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Chirurgie de La Main Feb 2001Total joint replacement of the trapezio-metacarpal (TMC) joint is one of the procedures available for the surgical treatment of degenerative osteoarthritis or rheumatoid...
Total joint replacement of the trapezio-metacarpal (TMC) joint is one of the procedures available for the surgical treatment of degenerative osteoarthritis or rheumatoid arthritis of the first carpometacarpal joint. A four French Alpine surgeon group, (C. Lebrun, P. Massart, F. Moutet and C. Sartorius) have developed a new cementless total TMC joint prosthesis: the Roseland prosthesis. Such a device tries to improve the biomechanical conditions of the La Caffinière's implant, which was introduced in 1973. Clinical data of a 24 patients with a 38 month mean follow-up series are reported.
Topics: Adult; Aged; Aged, 80 and over; Arthritis, Rheumatoid; Arthroplasty, Replacement; Biomechanical Phenomena; Carpal Bones; Female; Follow-Up Studies; Humans; Joint Prosthesis; Male; Metacarpophalangeal Joint; Middle Aged; Osteoarthritis; Prosthesis Design; Radiography; Range of Motion, Articular; Thumb; Treatment Outcome
PubMed: 11291325
DOI: 10.1016/s1297-3203(01)00019-1 -
Bulletin of the Hospital For Joint... Mar 2018Periprosthetic joint infection (PJI) is one of the most catastrophic and difficult to manage complications following total hip and total knee arthroplasty. As the number... (Review)
Review
Periprosthetic joint infection (PJI) is one of the most catastrophic and difficult to manage complications following total hip and total knee arthroplasty. As the number of total joint arthroplasties continues to increase, the burden of PJI will continue to further strain resources. As such, orthopedic surgeons consider four principles crucial in appropriately managing difficult or complex cases of PJI: identification, debridement, antibiotics, and patience. Indications and techniques for nonoperative treatment, debridement with implant retention, and one- and two-stage exchange arthroplasty are reviewed. Despite optimal care, a subset of patients will experience failure and the role of resection, fusion, and amputation is discussed. Understanding appropriate patient selection, pathogens, and improved surgical techniques should form the basis of managing PJI.
Topics: Amputation, Surgical; Anti-Bacterial Agents; Arthroplasty, Replacement; Debridement; Device Removal; Humans; Joint Prosthesis; Prosthesis-Related Infections; Reoperation; Treatment Outcome
PubMed: 29537958
DOI: No ID Found -
Hand Clinics May 2018Salvaging a failed proximal interphalangeal (PIP) joint implant arthroplasty remains a considerable technical and rehabilitation challenge. Experienced arthroplasty... (Review)
Review
Salvaging a failed proximal interphalangeal (PIP) joint implant arthroplasty remains a considerable technical and rehabilitation challenge. Experienced arthroplasty surgeons have reported 70% survival of revision PIP implants at 10 years with 25% of patients requiring subsequent revision surgery. At this time, there is no consensus surgical approach or implant proven superior for revision implant arthroplasty of the PIP joint. Secondary arthrodesis or amputation may be required to salvage the failed PIP implant arthroplasty with compromised bone stock or soft tissue envelopes that are inadequate for implant arthroplasty.
Topics: Arthrodesis; Arthroplasty, Replacement, Finger; Finger Joint; Hand Deformities, Acquired; Humans; Joint Prosthesis; Patient Positioning; Postoperative Care; Preoperative Care; Reoperation; Salvage Therapy
PubMed: 29625641
DOI: 10.1016/j.hcl.2017.12.011 -
Hua Xi Kou Qiang Yi Xue Za Zhi = Huaxi... Aug 2014The anatomically and functionally complex nature of the temporomandibularjoint (TMJ) makes its reconstruction one of the most challenging tasks faced by surgeons who...
The anatomically and functionally complex nature of the temporomandibularjoint (TMJ) makes its reconstruction one of the most challenging tasks faced by surgeons who operate in the head and neck. TMJ prosthesis is one of the important techniques in the reconstruction of TMJ. The main indications for TMJ prosthesis include ankylosis, fractures of condylar that can't be fixed, trauma or tumor, end-stage TMJ disturbance, and TMJ dysplasia caused by Hallermann-Streiff syndrome. TMJ replacement aims to enhance the function of TMJ, alleviate pain, and prevent serious complications. TMJ prosthesis is advantageous in oral and maxillofacial surgery because it can imitate normal anatomic morphology and adhere to the host. Moreover, the use of other materials is no longer necessary and functional training can be started postoperatively at once, among others. Prosthetic materials have leading and promoting functions in the development of joint prosthesis. Good design, fit shape, and fixation are the necessary conditions for prosthesis to serve its function. Investigation of joint biomechanics is also necessary. With the rapid developments in material science, joint biomechanics, and other related subjects, TMJ prosthesis has been significantly improved in terms of its materials, design, fit shape, and fixation techniques. In addition, the development of TMJ prosthesis would expand its applications. This review intends to provide an overview about the progress and clinical application of TMJ prosthesis.
Topics: Ankylosis; Arthroplasty, Replacement; Humans; Joint Prosthesis; Plastic Surgery Procedures; Temporomandibular Joint; Temporomandibular Joint Disorders
PubMed: 25241552
DOI: 10.7518/hxkq.2014.04.025 -
The Journal of Hand Surgery, European... Jul 2017Thumb carpometacarpal joint replacement is associated with high rates of loosening and failure. We present our results for an uncemented ceramic-ceramic total joint...
