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Journal of Stomatology, Oral and... Sep 2023Alloplastic total temporomandibular joint replacement (TMJR) is the treatment of choice for end-stage temporomandibular joint diseases. Extended TMJR (eTMJR) is a... (Review)
Review
Alloplastic total temporomandibular joint replacement (TMJR) is the treatment of choice for end-stage temporomandibular joint diseases. Extended TMJR (eTMJR) is a modification of the standard alloplastic fossa-condyle joint that includes components extending further to the skull base or the mandible. The aim of this study is to review the use of the eTMJR prosthesis for the treatment of large craniomaxillofacial defects. Data mining was performed according to the PRISMA statement using online search in databases such as PubMed (Medline), Google Scholar, Dimensions, Semantic Scholar and Web of Science. A total of 19 case reports, 08 case series and 03 retrospective studies were identified. A total of 49 patients were presented in the case reports and case series, who were implanted with 56 eTMJR prostheses (07 bilateral and 42 unilateral procedures). The mean age of the patients was 36.02±16.54 years, the male to female patient ratio was 1:1.72 and the mean follow-up time was 23.74 ± 19.83 months. The eTMJR prosthesis was most frequently used to treat ameloblastoma and hemifacial microsomia. Analysis of the retrospective studies was performed in three domains: the baseline characteristic of patients, treatment outcomes in terms of functional variables and complications after eTMJR prostheses implantation. This study concluded that the implantion of the eTMJR prosthesis was uncommon, that appropriate class of eTMJR prosthesis was not reported, and that the width of the mandibular component (like the length) of eTMJR prosthesis has substantial variations.
Topics: Adult; Female; Humans; Male; Middle Aged; Young Adult; Arthroplasty, Replacement; Joint Prosthesis; Retrospective Studies; Temporomandibular Joint; Temporomandibular Joint Disorders
PubMed: 36720364
DOI: 10.1016/j.jormas.2023.101404 -
The Orthopedic Clinics of North America Jul 2013The reverse shoulder arthroplasty is considered to be one of the most significant technological advancements in shoulder reconstructive surgery over the past 30 years.... (Review)
Review
The reverse shoulder arthroplasty is considered to be one of the most significant technological advancements in shoulder reconstructive surgery over the past 30 years. It is able to successfully decrease pain and improve function for patients with rotator cuff-deficient shoulders. The glenoid is transformed into a sphere that articulates with a humeral socket. The current reverse prosthesis shifts the center of rotation more medial and distal, improving the deltoid's mechanical advantage. This design has resulted in successful improvement in both active shoulder elevation and in quality of life.
Topics: Arthritis, Rheumatoid; Arthroplasty, Replacement; Biomechanical Phenomena; Humans; Joint Prosthesis; Prosthesis Design; Prosthesis-Related Infections; Range of Motion, Articular; Rotation; Rotator Cuff; Shoulder Joint
PubMed: 23827841
DOI: 10.1016/j.ocl.2013.03.010 -
Surgical Infections Sep 2022To evaluate systematically the failure rate of short versus long courses of antibiotic agents for prosthetic joint infections (PJIs). PubMed, Embase, and Cochrane... (Meta-Analysis)
Meta-Analysis Review
To evaluate systematically the failure rate of short versus long courses of antibiotic agents for prosthetic joint infections (PJIs). PubMed, Embase, and Cochrane Library databases were searched for controlled studies of short- and long-course antibiotic agents for joint prosthesis infections, all from the time of database creation to April 2022. Literature search, quality evaluation, and data extraction were performed independently by two researchers, and the primary outcome was the rate of surgical failure after antibiotic treatment. Stata 11.0 software was then applied for meta-analysis. Publication bias was assessed using Begg test. Heterogeneity was assessed using the test, and fixed or random effects models were used accordingly. Meta-regression was used to determine the causes of heterogeneity. A total of 14 articles involving 1,971 participants met the inclusion criteria, including 12 observational studies and two randomized controlled trials. Meta-analysis showed no difference between short and long courses of antibiotic agents (relative risk, 1.08; 95% confidence interval [CI], 0.89-1.32). The results of the subgroup analysis showed no differences between the failure rates of patients with PJI treated with short and long courses of antibiotic agents in studies with different study areas, different treatment modalities, and different locations of the artificial joints. Patients with PJIs may not require long-term or lifelong antibiotic agents after surgical treatment, and short-term (four to six weeks) antibiotic therapy is usually safe.
Topics: Anti-Bacterial Agents; Arthritis, Infectious; Arthroplasty, Replacement; Humans; Joint Prosthesis
PubMed: 35950957
DOI: 10.1089/sur.2022.157 -
International Journal of Oral and... Feb 2008This paper provides a review of the current knowledge of temporomandibular joint total replacement systems. An electronic Medline search was performed to identify all... (Review)
Review
This paper provides a review of the current knowledge of temporomandibular joint total replacement systems. An electronic Medline search was performed to identify all the relevant English-language, peer-reviewed articles published during 1990-2006. Twenty-eight references were considered for review, seven of which were reviews, 17 clinical trials or case series, and four single-patient case reports. Therapeutic outcomes were encouraging for all three total prosthetic systems for which follow-up data from a consistent sample of patients exist. A lack of homogeneity between studies in patient selection and indications for the intervention was noted. A better integration between clinical and research settings is needed to achieve a standardized definition of the rationale and indications for total temporomandibular joint replacement. Findings from the available studies are promising, and need to be confirmed by multicenter trials taking into account interoperator variability.
