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Abstract

The aim of this study was to determine the clinical and radiographic outcomes and survivorship of the ISIS® (Evolutis™, Briennon, France) trapeziometacarpal prosthesis at a minimum follow-up of 5 years. Of the 77 implants (66 patients) reviewed at a mean follow-up of 107.5 months, pain and function had improved significantly. Fourteen cups (19%) and three stems (4%) appeared to have loosened on radiographs. Loosening occurred more often with cemented cups than screwed cups (p = 0.0342). In five cases, the prosthesis was removed and revised by trapeziectomy and interposition: four were cemented cups (three loosening, one trapezium fracture) and one was a loosened metacarpal stem. A single case of dislocation occurred during the follow-up period. The survival rate was 94% (95% CI: 85 to 97). The ISIS® prosthesis is a reliable implant for treating disabling thumb basal joint arthritis, with a low complication rate and long-lasting clinical and functional improvements. Using a screwed trapezial cup instead of a cemented one appears to prevent loosening and the need for surgical revision.

Level of evidence: IV

Keywords

Basal thumb osteoarthritis trapezometacarpal arthritis rhizarthrosis ISIS® prosthesis arthroplasty

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References

Andrzejewski

Ledoux

Maïa® trapeziometacarpal joint arthroplasty: survival and clinical outcomes at 5 years’ follow-up. Hand Surg Rehabil. 2019, 38: 169–73.

Crosby

Linscheid

Dobyns

JH.

Scaphotrapezial trapezoidal arthrosis. J Hand Surg Am. 1978, 3: 223–34.

Dell

Brushart

Smith

RJ.

Treatment of trapeziometacarpal arthritis: results of resection arthroplasty. J Hand Surg Am. 1978, 3: 243–9.

Dumartinet-Gibaud

Bigorre

Raimbeau

Jeudy

Saint Cast

. Arpe total joint arthroplasty for trapeziometacarpal osteoarthritis: 80 thumbs in 63 patients with a minimum of 10 years follow-up. J Hand Surg Eur. 2020, 45: 465–9.

Gervis

WH.

Excision of the trapezium for osteoarthritis of the trapezio-metacarpal joint. Postgrad Med J. 1948, 24: 262–4.

Goffin

Saffar

A radiological technique for measurement of the height of the trapezial cavity. Applications in pre- and post-operative assessment in osteoarthritis of the base of the thumb. Ann Chir Main Memb Superieur. 1990, 9: 364–8.

Goubau

Goorens

Van Hoonacker

Berghs

Kerckhove

Scheerlinck

Clinical and radiological outcomes of the Ivory arthroplasty for trapeziometacarpal joint osteoarthritis with a minimum of 5 years of follow-up: a prospective single-centre cohort study. J Hand Surg Eur. 2013, 38: 866–74.

Hudak

Amadio

Bombardier

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.

Jager

Barbary

Dap

Dautel

Evaluation of postoperative pain and early functional results in the treatment of carpometacarpal joint arthritis. Comparative prospective study of trapeziectomy vs. MAIA (®) prosthesis in 74 female patients. Chir Main. 2013, 32: 55–62.

10.

Kapandji

[Clinical test of apposition and counter-apposition of the thumb].

Ann Chir Main. 1986, 5: 67–73.

11.

Kapandji

AI.

[New radiologic data on the trapezo-metacarpal joint. The results of 330 cases]. Ann Chir Main Memb Super. 1993, 12: 263–74.

12.

Ledoux

Échec de prothèse totale trapézo-métacarpienne non cimentée Étude multicentrique. Ann Chir Main Memb Supér. 1997, 16: 215–21.

13.

Lemoine

Wavreille

Alnot

J-Y

Fontaine

Chantelot

Résultats de la prothèse trapézométacarpienne Guepar de deuxième génération. Quatre-vingt quatre prothèses au recul moyen de 50 mois. Rev Chir Orthopédique Traumatol. 2009, 95: 64–71.

14.

Masmejean

Alnot

Chantelot

Beccari

[Guepar anatomical trapeziometacarpal prosthesis]. Chir Main. 2003, 22: 30–6.

15.

Saab

Chick

Trapeziectomy for trapeziometacarpal osteoarthritis. Bone Jt Open. 2021, 2: 141–9.

16.

Seng

Chantelot

[Isis(®) trapeziometacarpal prosthesis in basal thumb osteoarthritis: 30 months follow-up in 30 cases]. Chir Main. 2013, 32: 8–16.

17.

Tang

Giddins

Why and how to report surgeons’ levels of expertise. J Hand Surg Eur. 2016, 41: 365–6.

18.

Toffoli

Teissier

MAÏA Trapeziometacarpal joint arthroplasty: clinical and radiological outcomes of 80 patients with more than 6 years of follow-up. J Hand Surg Am. 2017, 42: 838.e1–8.

19.

Ulrich-Vinther

Puggaard

Lange

Prospective 1-year follow-up study comparing joint prosthesis with tendon interposition arthroplasty in treatment of trapeziometacarpal osteoarthritis. J Hand Surg Am. 2008, 33: 1369–77.

20.

Wachtl

Guggenheim

Sennwald

GR.

[Radiological course of cemented and uncemented trapeziometacarpal prostheses]. Ann Chir Main Memb Super. 1997, 16: 222–8.

21.

van Cappelle

Elzenga

van Horn

JR.

Long-term results and loosening analysis of de la Caffinière replacements of the trapeziometacarpal joint. J Hand Surg Am. 1999, 24: 476–82.

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The ISIS® prosthesis in 77 cases of trapeziometacarpal arthritis: outcomes and survival at a minimum follow-up of 5 years

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