Retrospective Review of Long-term Outcomes of Patients Undergoing CMC Arthroplasty With Interposition Scaffold. (May 2022)

• Record Type: Journal Article
• Authors: Marcuzzi, Augusto; Colzani, Giulia; Acciaro, Andrea Leti; Rosa, Norman Della; Landi, Antonio
• Is Part Of: Hand. Volume 17:Number 3(2022)
• Page Start: 422
• Page End: 425
• Publication Date: 2022-05
• Subjects: biomaterials -- interposition arthroplasty -- joint scaffold -- poly-ld-lactic acid -- rhizarthritis; Hand -- Surgery -- Periodicals; Hand -- Surgery; Periodicals; 617.57005
• DOI: 10.1177/1558944720918366
• Languages: English
• ISSNs: 1558-9447

Abstract

Background: The treatment of rhizarthritis involves several surgical techniques; among them, bioabsorbable scaffolds have begun to be proposed to avoid the use of other biological tissues or artificial permanent devices.Methods: In this study, we evaluated the long-term outcomes of poly-ld -lactic acid scaffold in interposition arthroplasty in a series of patients treated in our department.Results: Strength, range of motion, and pain improved after the intervention and lasted over the years; nonetheless, most of the radiographs showed a progressive collapse of the first metacarpal.Conclusions: Despite radiological findings, we believe that poly-ld -lactic acid scaffold can be considered a good alternative to traditional trapeziectomy with tendon interposition and suspensionplasty, with long-lasting satisfactory clinical results.