctr Hosp EpiCURA Baudour, 136 Rue Louis Caty, B-7334 Baudour, Belgium
[2] Polyclin Parc, 48 Rue Henri Barbusse, F-59880 St Saulve, France
关键词
Trapeziometacarpal osteoarthritis; Trapeziometacarpal arthroplasty; Maia (R) prosthesis; Basal thumb arthritis; OSTEOARTHRITIS; THUMB; PROSTHESIS; TRAPEZIECTOMY; IMPLANT; COMPLICATIONS; INTERPOSITION; ARTHRITIS;
D O I
10.1016/j.hansur.2019.03.004
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
We sought to report the clinical and radiological outcomes and the survival of Maia (R) trapeziometacarpal joint arthroplasty retrospectively at a mean 5 years' follow-up. We evaluated the implant survival and the clinical outcomes of 93 patients (113 prostheses). Patients were examined during a consultation and their mobility, key pinch strength and satisfaction were recorded. Patients also completed a QuickDASH evaluation. The 5-year survival rate was 92.2%. The mean QuickDASH Score was 26.7. The complication rate was 31% and the revision rate was 12.4%. The most common complication was dislocation and the most frequent cause of surgical revision was periprosthetic ossification. We identified two cases of aseptic loosening. This study shows the Maia (R) prosthesis provides satisfactory medium-term results and has an excellent 5-year survival. However, the high complication and revision rates are still a major concern. (C) 2019 SFCM. Published by Elsevier Masson SAS. All rights reserved.
引用
收藏
页码:169 / 173
页数:5
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