Arpe total joint arthroplasty for trapeziometacarpal osteoarthritis: 80 thumbs in 63 patients with a minimum of 10 years follow-up.

The Journal of Hand Surgery, European Volume
Raphaëlle Dumartinet-GibaudYann Saint Cast

Abstract

In this retrospective study, we report a series of 80 Arpe prostheses for trapeziometacarpal osteoarthritis in 63 patients. Twenty-seven prostheses (20 patients) were lost to follow-up. Twenty-one were revised, eight of them during the first year after operation. The calculated cumulated implant survival rate was 85% at 10 years but could be lower due to the lack of information on the patients lost to follow-up. The number of complications due to technical errors was high; but after we had done 30 cases, the number of early revisions decreased markedly. At follow-up, 23 of 32 thumbs were totally free of pain, and the patients were satisfied with 31 thumbs. We conclude that the implant survival declines progressively in the long run, with a survival rate of 80% after 15 years of follow-up and a further decline thereafter. We also found that this surgery was difficult to master. We advise selecting this implant for thumb trapeziometacarpal osteoarthritis with caution. Level of evidence: IV.

References

May 1, 1978·The Journal of Hand Surgery·P C DellR J Smith
Mar 1, 1992·The Journal of Bone and Joint Surgery. British Volume·R M Nicholas, J W Calderwood
Jul 26, 2003·Archives of Physical Medicine and Rehabilitation·Marie Martine Lefevre-ColauMichel Revel
May 26, 2007·Chirurgie de la main·T Apard, Y Saint-Cast
Mar 10, 2009·The Journal of Hand Surgery, European Volume·Jin Bo Tang
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Oct 16, 2016·Hand Surgery and Rehabilitation·M Bricout, J Rezzouk
Feb 9, 2017·The Journal of Hand Surgery, European Volume·M DehlM Moughabghab

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Citations

May 19, 2021·Operative Orthopädie und Traumatologie·Anton BorgersFrederik Verstreken
Jun 22, 2021·EFORT Open Reviews·Thomas J HolmeNajab Ellahee

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