Retrospective analysis of scaphoid trapezium pyrocarbon implant intervention in STT arthritis: a 3-year follow-up study
Aim: The purpose of this study was to evaluate clinical, patient rated and radiological outcome of the scaphoid trapezium pyrocarbon implant (STPI) at a minimum of three years follow-up. Methods: Consecutive patients operated with the STPI due to scaphotrapeziotrapezoidal (STT) arthritis between 20...
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| Language: | English |
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Medical Journals Sweden
2024-04-01
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| Series: | Journal of Plastic Surgery and Hand Surgery |
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| Online Access: | https://medicaljournalssweden.se/JPHS/article/view/34985 |
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| author | Maria Zander Allan Ibsen-Sörensen Anders Nilsson Anders Björkman |
| author_facet | Maria Zander Allan Ibsen-Sörensen Anders Nilsson Anders Björkman |
| author_sort | Maria Zander |
| collection | DOAJ |
| description | Aim: The purpose of this study was to evaluate clinical, patient rated and radiological outcome of the scaphoid trapezium pyrocarbon implant (STPI) at a minimum of three years follow-up.
Methods: Consecutive patients operated with the STPI due to scaphotrapeziotrapezoidal (STT) arthritis between 2012 and 2019 were included. Patients were evaluated preoperatively and annually after surgery for range of motion, grip strength, key pinch, quick-DASH, pain, and satisfaction. Radiographs were evaluated for implant position, signs of dorsal intercalated segment instability (DISI), capitolunate (CL) angle, scapholunate (SL) distance, and presence of osteophytes.
Results: Twenty-six patients (29 implants) were included. Seven implants were revised during the follow up, mainly due to pain: three implants were removed, four patients received a new STPI of a different size, leaving 22 implants in 20 patients available for follow up, 9 males and 11 females. Median age was 61.7 years (51–78 years). Median follow-up time was 68 months (37–105 months). Comparing preoperative status to the last follow-up, wrist extension and deviation, thumb abduction, and grip strength did not change. Key Pinch, quick DASH, pain, and patient satisfaction improved significantly at last follow-up. Radiographic signs of DISI were seen in six cases preoperatively and in 12 cases at last follow-up.
Conlusion: At a minimum of three years follow-up, the STPI used for STT-arthritis improve pain, quick-DASH result, and patient satisfaction significantly. ROM and grip strength did not change compared to preoperative values. Radiographic signs of carpal instability were common at the follow-up and the revision rate was high.
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| format | Article |
| id | doaj-art-e8a59080ec694afea9a7a64b9fbe4968 |
| institution | Kabale University |
| issn | 2000-6764 |
| language | English |
| publishDate | 2024-04-01 |
| publisher | Medical Journals Sweden |
| record_format | Article |
| series | Journal of Plastic Surgery and Hand Surgery |
| spelling | doaj-art-e8a59080ec694afea9a7a64b9fbe49682025-08-25T11:16:45ZengMedical Journals SwedenJournal of Plastic Surgery and Hand Surgery2000-67642024-04-015910.2340/jphs.v59.34985Retrospective analysis of scaphoid trapezium pyrocarbon implant intervention in STT arthritis: a 3-year follow-up studyMaria Zander0https://orcid.org/0000-0001-5792-1458Allan Ibsen-Sörensen1Anders Nilsson2Anders Björkman3Department of Hand Surgery, Sahlgrenska University Hospital, Gothenburg, Sweden; Department of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, SwedenDepartment of Hand Surgery, Sahlgrenska University Hospital, Gothenburg, Sweden; Department of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, SwedenDepartment of Hand Surgery, Sahlgrenska University Hospital, Gothenburg, Sweden; Department of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, SwedenDepartment of Hand Surgery, Sahlgrenska University Hospital, Gothenburg, Sweden; Department of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, SwedenAim: The purpose of this study was to evaluate clinical, patient rated and radiological outcome of the scaphoid trapezium pyrocarbon implant (STPI) at a minimum of three years follow-up. Methods: Consecutive patients operated with the STPI due to scaphotrapeziotrapezoidal (STT) arthritis between 2012 and 2019 were included. Patients were evaluated preoperatively and annually after surgery for range of motion, grip strength, key pinch, quick-DASH, pain, and satisfaction. Radiographs were evaluated for implant position, signs of dorsal intercalated segment instability (DISI), capitolunate (CL) angle, scapholunate (SL) distance, and presence of osteophytes. Results: Twenty-six patients (29 implants) were included. Seven implants were revised during the follow up, mainly due to pain: three implants were removed, four patients received a new STPI of a different size, leaving 22 implants in 20 patients available for follow up, 9 males and 11 females. Median age was 61.7 years (51–78 years). Median follow-up time was 68 months (37–105 months). Comparing preoperative status to the last follow-up, wrist extension and deviation, thumb abduction, and grip strength did not change. Key Pinch, quick DASH, pain, and patient satisfaction improved significantly at last follow-up. Radiographic signs of DISI were seen in six cases preoperatively and in 12 cases at last follow-up. Conlusion: At a minimum of three years follow-up, the STPI used for STT-arthritis improve pain, quick-DASH result, and patient satisfaction significantly. ROM and grip strength did not change compared to preoperative values. Radiographic signs of carpal instability were common at the follow-up and the revision rate was high. https://medicaljournalssweden.se/JPHS/article/view/34985STT-arthritispyrocarbonSTPIscaphotrapeziotrapezoidalpyrocarbon implant |
| spellingShingle | Maria Zander Allan Ibsen-Sörensen Anders Nilsson Anders Björkman Retrospective analysis of scaphoid trapezium pyrocarbon implant intervention in STT arthritis: a 3-year follow-up study Journal of Plastic Surgery and Hand Surgery STT-arthritis pyrocarbon STPI scaphotrapeziotrapezoidal pyrocarbon implant |
| title | Retrospective analysis of scaphoid trapezium pyrocarbon implant intervention in STT arthritis: a 3-year follow-up study |
| title_full | Retrospective analysis of scaphoid trapezium pyrocarbon implant intervention in STT arthritis: a 3-year follow-up study |
| title_fullStr | Retrospective analysis of scaphoid trapezium pyrocarbon implant intervention in STT arthritis: a 3-year follow-up study |
| title_full_unstemmed | Retrospective analysis of scaphoid trapezium pyrocarbon implant intervention in STT arthritis: a 3-year follow-up study |
| title_short | Retrospective analysis of scaphoid trapezium pyrocarbon implant intervention in STT arthritis: a 3-year follow-up study |
| title_sort | retrospective analysis of scaphoid trapezium pyrocarbon implant intervention in stt arthritis a 3 year follow up study |
| topic | STT-arthritis pyrocarbon STPI scaphotrapeziotrapezoidal pyrocarbon implant |
| url | https://medicaljournalssweden.se/JPHS/article/view/34985 |
| work_keys_str_mv | AT mariazander retrospectiveanalysisofscaphoidtrapeziumpyrocarbonimplantinterventioninsttarthritisa3yearfollowupstudy AT allanibsensorensen retrospectiveanalysisofscaphoidtrapeziumpyrocarbonimplantinterventioninsttarthritisa3yearfollowupstudy AT andersnilsson retrospectiveanalysisofscaphoidtrapeziumpyrocarbonimplantinterventioninsttarthritisa3yearfollowupstudy AT andersbjorkman retrospectiveanalysisofscaphoidtrapeziumpyrocarbonimplantinterventioninsttarthritisa3yearfollowupstudy |