DE-LA-CAFFINIERE ARTHROPLASTY FOR BASAL THUMB JOINT OSTEOARTHRITIS

被引:45
作者
NICHOLAS, RM
CALDERWOOD, JW
机构
来源
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME | 1992年 / 74卷 / 02期
关键词
D O I
10.1302/0301-620X.74B2.1544976
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 performed 20 de la Caffiniere trapeziometacarpal arthroplasties for osteoarthritis occurring only at this joint and reviewed all patients after periods of up to ten years. Eighteen arthroplasties were satisfactory postoperatively, although all 20 patients had a satisfactory range of motion and only one experienced pain after surgery such that it impeded normal function. Failure occurred in two patients and was due to over-reaming of the trapezium during surgery and a traumatic dislocation. A radiolucency between the prosthesis and bone was observed in one arthroplasty, although this patient was asymptomatic. We recommend arthroplasty using the de la Caffiniere prosthesis as a satisfactory method of treatment for the osteoarthritic trapeziometacarpal joint.
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页码:309 / 312
页数:4
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