Introduction: Favorable clinical outcomes have been reported with the Artelon CMC Spacer, however, several studies have documented complications with the device.
Purpose Of The Study: The purpose of this study is to review a single surgeon's experience with the Artelon CMC Spacer for the treatment of basal joint arthritis of the thumb.
Methods: Five thumbs in 6 patients with symptomatic osteoarthritis of the thumb carpometacarpal (CMC) joint were treated with the Artelon CMC Spacer. The mean age of the patients was 60.8 years old. Patients were followed for a mean of 39.3 months (6-63) post-operatively.
Results: Complications occurred in 4 of the 6 thumbs and half of the thumbs required at least one secondary operative procedure. A documented foreign-body reaction was present in 2 of the 6 thumbs.
Discussion: The Artelon CMC Spacer is an interposition material that acts as a biologic spacer for arthritic joints while maintaining mechanical strength.
Conclusions: Due to an unacceptably high complication rate, we no longer use the Artelon CMC Spacer for the management of basal joint arthritis of the thumb.
Level Of Evidence: 4.
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| http://dx.doi.org/10.1016/j.jht.2013.12.001 | DOI Listing |
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The use of the Artelon CMC Spacer for osteoarthritis of the basal joint of the thumb.
J Hand Ther
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Department of Physical Therapy and Occupational Therapy, Duke University Medical Center, Durham, NC, USA.
Introduction: Favorable clinical outcomes have been reported with the Artelon CMC Spacer, however, several studies have documented complications with the device.
Purpose Of The Study: The purpose of this study is to review a single surgeon's experience with the Artelon CMC Spacer for the treatment of basal joint arthritis of the thumb.
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Porous polyurethaneurea (Artelon) joint spacer compared to trapezium resection and ligament reconstruction.
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September 2013
Grand Rapids Medical Education Partners, Michigan State University Plastic Surgery Residency, Grand Rapids, MI, USA.
Purpose: To examine outcomes and complications of the porous polyurethaneurea (Artelon; Small Bone Innovations, Morrisville, PA) spacer compared to traditional surgical treatment of trapeziectomy with ligament reconstruction and tendon interposition (LRTI).
Methods: A retrospective chart review was undertaken of patients with carpometacarpal (CMC) arthritis who had either placement of an Artelon spacer or LRTI. Patients were brought back to clinic for interview and functional testing.
A retrospective multicenter study of the Artelon® carpometacarpal joint implant.
Hand (N Y)
December 2011
Department of Orthopedics, El Paso Specialty Hospital, 1755 Curie, Suite B, El Paso, TX 79902 USA.
Background: This study aims to evaluate patient outcomes associated with use of the Artelon® Spacer for the treatment of arthritis of the carpometacarpal joint (CMCJ) of the thumb.
Methods: Patients with Eaton stage I, II, or III carpometacarpal (CMC) joint arthritis and disabling pain that had failed conservative treatment were evaluated at 12, 36, and 48 months postsurgery for changes in pinch, patient satisfaction, pain, range of motion, grip strength, grind test, operative time, and X-ray evidence of subsidence.
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Background: Complications with the use of the Artelon spacer in thumb carpometacarpal (CMC) joint arthritis include inflammation, osteolysis, and persistent pain. We evaluated our short-term results and complications.
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Department of Hand and Wrist Surgery, Diakonessenhuis Zeist, Rotterdam, The Netherlands.
The aim of this article is to provide an updated systematic review on the 8 most commonly used surgical procedures to treat trapeziometacarpal osteoarthritis. A thorough literature search was performed using predetermined criteria. A total of 35 articles fulfilled the inclusion criteria.
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