Cover Image

Scapho-metacarpal dual mobility prosthesis for TMC-1 joint salvage: technical insights

Introduction - Rhizarthrosis, or osteoarthritis of the trapeziometacarpal joint, predominantly affects women over 50, with up to 30% experiencing some degree of arthritis in this joint. Traditional surgical approaches, such as trapeziectomy with ligament reconstruction, can result in some patients i...

Full description

Saved in:
Bibliographic Details
Main Authors: Glaser, Julia (Author) , Aman, Martin (Author) , Krohn, Thomas (Author) , Duerinckx, Joris (Author) , Panzram, Benjamin (Author) , Harhaus-Wähner, Leila (Author)
Format: Article (Journal)
Language:English
Published: 15 January 2025
In: Archives of orthopaedic and trauma surgery
Year: 2025, Volume: 145, Pages: 1-8
ISSN:1434-3916
DOI:10.1007/s00402-025-05751-w
Online Access:Verlag, kostenfrei, Volltext: https://doi.org/10.1007/s00402-025-05751-w
Verlag, kostenfrei, Volltext: https://link.springer.com/article/10.1007/s00402-025-05751-w#change-history
Get full text
Author Notes:Julia Glaser, Martin Aman, Thomas Krohn, Joris Duerinckx, Benjamin Panzram, Leila Harhaus

