Search Results
Search for other papers by Joris Duerinckx in
Google Scholar
PubMed
Search for other papers by Frederik Verstreken in
Google Scholar
PubMed
-
Total joint replacement has certain advantages over other surgical treatment methods for osteoarthritis of the thumb carpometacarpal joint, including restoration of thumb length and alignment, good cosmetical result, fast recovery of hand function and prevention of iatrogenic complications at neighbouring joints.
-
Disadvantages include the technical difficulty to perform this surgery and a possible higher complication rate.
-
A meticulous surgical technique is mandatory.
-
Combined with a cementless and modular ball-in-socket implant with a metal-on-polyethylene friction couple, a 10-year survival rate higher than 90% can be expected.
-
Revision surgery is possible with implant exchange or conversion to trapeziectomy.
Search for other papers by Maartje Michielsen in
Google Scholar
PubMed
Search for other papers by Annemieke Van Haver in
Google Scholar
PubMed
Department of Orthopaedic Surgery, University Hospital Antwerp, Antwerp, Belgium
Search for other papers by Matthias Vanhees in
Google Scholar
PubMed
Department of Orthopaedic Surgery, University Hospital Antwerp, Antwerp, Belgium
Search for other papers by Roger van Riet in
Google Scholar
PubMed
Department of Orthopaedic Surgery, University Hospital Antwerp, Antwerp, Belgium
Search for other papers by Frederik Verstreken in
Google Scholar
PubMed
-
In malunion cases, restoration of anatomy is a key factor in obtaining a good functional outcome, but this can be technically very challenging.
-
Three-dimensional printed bone models can further improve understanding of the malunion pattern.
-
The use of three-dimensional (3D) computer planning, and the assembly of patient-specific instruments and implants, especially in complex deformities of the upper limb, allow accurate correction while reducing operation time, blood loss volume and radiation exposure during surgery.
-
One of the major disadvantages of the 3D technique is the additional cost because it requires specific computer software, a dedicated clinical engineer, and a 3D printer.
-
Further technical developments and clinical investigations are necessary to better define the added value and cost/benefit relationship of 3D in the treatment of complex fractures, non-unions, and malunions.
Cite this article: EFORT Open Rev 2019;4 DOI: 10.1302/2058-5241.4.180074
