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International Orthopaedics
Erschienen in: International Orthopaedics 7/2016

23.10.2015 | Original Paper

Treatment of the trapeziometacarpal osteoarthritis by arthroplasty with a pyrocarbon implant

verfasst von: Sergio Russo, Alessio Bernasconi, Gennaro Busco, Francesco Sadile

Erschienen in: International Orthopaedics | Ausgabe 7/2016

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Abstract

Purpose

Trapeziometacarpal (TM) osteoarthritis is the most common type of arthritis of the hand. To date, among surgical alternatives proposed, no one type has been proven superior to others. In this prospective study we evaluated the efficacy of treating arthroplasty with a latest-generation pyrocarbon implant (Pyrocardan).

Methods

Thirty-six patients with TM arthritis were treated using Pyrocardan implant arthroplasty. Results were evaluated through thumb radial and palmar abduction assessment, key pinch strength evaluation, thumb opposition assessment according to Kapandji classification, the visual analogue scale, the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire and the Patient’s Satisfaction Index.

Results

There was substantial pain reduction and a satisfying increase in range of motion and strength (p < 0.01) and improvement in DASH score (p < 0.01). Average Patient’s Satisfaction Index was 8 out of 10.

Conclusions

TM arthroplasty with Pyrocardan implantation is a suitable option in treating Eaton-Littler grade II or III TM osteoarthritis.
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Metadaten
Titel
Treatment of the trapeziometacarpal osteoarthritis by arthroplasty with a pyrocarbon implant
verfasst von
Sergio Russo
Alessio Bernasconi
Gennaro Busco
Francesco Sadile
Publikationsdatum
23.10.2015
Verlag
Springer Berlin Heidelberg
Erschienen in
International Orthopaedics / Ausgabe 7/2016
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-015-3016-z

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