PIPJ Interpositional Arthroplasty

Hammertoes ◽  
2019 ◽  
pp. 67-73
Author(s):  
Adam Landsman
Keyword(s):  
Interpositional Arthroplasty

O.647 Interpositional arthroplasty in TMJ ankylosis

2008 ◽  
Vol 36 ◽  
pp. S162
Author(s):  
V. Costan ◽  
D. Gogalniceanu ◽  
V.-V. Costan ◽  
C. Vicol ◽  
V. Trandaflr
Keyword(s):  
Tmj Ankylosis ◽  
Interpositional Arthroplasty

scholarly journals ANQUILOSE DE ATM EM PACIENTE PEDIÁTRICO: RELATO DE CASO

2019 ◽  
Author(s):  
Rodrigo Figueiredo de Brito Resende
Keyword(s):  
Correct Diagnosis ◽  
Facial Asymmetry ◽  
Radiographic Evaluation ◽  
Autogenous Bone ◽  
Mandibular Growth ◽  
Tmj Ankylosis ◽  
Joint Reconstruction ◽  
Interpositional Arthroplasty ◽  
Mandibular Retrusion ◽  
Costochondral Graft

RESUMO: A anquilose da ATM caracteriza-se pela substituição dos tecidos articulares por tecido ósseo ou fibro-ósseo, gerando uma união entre os componentes ósseos da articulação, tal alteração gera comprometimento da função articular. A anquilose da ATM quando ocorre na infância pode prejudicar o crescimento mandibular, causando posteriormente uma assimetria facial severa entre outros. Sua etiopatogenia é variável, desde traumas até reações a injeções intra-capsulares de medicamentos.O correto diagnóstico só é obtido por meio de avaliação clínica e radiográfica, incluindo tomografia computadorizada e reconstruções em 3D-TC. Há diferentes modalidades cirúrgicas para seu tratamento, artroplastia em GAP, Artroplastia Interposicional utilizando-se da interposição de um material biológico ou não, e a reconstrução conjunta da ATM, com enxertia de osso autógeno ou prótese articular total, todas preconizando ressecção agressiva da massa anômala fibrosa e/ou óssea.O presente trabalho visa relatar cirurgia de remoção de massa anquilótica óssea em ATM  no serviço de CTBMF do HFSE do RJ. Paciente do sexo feminino, 7 anos, melanoderma, AMI de 15mm, acesso Al-Kayat, ressecção de massa anquilótica óssea, coronoidectomia bilateral, revestimento com aba miofascial de temporal, enxerto autógeno costocondral. Paciente evoluiu com AMI de 35mm e acompanhamento de 2 anos. Demonstrando eficácia e previsibilidade do tratamento escolhido, segundo protocolo Kaban.Palavras-chaves: Anquilose de ATM; Enxerto Costocondral; ArtroplastiaInterposicional; Protocolo Kaban                                                                 ABSTRACT: TMJ ankylosis is characterized by the replacement of the joint tissues by bone or fibro-osseous tissue, generating a union between the bone components of the joint, such alteration causes compromised joint function. TMJ ankylosis when it occurs in childhood may impair mandibular growth, causing severe facial asymmetry and mandibular retrusion, difficulty in phonation, among others. Its etiopathogenesis varies from traumas to reactions to intra-capsular injections of medications. Correct diagnosis is only obtained through clinical and radiographic evaluation, including computed tomography and 3DCT reconstructions. There are different surgical modalities for its treatment, GAP arthroplasty, Interpositional arthroplasty using the interposition of a biological material or not, and the joint reconstruction of TMJ, with autogenous bone excision or total joint prosthesis, all of which advocate aggressive resection of the anomalous mass fibrosis and / or bone. The present study aims to report bone ankylosis mass removal surgery in TMJ in the CTBMF service of the HFSE of RJ. Female patient, 7 years old, melanoderma, 15 mm AMI, general anesthesia, Al-Kayat access, bone ankylotic mass resection, bilateral coronoidectomy, temporal myofascial flap coating, autochondral costochondral graft. Patient evolved with 35mm AMI and 2 year post-operative follow-up. Demonstrating effectiveness and predictability of the treatment chosen, according to Kaban protocol. Keywords: TMJ ankylosis; Costochondral Graft, Interpositional Arthroplasty;Kaban Protocol                                                                 

