Revision of trapeziometacarpal arthroplasty (2019)
Drs. Simo Mattila and Eero Waris published ten years follow-up of the revisions after trapeziometacarpal arthroplasties and evaluated the risk factors and factors affecting the outcome of revisions. The revision rate was 5% and the most common reason was scaphometacarpal impingement.
This study investigates the causes, techniques, and outcomes of revision surgeries following trapeziometacarpal (TMC) joint arthroplasty. The dataset included 50 patients who underwent revision between 2005 and 2017.
Key Findings:
- Persistent pain was the most common reason for revision (76%).
- Most primary procedures were trapeziectomy without interposition.
- Arthrodesis was the most frequently used revision technique.
- Patient satisfaction improved significantly after revision.
Conclusion:
Revision surgery, particularly arthrodesis, is a reliable option for managing pain and functional issues after failed TMC arthroplasty.
Full reference, link to publication below: Mattila, S., & Waris, E. (2019). Revision of trapeziometacarpal arthroplasty: risk factors, procedures and outcomes. Acta Orthopaedica, 90(4), 389–393. https://doi.org/10.1080/17453674.2019.1599253