UNLABELLED
Thumb carpometacarpal joint replacement is associated with high rates of loosening and failure. We present our results for an uncemented ceramic-ceramic total joint prosthesis with a reverse ball-and-socket design and bioactive coating. Between 2008 and 2012, 29 prostheses were inserted into 28 patients (mean age 63 years) with advanced osteoarthritis. After a mean period of 33 months (range 9-62), 26 patients (27 implants) were available for follow-up. Six months postoperatively, 50% of the patients had radiological evidence of early loosening. Fifteen implants had been removed in 14 patients for aseptic loosening (13) or trapezium fracture (2). The 12 patients whose prosthesis was still in place had a mean visual analogue scale pain score of 1.9 (range 0-6) and a mean Disabilities of the Arm, Shoulder and Hand score of 23 (range 0-73.3). Eleven patients were satisfied with the procedure. The rate of early aseptic failure was unacceptably high.
LEVEL OF EVIDENCE
IV.
Topics: Adult; Aged; Arthroplasty, Replacement; Carpometacarpal Joints; Cementation; Ceramics; Cohort Studies; Female; Humans; Joint Prosthesis; Male; Middle Aged; Osteoarthritis; Prosthesis Design; Prosthesis Failure; Range of Motion, Articular; Thumb; Time Factors
PubMed: 28103747
DOI: 10.1177/1753193416688427 -
Journal of Orthopaedic Surgery and... Jul 2015The management of irreparable rotator cuff tears associated with osteoarthritis of the glenohumeral joint has long been challenging. Reverse total shoulder arthroplasty... (Review)
Review
The management of irreparable rotator cuff tears associated with osteoarthritis of the glenohumeral joint has long been challenging. Reverse total shoulder arthroplasty (RSA) was designed to provide pain relief and improve shoulder function in patients with severe rotator cuff tear arthropathy. While this procedure has been known to reduce pain, improve strength and increase range of motion in shoulder elevation, scapular notching, rotation deficiency, early implant loosening and dislocation have attributed to complication rates as high as 62%. Patient selection, surgical approach and post-operative management are factors vital to successful outcome of RSA, with implant design and component positioning having a significant influence on the ability of the shoulder muscles to elevate, axially rotate and stabilise the humerus. Clinical and biomechanical studies have revealed that component design and placement affects the location of the joint centre of rotation and therefore the force-generating capacity of the muscles and overall joint mobility and stability. Furthermore, surgical technique has also been shown to have an important influence on clinical outcome of RSA, as it can affect intra-operative joint exposure as well as post-operative muscle function. This review discusses the behaviour of the shoulder after RSA and the influence of implant design, component positioning and surgical technique on post-operative joint function and clinical outcome.
Topics: Arthroplasty, Replacement; Humans; Joint Prosthesis; Prosthesis Design; Shoulder Joint
PubMed: 26135298
DOI: 10.1186/s13018-015-0244-2 -
Clinical Orthopaedics and Related... Apr 2011
Topics: Arthroplasty, Replacement; Humans; Infection Control; Joint Prosthesis; Prosthesis-Related Infections; Risk Factors
PubMed: 21128032
DOI: 10.1007/s11999-010-1714-9 -
Drug and Therapeutics Bulletin Feb 2016Ankle arthritis results in a stiff and painful ankle and can be a major cause of disability. For people with end-stage ankle arthritis, arthrodesis (ankle fusion) is... (Review)
Review
Ankle arthritis results in a stiff and painful ankle and can be a major cause of disability. For people with end-stage ankle arthritis, arthrodesis (ankle fusion) is effective at reducing pain in the shorter term, but results in a fixed joint, and over time the loss of mobility places stress on other joints in the foot that may lead to arthritis, pain and dysfunction. Another option is to perform a total ankle joint replacement, with the aim of giving the patient a mobile and pain-free ankle. In this article we review the efficacy of this procedure, including how it compares to ankle arthrodesis, and consider the indications and complications.
Topics: Ankle; Arthritis; Arthrodesis; Arthroplasty, Replacement; Humans; Intraoperative Complications; Joint Prosthesis; Postoperative Complications
PubMed: 26868932
DOI: 10.1136/dtb.2016.2.0384 -
The Journal of Hand Surgery Mar 2017Total wrist arthroplasty using current design implants has evolved into a fairly predictable procedure for rheumatoid, osteoarthritic, and posttraumatic patients.... (Review)
Review
Total wrist arthroplasty using current design implants has evolved into a fairly predictable procedure for rheumatoid, osteoarthritic, and posttraumatic patients. Although complications can occur, the incidence of these has dropped over the past decade with implant design modifications. The article summarizes the current use of total wrist arthroplasty and touches on issues of revision surgery, secondary fusion, complications, wrist fusion takedown, and radiolucency around implants. Technical tips are also provided for both primary and revision surgery.
Topics: Arthritis; Arthroplasty, Replacement; Humans; Joint Prosthesis; Prosthesis Design; Reoperation; Wrist Joint
PubMed: 28111060
DOI: 10.1016/j.jhsa.2016.12.004 -
Acta Orthopaedica Dec 2013
Topics: Arthroplasty, Replacement; Consensus Development Conferences as Topic; Humans; International Cooperation; Joint Prosthesis; Prosthesis-Related Infections
PubMed: 24286568
DOI: 10.3109/17453674.2013.867399