Partial trapeziectomy and pyrocarbon interpositional arthroplasty for trapeziometacarpal osteoarthritis: minimum 8-year follow-up

2020 ◽  
Vol 45 (5) ◽  
pp. 472-476 ◽  
Author(s):  
Francesco Smeraglia ◽  
Sergi Barrera-Ochoa ◽  
Gerardo Mendez-Sanchez ◽  
Morena A. Basso ◽  
Giovanni Balato ◽  
...  
Keyword(s):  
Young Patients ◽  
Hand Surgery ◽  
Dash Score ◽  
Level Of Evidence ◽  
Interpositional Arthroplasty ◽  
Trapeziometacarpal Osteoarthritis ◽  
Select Group ◽  
Trapeziometacarpal Joint Osteoarthritis ◽  
Surgical Treatments

We undertook a retrospective study to evaluate minimal 8-year outcomes of 46 trapeziometacarpal joints (46 patients) treated with pyrocarbon implant arthroplasty after partial trapeziectomy for trapeziometacarpal joint osteoarthritis in two different hand surgery units. The mean follow-up interval was 9.5 years (average 113 months with a range 97–144 months). The study showed that pyrocarbon interpositional arthroplasty provided pain relief and high patient satisfaction. All patients experienced a reduction in the DASH score, with an average change of 30 points. The visual analogue scale score, the Kapandji score, and key pinch also showed remarkable improvement. The PyroDisk implant exhibited good longevity, with good implant survival. A review of the literature revealed that the functional outcomes after implant surgery are not superior to more common techniques, such as trapeziectomy with or without ligamentoplasty. Therefore, this is a reliable surgery but may not have added benefits over simpler surgical treatments. This implant could have a role, perhaps in a select group of young patients, as a time-procuring procedure. Level of evidence: IV

Interpositional Arthroplasty With Extensor Digitorum Brevis Tendon in Freiberg Disease

2020 ◽  
Vol 41 (11) ◽  
pp. 1398-1403
Author(s):  
Nazan Çevik ◽  
Yavuz Akalın ◽  
Özgür Avci ◽  
Ali Çınar ◽  
Alpaslan Öztürk ◽  
...  
Keyword(s):  
Joint Space ◽  
Extensor Digitorum ◽  
Long Term Results ◽  
X Rays ◽  
Aofas Score ◽  
Interpositional Arthroplasty ◽  
Freiberg Disease ◽  
The Mean ◽  
Extensor Digitorum Brevis

Background: No consensus has been reached in the treatment of Frieberg disease. Our aim was to evaluate medium- to long-term results of patients with advanced Freiberg disease managed with extensor digitorum brevis tendon interpositional arthroplasty. Methods: There were 24 patients (19 females, 5 males) managed with interpositional arthroplasty for advanced Freiberg disease between 2003 and 2015. The mean follow-up was 133.8 (range, 60-198) months. According to Smillie classification, there were 4 grade 3, 13 grade 4, and 7 grade 5 patients. Patients were evaluated preoperatively and at the final follow-up with the American Orthopaedic Foot & Ankle Society (AOFAS) score and metatarsophalangeal joint range of motion and postoperatively with visual analog scale (VAS) and subjective satisfaction evaluation. Joint space was evaluated on x-rays. Results: Mean AOFAS score increased (53.9 to 80.3, P = .001). Eight patients had excellent, 14 had good, and 2 had fair scores. A significant increase was found in dorsiflexion (38.1° [24°-52°] vs 55.3° [34°-65°]; P = .001) and plantarflexion (19.0° [10°-28°] vs 28.6° [19°-39°]; P = .001). Narrowing of the joint space was not seen in any patient, but expansion was determined in all patients (0.39 [0.35-0.47] vs 0.44 [0.41-0.47] cm; P = .002). Of the patients, 9 were very satisfied, 12 were satisfied, 2 were moderately satisfied, and 1 was dissatisfied. The mean postoperative VAS pain score was 1.7 ± 0.9 (0-4). Conclusion: After a minimum 5-year follow-up, most patients with Freiberg disease managed with interpositional arthroplasty using the extensor digitorum brevis tendon had excellent to good functional results with a widening of the joint space. Level of Evidence: Level IV, retrospective case series.

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