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Zeitschrift Fur Rheumatologie Dec 2023Arthrosis and autoimmune arthritis frequently lead to major impairment of hand function. Primary therapy consists of well- tried conservative treatments and joint... (Review)
Review
Arthrosis and autoimmune arthritis frequently lead to major impairment of hand function. Primary therapy consists of well- tried conservative treatments and joint preserving surgical options for special indications. In advanced stages silicon spacers remain the gold standard surgical option for replacement of proximal interphalangeal and metacarpophalgeal joints of the fingers. Alternatively, surface replacement prostheses can restore the biomechanical properties of these joints more porperly. In case of the carpometacarpal (CMC) joint of the thumb, arthroplasty is gaining popularity as modern implants show excellent mid-term outcome. Although current forth generation implants for wrist replacement are promising, total wrist arthroplasty is currently reserved for exceptional indications.
Topics: Humans; Wrist; Joint Prosthesis; Arthroplasty; Hand; Arthroplasty, Replacement; Joint Diseases; Wrist Joint
PubMed: 37828110
DOI: 10.1007/s00393-023-01420-8 -
Clinics in Podiatric Medicine and... Oct 2019Total ankle arthroplasty has been in development for more than 40 years. Although early designs were experimental with high failure rates, current implants are... (Review)
Review
Total ankle arthroplasty has been in development for more than 40 years. Although early designs were experimental with high failure rates, current implants are significantly improved, showing promising functional results and clinical outcomes. Total ankle replacement designs are split into mobile-bearing and fixed-bearing designs. When deciding whether to perform ankle arthroplasty, many factors need to be considered to determine if the patient is suitable and which implant is the best fit for patient and surgeon. Many prostheses are available in the United States today and the purpose of this article is to outline options for foot and ankle surgeons.
Topics: Arthroplasty, Replacement, Ankle; Humans; Joint Prosthesis; Prosthesis Design; United States
PubMed: 31466570
DOI: 10.1016/j.cpm.2019.06.005 -
Dermatologie (Heidelberg, Germany) Jan 2024
Topics: Humans; Antibiosis; Arthroplasty, Replacement; Joint Prosthesis; Endocarditis, Bacterial
PubMed: 37991532
DOI: 10.1007/s00105-023-05264-w -
Foot and Ankle Clinics Mar 2022
Topics: Ankle; Ankle Joint; Arthroplasty, Replacement; Arthroplasty, Replacement, Ankle; Humans; Joint Prosthesis
PubMed: 35219373
DOI: 10.1016/j.fcl.2021.11.013 -
The Journal of Bone and Joint Surgery.... Sep 2022
Topics: Arthroplasty, Replacement, Hip; Hip Prosthesis; Humans
PubMed: 35980042
DOI: 10.2106/JBJS.22.00535 -
Hand Clinics Nov 2023Proximal interphalangeal joint arthroplasties can be performed in the setting of acute comminuted fracture, chronic fracture presentations, and posttraumatic arthritis.... (Review)
Review
Proximal interphalangeal joint arthroplasties can be performed in the setting of acute comminuted fracture, chronic fracture presentations, and posttraumatic arthritis. These surgeries provide excellent pain relief and patient satisfaction but patients should be cautioned not to expect an improvement in motion postoperatively. Despite high rates of minor complications and radiographic loosening, these implants have good rates of long-term survival with most revisions occurring in the early postoperative period. They provide viable alternatives to arthrodesis, osteotomy and amputation in the appropriate patient.
Topics: Humans; Osteoarthritis; Treatment Outcome; Joint Prosthesis; Retrospective Studies; Arthroplasty, Replacement, Finger; Finger Joint; Arthroplasty; Fractures, Bone; Range of Motion, Articular
PubMed: 37827610
DOI: 10.1016/j.hcl.2023.06.004 -
Orthopadie (Heidelberg, Germany) Jan 2023Hip arthroplasty revision management can range from simple procedures using standard implants to complex surgical interventions requiring the combined use of revision... (Review)
Review
Hip arthroplasty revision management can range from simple procedures using standard implants to complex surgical interventions requiring the combined use of revision cups, metal augments, bone grafts, and antiprotrusio cages. The adequate restoration of biomechanics and function of the hip joint with reconstruction of the original center of rotation can be challenging. We present an overview of various available techniques with the associated implant and anchoring strategies and the respective clinical results depending on the acetabular defect situation.
Topics: Humans; Arthroplasty, Replacement, Hip; Hip Prosthesis; Prosthesis Failure; Reoperation; Hip Joint
PubMed: 35759041
DOI: 10.1007/s00132-022-04271-4 -
The Bone & Joint Journal Jul 2022
Topics: Arthroplasty, Replacement, Hip; Congresses as Topic; Hip Prosthesis; Humans; Reoperation
PubMed: 35775185
DOI: 10.1302/0301-620X.104B7.BJJ-2022-0490 -
Journal of Oral and Maxillofacial... Jul 2019There appears to be little consensus on how to evaluate and manage patients reporting a possible allergic reaction to joint replacement devices containing metal. This... (Review)
Review
PURPOSE
There appears to be little consensus on how to evaluate and manage patients reporting a possible allergic reaction to joint replacement devices containing metal. This article presents an analysis of the current orthopedic literature in this regard as it relates to diagnosis, testing, and management. Based on that evidence, a management algorithm for metal hypersensitivity in the patient receiving an alloplastic temporomandibular joint replacement is proposed.
MATERIALS AND METHODS
Orthopedic surgery has recognized metal sensitivity as a problem in joint replacement; using a PubMed search for this topic, the pertinent orthopedic literature was reviewed.
RESULTS
Metal hypersensitivity response to implant materials is often a diagnosis of exclusion. The 2 most commonly used tests are the in vivo skin patch test and in vitro lymphocyte transformation test. Initially, conservative management is indicated and other more common causes of symptomatic total joint replacement should be fully explored. Device removal should be considered a last resort.
CONCLUSIONS
Before a primary total joint replacement, testing could be helpful when a patient reports a history of intolerance to jewelry or of an allergic reaction to a prior metal implant. However, to date, routine testing is not supported by the literature.
Topics: Arthroplasty, Replacement; Dental Implants; Humans; Hypersensitivity; Joint Prosthesis; Metals; Temporomandibular Joint
PubMed: 30825437
DOI: 10.1016/j.joms.2019.01.042 -
The Journal of Hand Surgery, European... Feb 2024We reviewed the incidence and management of complications after total wrist arthroplasty, as reported in the literature, with so-called fourth-generation implants and... (Review)
Review
We reviewed the incidence and management of complications after total wrist arthroplasty, as reported in the literature, with so-called fourth-generation implants and other recent designs. While early intraoperative and postoperative complications, including fractures, tendon lacerations, infection, nerve compression, tendonitis, stiffness and chronic regional pain syndrome, had an acceptable incidence, late complications, such as periprosthetic osteolysis and implant loosening, occurred more frequently. Implant survival at 10 years was in the range of 70%-80% in most publications. Several of the implants have been modified or withdrawn. Instability and dislocation were frequent after a pyrocarbon spacer. Failed arthroplasties can be salvaged by revision arthroplasty or total wrist arthrodesis. Revision arthroplasty has a lower survival rate than primary arthroplasty and does not clearly offer important significant advantages over total wrist arthrodesis in terms of patient-reported outcome measures. Further development of prosthetic design, new materials and more knowledge on patient-related risk factors are needed.
Topics: Humans; Wrist; Arthroplasty, Replacement; Joint Prosthesis; Postoperative Complications; Risk Factors; Reoperation
PubMed: 38315136
DOI: 10.1177/17531934231203297