Intermediate and long-term follow-up after pyrocarbon disc interposition arthroplasty for the treatment of arthritis of the CMC thumb joint (2023)

Van Laarhoven, C., Ottenhoff, JSE., van Hoorn, BTJA., Heijl, M., Schuurman, A.H. e van der Heijden, BEPA. (2021).Mid- and long-term follow-up after arthroplasty with interposition of a pyrocarbon disc for the treatment of thumb CMC arthritis.Journal of Hand Surgery,46(2), 150.e1-150.e14.https://doi.org/10.1016/j.jhsa.2020.07.025

van Laarhoven, Cecilia; Ottenhoff, JSE; van Hoorn, BTJA et al./Mid- and long-term follow-up after arthroplasty with interposition of a pyrocarbon disc for the treatment of thumb CMC arthritis. Em:Journal of Hand Surgery. 2021; flight 46, no. 2. Art. 150.e1-150.e14.

@article{ed66dfb385984982aed98ae6194a245c,

title = "Medium and long-term follow-up after arthroplasty with interposition of a pyrocarbon disc for the treatment of thumb CMC arthritis",

abstract="Objective: Pyrocarbon disk interposition arthroplasty was developed for the surgical treatment of Eaton-Glickel arthritis of the grade II/III carpometacarpal joint of the thumb. This study presents the results of this technique with a minimum follow-up of 5 years Methods: We evaluated 4 patient-reported outcome measurement questionnaires in a cross-sectional study: patient-rated hand and wrist rating, arm, shoulder, and hand disability questionnaire, Michigan hand questionnaire, and satisfaction questions. and grip strength, range of motion, and radiographic disc position. Finally, a Kaplan-Meier survival analysis was performed.Michigan Hand, Shoulder, and Hand Questionnaire scored 17, 18, and 76, respectively. Satisfaction score was 9 (Likert scale) 1-10). Grip and pinch strength reached nearly 100% versus the contralateral hand. Range of motion resulted in a Kapandji score of 10. Thumb height showed less loss and the Kaplan-Meier survival curve showed a survival rate of 91%. Conclusions: Our study suggests that interpositional pyrocarbon disk arthroplasty is a reliable and feasible treatment for arthritis of the carpometacarpal joint of the thumb with medium-term follow-up. It was associated with high patient satisfaction; thumb height was maintained and the implant survived in 91% of patients. Strength and range of motion were comparable to those of the contralateral hand after at least 5 years of follow-up. Type of study/level of evidence: therapeutic IV.",

autor = "{van Laarhoven}, Cecile e JSE Ottenhoff e {van Hoorn}, BTJA e Marilene Heijl e Schuurman, {A H} e {van der Heijden}, BEPA",

again="2021",

doi = "10.1016/j.jhsa.2020.07.025",

language="english",

volume = "46",

Sides = "150.e1--150.e14",

number="2",

}

Van Laarhoven, C., Ottenhoff, JSE, van Hoorn, BTJA, Heijl, M, Schuurman, AH e van der Heijden, BEPA 2021, 'Mid- and long-term follow-up after arthroplasty with interposition of a pyrocarbon disc for the treatment of thumb CMC arthritis',Journal of Hand Surgery, Bd. 46, num. 2, S. 150.e1-150.e14.https://doi.org/10.1016/j.jhsa.2020.07.025

Mid- and long-term follow-up after arthroplasty with interposition of a pyrocarbon disc for the treatment of thumb CMC arthritis./van Laarhoven, Cecilia; Ottenhoff, JSE; van Hoorn, BTJA et al.

