Andrzejewski A, Ledoux P
Centre Hospitalier de EpiCURA Baudour, 136, rue Louis-Caty, 7334 Baudour, Belgium.
Centre Hospitalier de EpiCURA Baudour, 136, rue Louis-Caty, 7334 Baudour, Belgium; Polyclinique du Parc, 48, rue Henri-Barbusse, 59880 Saint-Saulve, France.
Hand Surg Rehabil. 2019 Jun;38(3):169-173. doi: 10.1016/j.hansur.2019.03.004. Epub 2019 Apr 2.
We sought to report the clinical and radiological outcomes and the survival of Maïa trapeziometacarpal joint arthroplasty retrospectively at a mean 5 years' follow-up. We evaluated the implant survival and the clinical outcomes of 93 patients (113 prostheses). Patients were examined during a consultation and their mobility, key pinch strength and satisfaction were recorded. Patients also completed a QuickDASH evaluation. The 5-year survival rate was 92.2%. The mean QuickDASH Score was 26.7. The complication rate was 31% and the revision rate was 12.4%. The most common complication was dislocation and the most frequent cause of surgical revision was periprosthetic ossification. We identified two cases of aseptic loosening. This study shows the Maïa prosthesis provides satisfactory medium-term results and has an excellent 5-year survival. However, the high complication and revision rates are still a major concern.
我们旨在对Maïa大多角骨-第一掌骨关节置换术进行回顾性研究，报告其平均5年随访期的临床和影像学结果以及生存率。我们评估了93例患者（113个假体）的假体生存率和临床结果。在门诊咨询期间对患者进行检查，并记录他们的活动度、捏力和满意度。患者还完成了快速残疾评估量表（QuickDASH）评估。5年生存率为92.2%。QuickDASH评分的平均值为26.7。并发症发生率为31%，翻修率为12.4%。最常见的并发症是脱位，手术翻修最常见的原因是假体周围骨化。我们发现了2例无菌性松动病例。本研究表明，Maïa假体提供了令人满意的中期结果，且5年生存率极佳。然而，高并发症率和翻修率仍是一个主要问题。
