Early outcomes of Pyrocardan® implants for trapeziometacarpal osteoarthritis

Hand Surg Rehabil. 2016 Dec;35(6):407-412. doi: 10.1016/j.hansur.2016.09.004. Epub 2016 Oct 22.

Abstract

The aim of this retrospective study was to assess the early outcomes of trapeziometacarpal osteoarthritis treatment using Pyrocardan® implants in patients with early Eaton (stage I and II) osteoarthritis. We analyzed the results of 27 patients, with a median age of 59 years (range, 34-78 years) and a mean follow-up of 24 months (range, 12-41). The level of satisfaction was assessed using a postoperative questionnaire. Twenty patients mentioned having improvements in their activities of daily living, 20 patients were satisfied with the outcomes of surgery, and 19 patients would consider undergoing the procedure a second time. Five patients needed reoperation for complications, including persistent pain, grinding, or implant dislocation. Pyrocardan® implants may be a valuable temporary therapy as more conventional arthroplasty techniques are still feasible in case of failure. However, multicenter randomized controlled trials with a longer follow-up are needed to assess the long-term outcomes.

Keywords: Arthroplastie; Arthroplasty; Implant Pyrocardan(®); Pyrocarbon; Pyrocarbone; Pyrocardan(®) implant; Rhizarthrose; Trapeziometacarpal osteoarthritis.

MeSH terms

  • Activities of Daily Living
  • Adult
  • Aged
  • Female
  • Follow-Up Studies
  • Humans
  • Joint Prosthesis*
  • Male
  • Metacarpal Bones / diagnostic imaging
  • Metacarpal Bones / surgery*
  • Middle Aged
  • Osteoarthritis / diagnostic imaging
  • Osteoarthritis / surgery*
  • Retrospective Studies
  • Trapezium Bone / diagnostic imaging
  • Trapezium Bone / surgery*