Søndergaard L, Konradsen L, Rechnagel K
Department of Orthopaedics, Hillerød County Hospital, Denmark.
J Hand Surg Br. 1991 Nov;16(4):428-30. doi: 10.1016/0266-7681(91)90019-k.
20 patients with 22 Caffinière prostheses in the trapezio-metacarpal joint were evaluated at a median of nine years after operation. The indication was degenerative osteoarthrosis in 20 cases and rheumatoid arthritis in two cases. We found 18 of the 22 (82%) original prostheses still in place, with satisfactory pain relief and good function. Three hands had been revised due to aseptic loosening, with replacement of two cups and one total prosthesis. Two of the revised prostheses were functioning well 6 1/2 and 10 years after the revision. We conclude that function does not deteriorate within the first nine years, that late loosening is not a significant problem with this prosthesis and that, if aseptic loosening occurs, it is possible to obtain good results by replacing the loose component.
对20例在大多角骨-第一掌骨关节植入22个卡菲尼埃人工关节的患者进行了评估，评估时间为术后中位数九年。其中20例的手术指征为退行性骨关节炎，2例为类风湿关节炎。我们发现22个原始人工关节中有18个（82%）仍在位，疼痛缓解令人满意，功能良好。3只手因无菌性松动而进行了翻修，更换了2个髋臼杯和1个全人工关节。其中2个翻修后的人工关节在翻修后6年半和10年功能良好。我们得出结论，在前九年功能不会恶化，这种人工关节晚期松动不是一个重大问题，并且如果发生无菌性松动，通过更换松动部件有可能获得良好效果。
