In this retrospective study, we report a series of 80 Arpe prostheses for trapeziometacarpal osteoarthritis in 63 patients. Twenty-seven prostheses (20 patients) were lost to follow-up. Twenty-one were revised, eight of them during the first year after operation. The calculated cumulated implant survival rate was 85% at 10 years but could be lower due to the lack of information on the patients lost to follow-up. The number of complications due to technical errors was high; but after we had done 30 cases, the number of early revisions decreased markedly. At follow-up, 23 of 32 thumbs were totally free of pain, and the patients were satisfied with 31 thumbs. We conclude that the implant survival declines progressively in the long run, with a survival rate of 80% after 15 years of follow-up and a further decline thereafter. We also found that this surgery was difficult to master. We advise selecting this implant for thumb trapeziometacarpal osteoarthritis with caution.
ApardTSaint-CastY. Results of a 5 years follow-up of Arpe prosthesis for the basal thumb osteoarthritis. Chir Main. 2007, 26: 88–94.
2.
BenaissSDunaudJ-LGueriatF, et al.Rubis II prosthesis: results of the treatment of basal thumb osteoarthritis by after more than 10 years. A study of 61 cases. Chir Main201130: 435.
3.
BricoutMRezzoukJ. Complications and failures of the trapeziometacarpal Maia® prosthesis: a series of 156 cases. Hand Surg Rehabil. 2016, 35: 190–8.
4.
BrutusJPKinnenL. Short term results of total carpometacarpal joint replacement surgery using the ARPE implant for primary ostearthritis of the thumb. Chir Main. 2004, 23: 224–8.
5.
De la CaffinièreJY. [Total trapezo-metacarpal prosthesis]. Rev Chir Orthop Reparatrice Appar Mot. 1974, 60: 299–308.
6.
ChevrollierJDapFLombardJDautelG. Moovis dual mobility trapezometacarpal prosthesis – First results after 1 year follow-up of a prospective study. Chir Main. 2015, 34: 357–8.
7.
DellPCBrushartTMSmithRJ. Treatment of trapeziometa-carpal arthritis: results of resection arthroplasty. J Hand Surg Am. 1978, 3: 243–9.
8.
DehlMChelliMLippmannSBenaissaSRotariVMoughabghabM. Results of 115 Rubis II reverse thumb carpometacarpal joint prostheses with a mean follow-up of 10 years. J Hand Surg Eur. 2017, 42: 592–8.
9.
FerrièreSMansatPRongièresMMansatMBonnevialleP. Total trapeziectomy with suspension and interposition tendinoplasty for trapeziometacarpal osteoarthrisis: results at 6.5 years average follow-up. Chir Main. 2010, 29: 16–22.
10.
HiltyMStoberR. Results of basal joint arthrosis treatment with trapezectomy and Epping suspension-plasty. Clinical follow-up. Handchir Mikrochir Plast Chir. 1996, 28: 15–21.
11.
HudakPLAmadioPCBombardierC. Development of an upper extremity outcome measure: the DASH (disabilities of the arm, shoulder and hand). The Upper Extremity Collaborative Group (UECG). Am J Ind Med. 1996, 29: 602–8.
12.
JacouletP. Results of the ARPE trapezometacarpal prosthesis: a retrospective study of 37 cases. Chir Main. 2005, 24: 24–8.
13.
JohnstonPGetgoodALarsonDChojnowskiAJChakrabartiAJChapmanPG. De la Caffinière thumb trapeziometacarpal joint arthroplasty: 16–26 year follow-up. J Hand Surg Eur. 2012, 37: 621–4.
14.
KaszapBDaeckeWJungM. Outcome comparison of primary trapeziectomy versus secondary trapeziectomy following failed total trapeziometacarpal joint replacement. J Hand Surg Am. 2013, 38: 863–71.e3.
15.
Le DûCGuéryJLaulanJ. Results of a five-year series of 44 trapeziectomies associated with ligamentoplasty and interposition arthroplasty. Chir Main. 2004, 23: 149–52.
16.
Lefevre-ColauMMPoiraudeauSOberlinC, et al.Reliability, validity, and responsiveness of the modified Kapandji index for assessment of functional mobility of the rheumatoid hand. Arch Phys Med Rehabil200384: 1032–8.
17.
LemoineSWavreilleGAlnotJ-YFontaineCChantelotC. Second generation GUEPAR total arthroplasty of the thumb basal joint: 50 months follow-up in 84 cases. Rev Chir Orthop Traumatol. 2009, 95: 64–71.
18.
LenoirHErblandALumensDCouletBChammasM. Trapeziectomy and ligament reconstruction tendon interposition after failed trapeziometacarpal joint replacement. Hand Surg Rehabil. 2016, 35: 21–6.
LussiezBLedouxPFalaiseC. Dual-mobility trapezio-metacarpal prosthesis: report of 132 first cases with a minimum follow-up of 1 year. Rev Chir Orthop Traumatol. 2017, 103: S61.
21.
Maes-ClavierCDavidEBiauDHustinCRotariV. Evaluation of the learning curve of Maia trapeziometacarpal joint prosthesis by LC-CUSUM Test. Chir Main. 2015, 34: 383.
22.
Martin-FerreroM. Ten-year long-term results of total joint arthroplasties with ARPE® implant in the treatment of trapeziometacarpal osteoarthritis. J Hand Surg Eur. 2014, 39: 826–32.
23.
NicholasRMCalderwoodJW. De la Caffinière arthroplasty for basal thumb joint osteoarthritis. J Bone Joint Surg Br. 1992, 74: 309–12.
24.
PomaresGDelgrandeDDapFDautelG. Minimum 10-year clinical and radiological follow-up of trapeziectomy with interposition or suspensionplasty for basal thumb arthritis. Orthop Traumatol Surg Res. 2016, 102: 995–1000.
25.
SemereAVuillermeNCorcellaDForliAMoutetF. Results with the Roseland® HAC trapeziometacarpal prosthesis after more than 10 years. Chir Main. 2015, 34: 59–66.
26.
TangJB. Re: Levels of experience of surgeons in clinical studies. J Hand Surg Eur. 2009, 34: 137–8.