Topics: Arthroplasty, Replacement; Humans; Joint Prosthesis; Patient Selection; Temporomandibular Joint; Treatment Outcome
PubMed: 18022347
DOI: 10.1016/j.ijom.2007.09.175 -
Ugeskrift For Laeger Jan 2019Total joint replacement is used for treating osteoarthritis of the trapeziometacarpal joint. The prosthesis is a ball and socket design resembling a total hip prosthesis...
Total joint replacement is used for treating osteoarthritis of the trapeziometacarpal joint. The prosthesis is a ball and socket design resembling a total hip prosthesis and with the same risk of head luxation. To reduce this risk, dual mobility articulations have also been introduced in prosthesis of the thumb, and this is a case report of luxation of the polyethylene liner in a dual mobility prosthesis, illustrating that introducing new designs in prosthesis for the basal joint of the thumb may lead to similar complications as are seen in the hip joint.
Topics: Arthroplasty, Replacement, Hip; Hip Prosthesis; Humans; Joint Dislocations; Joint Prosthesis; Prosthesis Design; Prosthesis Failure
PubMed: 30722821
DOI: No ID Found -
Journal of Stomatology, Oral and... Sep 2021
Topics: Arthroplasty, Replacement; Humans; Joint Prosthesis; Registries; Temporomandibular Joint
PubMed: 34273572
DOI: 10.1016/j.jormas.2021.07.008 -
Acta Orthopaedica Belgica Sep 2019The purpose of this retrospective study was to describe our experience with failed TMC joint prostheses and to report the results of 7 cases that were treated by a...
The purpose of this retrospective study was to describe our experience with failed TMC joint prostheses and to report the results of 7 cases that were treated by a salvage revision arthroplasty. We only performed this salvage arthroplasty when partial (cup replacement) or total replacement of TMC prosthesis was not possible. We performed a resection arthroplasty with (partial) trapezial excision and spacer insertion to prevent scaphometacarpal collaps. We used the proximal part of the Ascencion® MCP implant (Integra) as spacer. Among our 7 patients, 3 were satisfied with a VAS satisfaction of 8 or more. Four patients had pain levels less than or equal to 3. Our mean DASH score was 32.7. Our patients had good opposition and retropulsion scores and the mean TMC joint flexion and abduction values were both 40°. But tip and key pinch ipsilateral was insufficient (mean tip pinch of 2kg and key pinch of 1kg). We believe that the salvage revision arthroplasty with (partial) trapezial excision and spacer insertion is a valuable treatment option for failed TMC joint replacement. But further research needs to compare all the different revision options after TMC joint replacement in a multicenter randomized controlled trial.
Topics: Aged; Arthroplasty, Replacement; Carpometacarpal Joints; Female; Humans; Joint Prosthesis; Male; Middle Aged; Prosthesis Failure; Reoperation; Retrospective Studies; Salvage Therapy; Thumb
PubMed: 31677628
DOI: No ID Found -
Radiographics : a Review Publication of... 2003Joint arthroplasty is the most frequently performed orthopedic procedure after fracture fixation. The major indications for any joint replacement are degenerative joint... (Review)
Review
Joint arthroplasty is the most frequently performed orthopedic procedure after fracture fixation. The major indications for any joint replacement are degenerative joint disease, inflammatory arthropathy, avascular necrosis, and complicated fractures. The major contraindications for any joint arthroplasty are systemic and joint infection and a neuropathic joint. The interpretation of radiographs in cases of joint arthroplasty is a significant part of many radiology practices, and correct recognition of the prosthetic devices and their complications by the radiologist is important. The article reviews the most common types of joint arthroplasties and prostheses of the upper and lower extremities and discusses the most frequent complications associated with their placement.
Topics: Arthroplasty, Replacement; Humans; Joint Prosthesis; Radiography
PubMed: 12975517
DOI: 10.1148/rg.235035059 -
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 -
Revue de Stomatologie, de Chirurgie... Sep 2016The temporomandibular joint (TMJ) is probably the most complex human joint. As in all joints, its prosthetic replacement may be indicated in selected cases. Significant... (Review)
Review
The temporomandibular joint (TMJ) is probably the most complex human joint. As in all joints, its prosthetic replacement may be indicated in selected cases. Significant advances have been made in the design of TMJ prostheses during the last three decades and the indications have been clarified. The aim of our work was to make an update on the current total TMJ total joint replacement. Indications, contraindications, prosthetic components, advantages, disadvantages, reasons for failure or reoperation, virtual planning and surgical protocol have been exposed.
Topics: Arthroplasty, Replacement; Contraindications; Facial Paralysis; Humans; Joint Prosthesis; Postoperative Complications; Temporomandibular Joint; Temporomandibular Joint Disorders
PubMed: 27554487
DOI: 10.1016/j.revsto.2016.07.016