Em:Journal of Hand Surgery, Bd. 46, nº. 2, 2021, p. 150.e1-150.e1

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T1 - Mid- and long-term follow-up after arthroplasty with interposition of a pyrocarbon disc for the treatment of thumb CMC arthritis

AU - van Laarhoven, Cécile

AU - Ottenhoff, JSE

AU van Hoorn, BTJA

PT - Heijl, Marilene

AU - Schuurman, AH

Australia - van der Heijden, BEPA

PJ - 2021 See More

A1 - 2021

N2 - Purpose: Pyrocarbon disc interposition arthroplasty was developed for the surgical treatment of Eaton-Glickel Grade II/III arthritis of the carpometacarpal joint of the thumb. This study presents the results of this technique with a minimum follow-up of 5 years. METHODS: We evaluated 4 patient-reported outcome measurement questionnaires in a cross-sectional study: Patient-Assessed Wrist and Hand Assessment, Arm, Shoulder, and Hand Disability Questionnaire, Michigan Hand Questionnaire, and 5-Year Follow-Up Satisfaction Questionnaire . -Above. We evaluated grip and pinch strength, range of motion, and radiographic disc position. Finally, a Kaplan-Meier survival analysis was performed. Results: A total of 164 thumbs (in 137 patients) were available for follow-up between 5 and 12 years. Median patient scores for hand and wrist, arm, shoulder, and hand impairments and the Michigan Hand Questionnaire were 17, 18, and 76, respectively. The satisfaction score was 9 (Likert scale from 1 to 10). Grip and pinch strength reached almost 100% compared to the contralateral hand. Range of motion resulted in a Kapandji score of 10. Thumb height showed less loss and the Kaplan-Meier survival curve showed a 91% survival rate. Conclusions: Our study suggests that interpositional pyrocarbon disk arthroplasty is a reliable and feasible treatment for arthritis of the carpometacarpal joint of the thumb with medium-term follow-up. It was associated with high patient satisfaction; thumb height was maintained and the implant survived in 91% of patients. Strength and range of motion were comparable to those of the contralateral hand after at least 5 years of follow-up. Type of study/level of evidence: therapeutic IV.

AB - Purpose: Pyrocarbon disc interposition arthroplasty was developed for the surgical treatment of Eaton-Glickel Grade II/III arthritis of the carpometacarpal joint of the thumb. This study presents the results of this technique with a minimum follow-up of 5 years. METHODS: We evaluated 4 patient-reported outcome measurement questionnaires in a cross-sectional study: Patient-Assessed Wrist and Hand Assessment, Arm, Shoulder, and Hand Disability Questionnaire, Michigan Hand Questionnaire, and 5-Year Follow-Up Satisfaction Questionnaire . -Above. We evaluated grip and pinch strength, range of motion, and radiographic disc position. Finally, a Kaplan-Meier survival analysis was performed. Results: A total of 164 thumbs (in 137 patients) were available for follow-up between 5 and 12 years. Median patient scores for hand and wrist, arm, shoulder, and hand impairments and the Michigan Hand Questionnaire were 17, 18, and 76, respectively. The satisfaction score was 9 (Likert scale from 1 to 10). Grip and pinch strength reached almost 100% compared to the contralateral hand. Range of motion resulted in a Kapandji score of 10. Thumb height showed less loss and the Kaplan-Meier survival curve showed a 91% survival rate. Conclusions: Our study suggests that interpositional pyrocarbon disk arthroplasty is a reliable and feasible treatment for arthritis of the carpometacarpal joint of the thumb with medium-term follow-up. It was associated with high patient satisfaction; thumb height was maintained and the implant survived in 91% of patients. Strength and range of motion were comparable to those of the contralateral hand after at least 5 years of follow-up. Type of study/level of evidence: therapeutic IV.

U2 - 10.1016/j.jhsa.2020.07.025

DO - 10.1016/j.jhsa.2020.07.025

M3 - artillery

VL-46

SP - 150.e1-150.e14

ES - 2

ES -

Van Laurhoven C, Ottenhoff JSE, van Hoorn BTJA, Heijl M., Schuurman AH, van der Heijden BEPA.Mid- and long-term follow-up after arthroplasty with interposition of a pyrocarbon disc for the treatment of thumb CMC arthritis.Journal of Hand Surgery. 2021;46(2):150.e1-150.e14. doi: 10.1016/j.jhsa.2020.07.025