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Reconstruction for failed trapeziometacarpal implant.
Ludovic Ardouin1, Benjamin Mattelaer, Federico Villani
1Institut Européen de la Main-Luxembourg, Hopital Kirchberg, 9 Rue Edward Steichen, Luxembourg. ludovicardouin@me.com
Techniques in Hand & Upper Extremity Surgery
|November 23, 2011
Summary
Revision surgery for failed thumb carpometacarpal implants presents challenges, especially with significant bone loss. This study details a strategy for revising cemented metallic trapeziometacarpal implants with major first metacarpal shortening.
Area of Science:
- Orthopedic surgery
- Biomaterials science
- Hand surgery
Background:
- Trapeziometacarpal (TMC) joint implants are used for thumb carpometacarpal osteoarthritis.
- Implant failure can occur, necessitating revision surgery.
- Revision of failed TMC implants, particularly with bone loss, is complex.
Purpose of the Study:
- To describe a revision strategy for failed cemented metallic TMC implants.
- To address challenges associated with major first metacarpal shortening in revision cases.
Main Methods:
- Review of a specific revision technique for failed TMC implants.
- Focus on managing significant first metacarpal bone shortening.
Main Results:
- Successful implementation of a described revision strategy.
- Management of a complex case involving failed cemented metallic TMC implant.
Conclusions:
- A viable surgical strategy exists for revising failed TMC implants with bone shortening.
- This approach can address challenging revision scenarios in thumb osteoarthritis surgery.