The dual mobility concept currently represents the newest generation of thumb carpometacarpal prostheses. The aim of this study was to evaluate the short-term outcomes of TOUCH prosthesis. From September 2019 to July 2020, 40 prosthesis were implanted in 37 patients suffering from symptomatic stage III osteoarthritis. All included patients with a median age of 57.7 (IQR: 13.6) finished the systematic follow-up regimen (4, 8, 16 weeks, 6, and 12 months postoperatively). All parameters significantly improved ( < 0.0001) compared to the preoperative status. At 1 year follow-up, median DASH Scores decreased from 54 (IQR 22) to 12 (IQR 28) and pain levels improved from 8 (IQR 2) to 1 (IQR 2). Moreover, key-pinch strength increased from 3.8 (2.0) to 5.8 (2.5), while palmar abduction, radial abduction, and opposition also significantly improved. 35/37 patients were satisfied with the functional outcomes. We observed 10 complications, of which 6 were tendon-related issues, and 2 were due to an inappropriate choice of neck size. We could detect one dislocation but no evidence of cup loosening, tilting or subsidence in any patient. Despite the occurrence of some complications, we recommend implantation of this prosthesis type due to favorable clinical and radiological performance.
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http://dx.doi.org/10.3390/jcm10184090 | DOI Listing |
Hum Brain Mapp
December 2024
Rehab Neural Engineering Labs, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Intracortical microstimulation (ICMS) is a method for restoring sensation to people with paralysis as part of a bidirectional brain-computer interface (BCI) to restore upper limb function. Evoking tactile sensations of the hand through ICMS requires precise targeting of implanted electrodes. Here we describe the presurgical imaging procedures used to generate functional maps of the hand area of the somatosensory cortex and subsequent planning that guided the implantation of intracortical microelectrode arrays.
View Article and Find Full Text PDFJ Hand Microsurg
January 2025
Department of Orthopaedic Surgery and Musculoskeletal Trauma, University Hospital of Larissa, Larissa, Greece.
Thumb carpometacarpal (CMC) arthritis is a prevalent pathology, particularly among elderly women, with a significant impact on patients' quality of daily life. Total joint replacement can provide a shorter rehabilitation period and satisfying function, at least in the short term with encouraging findings according to recent studies concerning its complications (e.g.
View Article and Find Full Text PDFmedRxiv
December 2024
Department of Biomedical Engineering, Case Western Reserve University, Cleveland, OH, United States.
Introduction: Dynamic modulation of grip occurs mainly within the major structures of the brain stem, in parallel with cortical control. This basic, but fundamental level of the brain, is robust to ill-formed feedback and to be useful, it may not require all the perceptual information of feedback we are consciously aware. This makes it viable candidate for using peripheral nerve stimulation (PNS), a form of tactile feedback that conveys intensity and location information of touch well but does not currently reproduce other qualities of natural touch.
View Article and Find Full Text PDFJ Robot Surg
November 2024
Larkin Palm Springs Hospital, Miami, FL, 33012, USA.
J Bodyw Mov Ther
October 2024
Department of Dental Materials and Prosthesis, São Paulo State University (UNESP), School of Dentistry, Araçatuba, São Paulo, Brazil; São Paulo State University (UNESP), School of Dentistry, Dental Assistance Center for People with Disabilities (CAOE), Araçatuba, São Paulo, Brazil. Electronic address:
Background: Down Syndrome (DS) is currently the most common chromosomal condition associated with intellectual disability in the global population and is characterized by a variety of additional clinical findings. Individuals with DS may exhibit altered perception and reaction to painful stimuli, which makes the diagnosis of pain in DS a challenge. This study aimed to evaluate the pressure pain threshold of the masticatory muscles and the reaction to social touch in individuals with DS compared to neurotypical individuals (NT).
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