PDF icon Download PDF
Open Access
CC BY-NC-ND 4.0 · Revista Iberoamericana de Cirugía de la Mano 2024; 52(01): e52-e61
DOI: 10.1055/s-0044-1787298
Artículo Original | Original Article

Review of the Trapeciometacarpal Thumb Prosthesis of the Patella Type: Surgical Technique and Results of Secondary Trapeziectomy with Ligamentous Reconstruction

Article in several languages: español | English
Guillem Salva-Coll 
1   Departamento de Cirugía de Mano y Muñeca, Hospital Universitari Son Espases e Instituto IBACMA, Palma de Mallorca, España
,
Xavier Terrades-Cladera
2   Cirugía de Mano, Instituto IBACMA, Hospital Sant Joan de Déu y Mutua Balear, Palma de Mallorca, España
› Author Affiliations

Funding The authors received no financial support for the research, authorship, and/or publication of this article.
› Further Information
Also available ateRef
  Permissions and Reprints
Preview

Abstract

Objective When revising a failed patella-type trapeziometacarpal (TMC) prosthesis, in some cases it may be necessary to remove the metacarpal stem. The purpose of this work is to present a new surgical technique to remove the metacarpal stem and present the results of secondary trapeziectomy after a failed TMC patella-type prosthesis.

Methods A retrospective review was conducted on a case series of 12 patients who underwent revision surgery for a failed TMC prosthesis between 2007 and 2019. Epidemiological and clinical data were recorded, including visual analog scale (VAS) and Quick DASH, and were statistically analyzed using SPSS® statistical software.

Results In all cases the stem could be removed without complications. The average prosthesis survival time was 32.3 months (range 11.5-53.2) and the average follow-up time after revision surgery was 34.9 months (range 14.4-55.4). The VAS mean was 4.0 (95% CI: 2.4-5.6) with a range of 0 to 8. The quick DASH mean was 52.1 (95% CI: 37.0-67.3).

Conclusion The presented surgical technique provides a useful resource to remove the stem if necessary. The results of secondary trapeziectomy may not be as good as expected.

Keywords

trapeziometacarpal prosthesis - ligamentoplasty - joint replacement - teview - failure

Informed consent

Not applicable.


Authors' contribution

Guillem Salva-Coll researched the literature and conceived the study, participated in protocol development, recruited patients, and analyzed the data. Xavier Terrades-Cladera participated in patient recruitment and data analysis. Guillem Salva-Coll wrote the first draft of the manuscript. All authors reviewed and edited the manuscript and approved the final version of the manuscript.




Publication History

Received: 01 March 2024

Accepted: 08 April 2024

Article published online:
07 June 2024

© 2024. SECMA Foundation. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil