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Updated: Aug 25, 2026
Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
Total joint arthroplasty for osteoarthritis of the thumb basal joint
Luc De Smet1, Wouter Sioen, Dominique Spaepen
1Hand Unit, Orthopaedic Department, University Hospital Pellenberg, Catholic University of Leuven, Lubbeek-Pellenberg, Belgium. luc.desmet@uz.kuleuven.ac.be
Abstract:
A survey of 43 cemented arthroplasties of the trapeziometacarpal joint with a la Caffinière prosthesis in 40 patients is presented. A 70% patient satisfaction rate was obtained, with a mean DASH score of 24.2. Good range of motion was preserved (opposition 9/10 on Kapandji's scale) and gripping force as well as key pinch force increased from 18 kg to 24 kg and from 5.3 to 6.0 kg respectively. However loosening was seen in 44% of the implants. Loosening was related to younger age. We conclude that despite good clinical outcome, radiographic loosening is a threat for the future of this implant.
