Revision Thumb Carpometacarpal Arthroplasty.
review · Level V
Where this comes from
- Record sourced from PubMed, PMID 35465942.
- Also identified by DOI 10.1016/j.hcl.2021.11.004.
- No licence information is recorded for this record.
- Because redistribution is not established, this page shows the abstract only. Follow the links below for the full text.
Abstract
Revision thumb carpometacarpal (CMC) arthroplasty alleviates persistent pain and instability after nonimplant or implant CMC arthroplasty. Metacarpal subsidence onto the scaphoid causing impingement, missed diagnosis such as scaphotrapezoid arthritis, and metacarpophalangeal hyperextension are common causes of failed CMC arthroplasty. Literature shows that revision CMC arthroplasty has satisfactory outcomes. Currently, the mantra of revision is to restore the metacarpal height and treat concomitant pathology, but no single operation is a universal solution. Revision CMC arthroplasty has a relatively high complication rate, lower patient satisfaction than primary CMC arthroplasty, and may result in the need for further operative intervention.
Medical subject headings
- Arthritis
- Carpometacarpal Joints
- Metacarpal Bones
Anatomy
- hand
- wrist