Revision of trapeziometacarpal arthroplasty.

Pierre-Emmanuel Chammas, Jacques Teissier, Léo Chiche, Cyril Lazerges, Bertrand Coulet, Michel Chammas
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Abstract

Complications of trapeziometacarpal arthroplasty are uncommon, but are classified as intra- and post-operative, dislocation and loosening being the main causes of revision surgery. Periprosthetic fracture and ossification are rare. Whenever possible, prosthetic revision techniques consist in partial or total replacement with modular implants. Trapeziectomy-ligamentoplasty is the last-resort revision technique, with results similar to those of primary trapeziectomy-ligamentoplasty.

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梯形腕关节置换术的改良。
梯形腕关节置换术的并发症并不常见,但分为术中和术后,脱位和松动是翻修手术的主要原因。假体周围骨折和骨化是罕见的。只要有可能,假体翻修技术包括部分或全部替换模块化植入物。梯形切除术-韧带成形术是最后的翻修技术,其结果与原发性梯形切除术-韧带成形术相似。
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