A cemented surface replacement prosthesis in the basal thumb joint.
作者： J. van Rijn , T. Gosens
DOI: 10.1016/J.JHSA.2009.12.026
关键词: Thumb 、 Radiography 、 Thumb joint 、 Prosthesis 、 Dentistry 、 Surgery 、 Medicine 、 Orthopedic surgery 、 Implant 、 Basal (phylogenetics) 、 Range of motion
摘要: Purpose The purpose of this study was to evaluate a cemented prosthesis (Avanta SR TMC prosthesis; Avanta Orthopaedics, San Diego, CA) the basal thumb joint on outcomes range motion, strength, pain, function, and loosening. Methods Between July 2004 December 2007, total 15 prostheses in 13 patients were implanted, with an average follow-up period 36 months (range, 21–63 mo). Before during follow-up, following scores recorded: Kapandji-score (range opposition), strength (hand dynamometer pinch meter), pain (sequential occupational dexterity assessment [SODA], Michigan Hand Outcomes Questionnaire [MHQ]) function (9-hole peg test, SODA MHQ). Radiographs taken before after surgery reviewed. Results measurements opposition did not show any significant postoperative improvement. Pain activities (SODA) decreased significantly, both hands (SODA MHQ) improved significantly surgery. review pre- radiographs signs implant loosening One failure one nerve injury occurred. Conclusions In group patients, provided statistically improvements activity, but no change or operated hand used alone. Prosthesis detected. Type study/level evidence Therapeutic IV.
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