Abstract:
PURPOSE:Trapeziometacarpal (TM) osteoarthritis is the most common type of arthritis of the hand. To date, among surgical alternatives proposed, no one type has been proven superior to others. In this prospective study we evaluated the efficacy of treating arthroplasty with a latest-generation pyrocarbon implant (Pyrocardan). METHODS:Thirty-six patients with TM arthritis were treated using Pyrocardan implant arthroplasty. Results were evaluated through thumb radial and palmar abduction assessment, key pinch strength evaluation, thumb opposition assessment according to Kapandji classification, the visual analogue scale, the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire and the Patient's Satisfaction Index. RESULTS:There was substantial pain reduction and a satisfying increase in range of motion and strength (p < 0.01) and improvement in DASH score (p < 0.01). Average Patient's Satisfaction Index was 8 out of 10. CONCLUSIONS:TM arthroplasty with Pyrocardan implantation is a suitable option in treating Eaton-Littler grade II or III TM osteoarthritis.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Russo S,Bernasconi A,Busco G,Sadile Fdoi
10.1007/s00264-015-3016-zsubject
Has Abstractpub_date
2016-07-01 00:00:00pages
1465-71issue
7eissn
0341-2695issn
1432-5195pii
10.1007/s00264-015-3016-zjournal_volume
40pub_type
杂志文章abstract::A description is given of the vertical and horizontal components of the forces applied to the floor by the foot in walking. Information about the characteristics of the normal force pattern was obtained from the analysis of the gait of 214 normal subjects (108 young adults, 63 elderly people and 43 children). It is su...
journal_title:International orthopaedics
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pub_type: 临床试验,杂志文章,随机对照试验
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