Clinical Outcomes of Total Joint Arthroplasty Using Costal Osteochondral Graft for Finger Joint Ankylosis Prospective Evaluation up to 6 Years' Follow-up

2012 ◽  
Vol 37 (8) ◽  
pp. 40-41
Author(s):  
Kazuki Sato ◽  
Toshiyasu Nakamura ◽  
Takuji Iwamoto ◽  
Noboru Matsumura ◽  
Yoshiaki Toyama ◽  
...  
2018 ◽  
Vol 44 (2) ◽  
pp. 167-174 ◽  
Author(s):  
Kazuki Sato ◽  
Takuji Iwamoto ◽  
Noboru Matsumura ◽  
Taku Suzuki ◽  
Yuji Nishiwaki ◽  
...  

The purpose of this study was to evaluate the mid- to long-term clinical outcomes of total finger joint arthroplasty using a costal osteochondral autograft for joint ankylosis. Twenty-three joints (three metacarpophalangeal joints, 20 proximal interphalangeal joints) in 23 patients (19 men and four women) were treated with a costal osteochondral autograft and were evaluated after a mean follow-up of 77 months (60–138). Mean age was 33 years (18 to 55). Significant improvement in active finger extension/flexion was seen from a preoperative mean of −24°/26° (arc: 2°) to −13°/75° (arc: 63°) at latest follow-up. Mean preoperative Japanese Society for Surgery of the Hand version of the Disability of the Arm, Shoulder and Hand score was initially 24 and improved significantly to 5 at latest follow-up. Conclusion: total finger arthroplasty using a costal osteochondral autograft gave an anatomical and biological reconstruction and provided stable improvement at a mean follow-up of 77 months. Level of evidence: IV


2017 ◽  
Vol 23 (1) ◽  
pp. 67 ◽  
Author(s):  
Marina Bitsaki ◽  
George Koutras ◽  
Hansjoerg Heep ◽  
Christos Koutras

2019 ◽  
Vol 45 (5) ◽  
pp. 443-451 ◽  
Author(s):  
Miguel Martin-Ferrero ◽  
Clarisa Simón-Pérez ◽  
Maria B. Coco-Martín ◽  
Aureliio Vega-Castrillo ◽  
Héctor Aguado-Hernández ◽  
...  

We report outcomes of 228 consecutive patients with total joint arthroplasty using the Arpe® prosthesis, among which 216 trapeziometacarpal joints in 199 patients had a minimum of 10 years follow-up. The cumulative survival rate of the 216 implants at 10 years using the Kaplan–Meyer method was 93%. Two hundred joints were functional and painless. We found good integration and positioning of the components in 184 (93%) of the joints. Sixteen prostheses failed. We conclude that this implant has acceptable long-term survival rate and restores good hand function. We also report our methods to improve implant survival and to decrease the risk of component malpositioning, and failure rate. Level of evidence: II


2014 ◽  
Vol 96 (22) ◽  
pp. 1910-1916 ◽  
Author(s):  
Jacquelyn Marsh ◽  
Jeffrey S Hoch ◽  
Dianne Bryant ◽  
Steven J MacDonald ◽  
Douglas Naudie ◽  
...  

2019 ◽  
Vol 5 (4) ◽  
pp. 493-496 ◽  
Author(s):  
Mohamad J. Halawi ◽  
Christian Gronbeck ◽  
Lawrence Savoy ◽  
Mark P. Cote

2011 ◽  
Vol 37 (3) ◽  
pp. 251-257 ◽  
Author(s):  
W. C. Wu ◽  
M. W. M. Fok ◽  
K. Y. Fung ◽  
K. H. Tam

Finger joint defects in 16 adults were treated with an autologous osteochondral graft from the base of the second metacarpal, the radial styloid, the base of the third metacarpal or the trapezoid and these patients were followed up from between 12 and 62 months. There was no donor site morbidity. One patient had resorption of the graft and developed pain. The joint was subsequently fused. The mean range of movement was 55.8% of the opposite normal joint. At follow up, 15 patients had no discomfort or mild discomfort. Three had mild narrowing of the joint space and two had slight joint subluxation. Only two patients with concomitant severe injury to the same limb had difficulty performing daily activities. Ten were open injuries and these had poorer outcomes. A hemicondylar defect of a finger joint can be treated using an osteochondral graft obtained from the same hand.


2012 ◽  
Vol 27 (9) ◽  
pp. 1599-1603 ◽  
Author(s):  
Danielle Petruccelli ◽  
Wael A. Rahman ◽  
Justin de Beer ◽  
Mitch Winemaker

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