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Long-Term Results of Joint Arthroplasty with Total Prosthesis for Trapeziometacarpal Osteoarthritis in Patients over 65 Years of Age

Trapeziometacarpal osteoarthritis (TMCOA) is a highly prevalent disease in the older population. Many different types of surgical treatments are possible, depending on the degree of joint involvement, the personal and professional circumstances of the patient and the preferences of the orthopedic su...

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Autores principales: Martin-Ferrero, Miguel Angel, Trigueros-Larrea, Jose Maria, Martin-de la Cal, Elsa, Coco-Martin, Begoña, Simon-Perez, Clarisa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8293220/
https://www.ncbi.nlm.nih.gov/pubmed/34209613
http://dx.doi.org/10.3390/geriatrics6030065
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author Martin-Ferrero, Miguel Angel
Trigueros-Larrea, Jose Maria
Martin-de la Cal, Elsa
Coco-Martin, Begoña
Simon-Perez, Clarisa
author_facet Martin-Ferrero, Miguel Angel
Trigueros-Larrea, Jose Maria
Martin-de la Cal, Elsa
Coco-Martin, Begoña
Simon-Perez, Clarisa
author_sort Martin-Ferrero, Miguel Angel
collection PubMed
description Trapeziometacarpal osteoarthritis (TMCOA) is a highly prevalent disease in the older population. Many different types of surgical treatments are possible, depending on the degree of joint involvement, the personal and professional circumstances of the patient and the preferences of the orthopedic surgeon. This paper evaluated the clinical and radiological results of consecutive cohorts of patients over 65 years old treated with total joint arthroplasties (TJA) of the ball and socket type (B&S) for TMCOA, with a minimum of 10 years follow-up. The survival rate (Kaplan–Meier) of the functional prostheses at 10 years was 92.2% (95% CI (89.1%, 96.1%). These functional arthroplasty patients, after 10 years of follow-up, showed little or no pain, good function and good key pinch, without radiological alterations. TJAs of the B&S type are a long lasting, effective and reliable alternative to surgical treatment of TMCOA in patients over 65 years of age, when they are performed with the patient selection criteria and surgical technique described throughout this study.
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spelling pubmed-82932202021-07-22 Long-Term Results of Joint Arthroplasty with Total Prosthesis for Trapeziometacarpal Osteoarthritis in Patients over 65 Years of Age Martin-Ferrero, Miguel Angel Trigueros-Larrea, Jose Maria Martin-de la Cal, Elsa Coco-Martin, Begoña Simon-Perez, Clarisa Geriatrics (Basel) Article Trapeziometacarpal osteoarthritis (TMCOA) is a highly prevalent disease in the older population. Many different types of surgical treatments are possible, depending on the degree of joint involvement, the personal and professional circumstances of the patient and the preferences of the orthopedic surgeon. This paper evaluated the clinical and radiological results of consecutive cohorts of patients over 65 years old treated with total joint arthroplasties (TJA) of the ball and socket type (B&S) for TMCOA, with a minimum of 10 years follow-up. The survival rate (Kaplan–Meier) of the functional prostheses at 10 years was 92.2% (95% CI (89.1%, 96.1%). These functional arthroplasty patients, after 10 years of follow-up, showed little or no pain, good function and good key pinch, without radiological alterations. TJAs of the B&S type are a long lasting, effective and reliable alternative to surgical treatment of TMCOA in patients over 65 years of age, when they are performed with the patient selection criteria and surgical technique described throughout this study. MDPI 2021-06-29 /pmc/articles/PMC8293220/ /pubmed/34209613 http://dx.doi.org/10.3390/geriatrics6030065 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Martin-Ferrero, Miguel Angel
Trigueros-Larrea, Jose Maria
Martin-de la Cal, Elsa
Coco-Martin, Begoña
Simon-Perez, Clarisa
Long-Term Results of Joint Arthroplasty with Total Prosthesis for Trapeziometacarpal Osteoarthritis in Patients over 65 Years of Age
title Long-Term Results of Joint Arthroplasty with Total Prosthesis for Trapeziometacarpal Osteoarthritis in Patients over 65 Years of Age
title_full Long-Term Results of Joint Arthroplasty with Total Prosthesis for Trapeziometacarpal Osteoarthritis in Patients over 65 Years of Age
title_fullStr Long-Term Results of Joint Arthroplasty with Total Prosthesis for Trapeziometacarpal Osteoarthritis in Patients over 65 Years of Age
title_full_unstemmed Long-Term Results of Joint Arthroplasty with Total Prosthesis for Trapeziometacarpal Osteoarthritis in Patients over 65 Years of Age
title_short Long-Term Results of Joint Arthroplasty with Total Prosthesis for Trapeziometacarpal Osteoarthritis in Patients over 65 Years of Age
title_sort long-term results of joint arthroplasty with total prosthesis for trapeziometacarpal osteoarthritis in patients over 65 years of age
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8293220/
https://www.ncbi.nlm.nih.gov/pubmed/34209613
http://dx.doi.org/10.3390/geriatrics6030065
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