Clinical review reports causes and outcomes of failed trapeziometacarpal arthroplasty, indicating modular implants and trapeziectomy-ligamentoplasty serve as effective revision strategies.
Complications of trapeziometacarpal arthroplasty are uncommon, but are classified as intra- and post-operative, dislocation and loosening being the main causes of revision surgery. Periprosthetic fracture and ossification are rare. Whenever possible, prosthetic revision techniques consist in partial or total replacement with modular implants. Trapeziectomy-ligamentoplasty is the last-resort revision technique, with results similar to those of primary trapeziectomy-ligamentoplasty.
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Chammas et al. (2024) studied this question.
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