gms | German Medical Science

14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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A new type of silicone implant for the thumb CMC joint osteoarthritis in grade III and IV. Four years follow-up

Meeting Abstract

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  • presenting/speaker Alena Schmoranzova - Institute for Hand Surgery and Plastic Surgery, Vysoké nad Jizerou, Czech Republic
  • Tomas Hellmuth - Institute for Hand Surgery and Plastic Surgery, Vysoké nad Jizerou, Czech Republic
  • Jiri Paroulek - Institute for Hand Surgery and Plastic Surgery, Vysoké nad Jizerou, Czech Republic
  • Radek Kebrle - Institute for Hand Surgery and Plastic Surgery, Vysoké nad Jizerou, Czech Republic
  • Daniela Horackova - Institute for Hand Surgery and Plastic Surgery, Vysoké nad Jizerou, Czech Republic
  • Lucie Smrckova - Institute for Hand Surgery and Plastic Surgery, Vysoké nad Jizerou, Czech Republic

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-1695

doi: 10.3205/19ifssh0208, urn:nbn:de:0183-19ifssh02089

Veröffentlicht: 6. Februar 2020

© 2020 Schmoranzova et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.

Gliederung

Text

Purpose: To investigate the short-term functional outcomes of arthroplasty for osteoarthritis of the basal joint of the thumb using our new type of silicone prosthesis. The indications were osteoarthritis in grade III and IV, unsuccesfull conservative treatment, elderly patient, and no requirements for manual work.

Methods: We observed 82 patients, operated in the years 2014 -2016 who received basal joint resection arthroplasty with our new type of silicone replacement. Subjective outcome measures included patient satisfaction scores, and Disabilities of the Arm, Shoulder and Hand (DASH) scores.

Result: At an average follow-up of 4 years, majority of the pacients subjectively scored the procedure as good or excellent and reported improvement in activities of daily living. No intraoperative complications were reported, only 7 early postoperative complications were reported for incorrect indication.

Conclusions: Basal joint arthroplasty using our new type of silicon implant provides very good short-term results for carpometacarpal thumb osteoarthritis. The procedure is safe, with a low complication rate Evaluation of the results after four years with measured by patient satisfaction and functional outcome is encouraging.