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Proplast stabilized stemless trapezium implant.

F B Kessler, M J Epstein, J E Culver

    The Journal of Hand Surgery
    |March 1, 1984
    PubMed
    Summary
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    Stemless trapezium implants significantly improved hand function and reduced pain in patients undergoing trapeziectomy for arthritis or trauma. Most patients experienced symptom relief and enhanced grip strength post-surgery.

    Area of Science:

    • Orthopedic Surgery
    • Hand Surgery
    • Biomaterials Science

    Background:

    • Trapeziectomy is a common procedure for treating thumb base arthritis.
    • Previous implants have had limitations regarding joint mobility and stress on surrounding tissues.
    • The development of stemless implants aims to improve patient outcomes and implant longevity.

    Purpose of the Study:

    • To evaluate the efficacy and safety of stemless Proplast-covered silicone rubber trapezium implants.
    • To assess pain reduction and functional improvement after trapeziectomy with these implants.
    • To determine the long-term outcomes and complication rates associated with this implant type.

    Main Methods:

    • A cohort of 40 patients (45 implants) underwent trapeziectomy with stemless trapezium implants.

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  • Patients had osteoarthritis, rheumatoid arthritis, or trauma.
  • Follow-up ranged from 6 to 44 months (average 24.7 months).
  • Main Results:

    • Significant improvement in tripod pinch strength (243% in males, 113% in females).
    • Reduced pain: 65% asymptomatic, 21% slight intermittent pain, 14% pain with strenuous use only.
    • Excellent metacarpophalangeal (MP) and interphalangeal (IP) joint motion and circumduction.
    • Low complication rate: 4 implants removed due to dislocation (2 patients) or pain (1 patient).

    Conclusions:

    • Stemless trapezium implants are effective in restoring hand function and reducing pain after trapeziectomy.
    • The stemless design allows for greater metacarpal joint mobility, minimizing stress on the joint capsule.
    • These implants offer a safe and beneficial option for patients with thumb base arthritis or post-traumatic conditions.