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Short Term Review of the De La Caffiniere Trapeziometacarpal Arthroplasty

From the Norfolk and Norwich Hospital

Correspondence: A. C. August, F.R.C.S., Senior Orthopaedic Registrar at the Norfolk and Norwich Hospital, (St. Bartholomew’s Hospital Higher Surgical Training Programme).

Correspondence: R. M. Coupland, Senior House Officer, Norfolk and Norwich Hospital. J. P. Sandifer, Senior Resident, Orthopaedic Training Programme, University of Texas, Dallas, U.S.A.

We present a short term review of twenty-one De La Caffinière trapezio-metacarpal prostheses inserted into twenty patients with an average review time of fifteen months.

Only one case was of rheumatoid arthritis and the main indication for operation was pain. From a functional and symptomatic point of view the results are similar to other series with surgery for trapezio-metacarpal arthritis but due to cup loosening 24% have needed revision, 24% have loose cups and a further 19% have lucent cement lines around the cup.

This review draws attention to the worrying frequency of loosening with this prosthesis.

Journal of Hand Surgery (British and European Volume), Vol. 9, No. 2, 185-188 (1984)
DOI: 10.1016/S0266-7681(84)80026-1


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