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Related Experiment Video

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Reverse Total Shoulder Arthroplasty
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Thumb basal joint interpositional arthroplasty: a systematic review.

M A Basso1, M Rizzo1, G Famiglietti1

  • 1Department of Public Health, Section of Orthopaedic Surgery, "Federico II" University, Naples, Italy.

Journal of Biological Regulators and Homeostatic Agents
|March 19, 2021
PubMed
Summary
This summary is machine-generated.

This systematic review found an 11% failure rate for trapeziometacarpal interposition implants in thumb osteoarthritis surgery. Dislocation was the most common long-term complication requiring revision.

Keywords:
arthroplastycord bloodinterpositionreplacementrizoarthrosisthumb basal joint

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Area of Science:

  • Orthopedic Surgery
  • Biomaterials Science

Background:

  • Thumb basal joint osteoarthritis is a prevalent condition leading to pain and functional impairment.
  • Interposition arthroplasty is a surgical option, utilizing various implants to restore joint function.
  • Understanding implant failure rates is crucial for optimizing treatment outcomes.

Approach:

  • Systematic review of Medline, Web of Science, and Scopus databases.
  • Inclusion criteria: English literature, >35 cases, >24 months follow-up.
  • Quality assessment using the Coleman Methodological Score.

Key Points:

  • Analyzed 1205 procedures across 21 studies.
  • Overall failure rate for interposition implants was 11%.
  • Dislocation identified as the primary long-term complication and reason for revision.

Conclusions:

  • Interposition implants demonstrate a notable failure rate in treating thumb osteoarthritis.
  • Dislocation is a significant concern, impacting revision rates.
  • Further research into implant design and surgical technique may mitigate complications.