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Journal of Hand Surgery (European Volume)
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Article

Surface replacement trapeziometacarpal joint arthroplasty - early results

A Pendse, Aamer Nisar, Mr*, S Z Shah, A Bhosale, J V Freeman, and I Chakrabarti

* To whom correspondence should be addressed. E-mail: aamnis{at}aol.co.uk.


  Abstract

This study reviews the results of Surface Replacement Trapeziometacarpal (SR TMC, Avanta®, San Diego, CA) total joint arthroplasty. Fifty patients (62 joints) were included in the study. Forty-three patients (54 joints) were seen at final follow up. Seven patients (eight joints) were interviewed over the phone. Seven patients were revised to trapeziectomy and ligament reconstruction with tendon interposition, five for aseptic loosening and two for dislocation. At final follow up, the mean Quick DASH score was 30.4 and the Sollerman Score was 77.3. Radiological review of the surviving 55 joints showed subsidence of four trapezial components in asymptomatic patients. Cumulative survival rate was 91% at 3 years. Eighty-five percent of the patients were satisfied with the outcome of their treatment.

First published on September 28, 2009
Journal of Hand Surgery (European Volume) 2009, doi:10.1177/1753193409343750
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