Tendon Interposition Arthroplasty of Carpometacarpal Joint of the Thumb

Hand Clinics ◽  
1987 ◽  
Vol 3 (4) ◽  
pp. 489-503 ◽  
Author(s):  
Avrum I. Froimson
Keyword(s):  
Carpometacarpal Joint ◽  
Interposition Arthroplasty ◽  
Tendon Interposition

Interpositional Arthroplasty with Gore-Tex, Marlex or Tendon for Osteoarthritis of the Trapeziometacarpal Joint

1998 ◽  
Vol 23 (1) ◽  
pp. 64-68 ◽  
Author(s):  
S. MUERMANS ◽  
L. COENEN
Keyword(s):  
Retrospective Study ◽  
Resection Arthroplasty ◽  
Carpometacarpal Joint ◽  
Interposition Arthroplasty ◽  
Trapeziometacarpal Joint ◽  
Valuable Alternative ◽  
Thumb Carpometacarpal Joint ◽  
Expanded Polytetrafluoroethylene ◽  
Thumb Carpometacarpal ◽  
Tendon Interposition

In this retrospective study of 26 patients with arthritis of the thumb carpometacarpal joint, we report the use of expanded polytetrafluoroethylene (ePTFE) (Gore-Tex) and polypropylene (Marlex) as interpositional materials for resection arthroplasty of the trapeziometacarpal joint. We have compared the results with those of “conventional” tendon interposition and those in the literature. In three patients the use of ePTFE (Gore-Tex) was complicated by marked clinical synovitis, resembling findings in silicone synovitis. Therefore, the use of ePTFE has been discontinued. Polypropylene seems to be a valuable alternative to tendon interposition arthroplasty.

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