Seventy-one patients (93 implants) had a de la Caffinière prosthesis implanted between 1980 and 1989 and were reviewed and reported in 1997. We reviewed this series 10 years later. Similar outcome measures were used as in the original study, pinch and grip strength measured and validated outcome scores obtained (DASH and EQ-5D). Radiographic outcome was assessed. Twenty-six patients with 39 implants were available for review at a mean of 19 years (range, 16–26 years). Survivorship at 26 years was 73.9% (95% CI, 61.2 to 86.6) for re-operation and 26.0% (95% CI, 0 to 52.7) for all failure. Patients had satisfactory power and thumb mobility and continued to be satisfied without pain. Registries should log such prostheses and add to implant survival data.
BadiaASambandamSN. Total joint arthroplasty in the treatment of advanced stages of thumb carpometacarpal joint osteoarthritis. J Hand Surg Am. 2006, 31: 1305–14.
2.
ChakrabartiAJRobinsonAHGallagherP. De la Caffinière thumb carpometacarpal replacements. 93 cases at 6 to 16 years follow-up. J Hand Surg Br. 1997, 22: 695–8.
3.
DavisTRBradyODiasJJ. Excision of the trapezium for osteoarthritis of the trapeziometacarpal joint: a study of the benefit of ligament reconstruction or tendon interposition. J Hand Surg Am. 2004, 29: 1069–77.
4.
DavisTRBradyOBartonNJ. Trapeziectomy alone, with tendon interposition or with ligament reconstruction?J Hand Surg Br. 1997, 22: 689–94.
5.
de la CaffinièreJY. Long-term results of the total trapeziometacarpal prosthesis in osteoarthritis of the thumb. Rev Chir Orthop Reparatrice Appar Mot. 1991, 77: 312–21.
6.
de la CaffinièreJYAucouturierP. Trapezio-metacarpal arthroplasty by total prosthesis. Hand1979, 11: 41–6.
7.
De SmetLSioenWSpaepenD. Total joint arthroplasty for osteoarthritis of the thumb basal joint. Acta Orthop Belg. 2004, 70: 19–24.
8.
HudakPLAmadioPCBombardierC. Development of an upper extremity outcome measure: the DASH (disabilities of the arm, shoulder and hand) [corrected]. The Upper Extremity Collaborative Group (UECG). Am J Ind Med. 1996, 29: 602–8.
9.
KapandjiA. Clinical test of apposition and counter-apposition of the thumb. Ann Chir Main. 1986, 5: 67–73.
10.
MalchauHHerbertsPEislerT. The Swedish Total Hip Replacement Register. J Bone Joint Surg Am. 2002, 84-A(Suppl 2): 2–20.
11.
MassoudSNHunterJBHoldsworthB. Early femoral loosening in one design of cemented hip replacement. J Bone Joint Surg Br. 1997, 79: 603–8.
12.
MorrisRWFitzpatrickRHajatS. National Total Hip Replacement Outcome Study Steering Committee. Primary total hip replacement: variations in patient management in Oxford & Anglia, Trent, Yorkshire & Northern ‘regions’. Ann R Coll Surg Engl. 2001, 83: 190–6.
13.
MureauMARademakerRPVerhaarJA. Tendon interposition arthroplasty versus arthrodesis for the treatment of trapeziometacarpal arthritis: a retrospective comparative follow-up study. J Hand Surg Am. 2001, 26: 869–76.
14.
PattJCMauerhanDR. Outcomes research in total joint replacement: a critical review and commentary. Am J Orthop. 2005, 34: 167–72.
15.
PendseANisarAShahSZ. Surface replacement trapeziometacarpal joint arthroplasty – early results. J Hand Surg Br. 2009, 35: 748–57.
16.
RavenEEJKerkhoffsGMMJRuttenS. Long term results of surgical intervention for osteoarthritis of the trapeziometacarpal joint. Comparison of resection arthroplasty, trapeziectomy with tendon interposition and trapezio-metacarpal arthrodesis. Int Orthop. 2007, 31: 547–54.
17.
SambandamSNGulAPriyankaP. Analysis of methodological deficiencies of studies reporting surgical outcome following cemented total-joint arthroplasty of trapezio-metacarpal joint of the thumb. Int Orthop. 2007, 31: 639–45.
18.
SochartDHLongAJPorterML. Joint responsibility: the need for a national arthroplasty register. BMJ. 1996, 313: 66–7.
19.
SøndergaardIKonradsenLRechnagelK. Long-term follow-up of cemented Caffinière prosthesis for trapeziometacarpal arthroplasty. J Hand Surg Br. 1991, 16: 428–30.
20.
The EuroQoL Group. EuroQoL – a new facility for the measurement of health-related quality of life. Health Policy1990, 16: 199–208.
21.
Van CapelleHGJElzengerPvanHornJR. Long term results and loosening analysis of de la Caffinière replacements of the trapeziometacarpal joint. J Hand Surg Am. 1999, 24: 476–82.
22.
WachtlSWGuggenheimPRSennwaldGR. Cemented and non-cemented replacements of the trapeziometacarpal joint. J Bone Joint Surg Br. 1998, 80: 121–5.
23.
WajonAAdaLEdmundsI. Surgery for thumb (trapeziometacarpal joint) osteoarthritis. Cochrane Database Syst Rev. 2005, CD004631.