MARC

LEADER 00000naa a2200000 c 4500
001 1936546124
003 DE-627
005 20250923120033.0
007 cr uuu---uuuuu
008 250923s2025 xx |||||o 00| ||eng c
024 7 |a 10.1007/s00402-025-05751-w  |2 doi 
035 |a (DE-627)1936546124 
035 |a (DE-599)KXP1936546124 
040 |a DE-627  |b ger  |c DE-627  |e rda 
041 |a eng 
084 |a 33  |2 sdnb 
100 1 |a Glaser, Julia  |d 1992-  |e VerfasserIn  |0 (DE-588)1242572430  |0 (DE-627)1772556580  |4 aut 
245 1 0 |a Scapho-metacarpal dual mobility prosthesis for TMC-1 joint salvage  |b technical insights  |c Julia Glaser, Martin Aman, Thomas Krohn, Joris Duerinckx, Benjamin Panzram, Leila Harhaus 
264 1 |c 15 January 2025 
300 |b Illustrationen 
300 |a 8 
336 |a Text  |b txt  |2 rdacontent 
337 |a Computermedien  |b c  |2 rdamedia 
338 |a Online-Ressource  |b cr  |2 rdacarrier 
500 |a Gesehen am 23.09.2025 
520 |a Introduction - Rhizarthrosis, or osteoarthritis of the trapeziometacarpal joint, predominantly affects women over 50, with up to 30% experiencing some degree of arthritis in this joint. Traditional surgical approaches, such as trapeziectomy with ligament reconstruction, can result in some patients in persistent pain or limited functionality. TMC ball-in-socket arthroplasty, with a cup placed in the distal scaphoid, offers a promising alternative to traditional arthrodesis or resection-suspension arthroplasty. Materials and Methods - This study involved 11 patients with treated 13 hands who had persistent symptoms after previous TMC-1 surgeries. Procedures included a bilateral scaphometacarpal implantation in two cases. Main symptoms were pain, thumb shortening, and reduced grip strength. The Touch® ball-in-socket prosthesis was used, with specific considerations for implant selection, surgical steps and customization based on the patient-specific case. Results - We included 11 patients with 13 thumbs, with a mean follow-up time of 16 months (range: 4–49 months). All patients showed significant improvements in thumb function. Grip strength, as measured by dynamometry, showed an aver-age recovery to 80–90% of the contralateral side. Thumb opposition according to the Kapandji score averaged 9 out of 10. Radiographs demonstrated good osseointegration of the implants, with no signs of prosthetic loosening or dislocation. Complications included one case of persistent mild hypesthesia of the radial nerve’s superficial branch, which did not impair function, and one scaphoid fracture 4 weeks post-implantation during cast immobilization. Conclusion - The scapho-metacarpal dual mobility prosthesis is a feasible and effective option for patients with persistent TMC-1 symptoms after failed surgeries. It uniquely preserves both thumb mobility and length, unlike alternatives like arthrodesis and tendon suspensionplasty, which remain options if the prosthesis fails. Further research and long-term studies are necessary to determine the definitive role of this approach in complex TMC-1 cases. 
650 4 |a Dual mobily prosthesis for thumb TMC joint 
650 4 |a Osteoarthritis of the trapeziometacarpal join 
650 4 |a Rhizarthrosis 
650 4 |a Salvage strategy after failed trapeziectomy 
650 4 |a Scaphometacarpal prosthesis 
700 1 |a Aman, Martin  |e VerfasserIn  |0 (DE-588)1159667241  |0 (DE-627)1022326481  |0 (DE-576)505176963  |4 aut 
700 1 |a Krohn, Thomas  |e VerfasserIn  |4 aut 
700 1 |a Duerinckx, Joris  |e VerfasserIn  |4 aut 
700 1 |a Panzram, Benjamin  |d 1982-  |e VerfasserIn  |0 (DE-588)1015428630  |0 (DE-627)705383733  |0 (DE-576)349958912  |4 aut 
700 1 |a Harhaus-Wähner, Leila  |d 1980-  |e VerfasserIn  |0 (DE-588)132529874  |0 (DE-627)523625944  |0 (DE-576)299205185  |4 aut 
773 0 8 |i Enthalten in  |t Archives of orthopaedic and trauma surgery  |d Berlin : Springer, 1989  |g 145(2025), Artikel-ID 128, Seite 1-8  |h Online-Ressource  |w (DE-627)253390087  |w (DE-600)1458452-9  |w (DE-576)072283297  |x 1434-3916  |7 nnas  |a Scapho-metacarpal dual mobility prosthesis for TMC-1 joint salvage technical insights 
773 1 8 |g volume:145  |g year:2025  |g elocationid:128  |g pages:1-8  |g extent:8  |a Scapho-metacarpal dual mobility prosthesis for TMC-1 joint salvage technical insights 
856 4 0 |u https://doi.org/10.1007/s00402-025-05751-w  |x Verlag  |x Resolving-System  |z kostenfrei  |3 Volltext 
856 4 0 |u https://link.springer.com/article/10.1007/s00402-025-05751-w#change-history  |x Verlag  |z kostenfrei  |3 Volltext 
951 |a AR 
992 |a 20250923 
993 |a Article 
994 |a 2025 
998 |g 132529874  |a Harhaus-Wähner, Leila  |m 132529874:Harhaus-Wähner, Leila  |d 50000  |e 50000PH132529874  |k 0/50000/ 
998 |g 1015428630  |a Panzram, Benjamin  |m 1015428630:Panzram, Benjamin  |d 910000  |d 911460  |d 50000  |e 910000PP1015428630  |e 911460PP1015428630  |e 50000PP1015428630  |k 0/910000/  |k 1/910000/911460/  |k 0/50000/  |p 5 
999 |a KXP-PPN1936546124  |e 4775261444 
BIB |a Y 
SER |a journal 
JSO |a {"origin":[{"dateIssuedKey":"2025","dateIssuedDisp":"15 January 2025"}],"id":{"doi":["10.1007/s00402-025-05751-w"],"eki":["1936546124"]},"recId":"1936546124","name":{"displayForm":["Julia Glaser, Martin Aman, Thomas Krohn, Joris Duerinckx, Benjamin Panzram, Leila Harhaus"]},"title":[{"title_sort":"Scapho-metacarpal dual mobility prosthesis for TMC-1 joint salvage","subtitle":"technical insights","title":"Scapho-metacarpal dual mobility prosthesis for TMC-1 joint salvage"}],"person":[{"family":"Glaser","given":"Julia","role":"aut","display":"Glaser, Julia"},{"family":"Aman","role":"aut","given":"Martin","display":"Aman, Martin"},{"display":"Krohn, Thomas","family":"Krohn","given":"Thomas","role":"aut"},{"given":"Joris","role":"aut","family":"Duerinckx","display":"Duerinckx, Joris"},{"display":"Panzram, Benjamin","family":"Panzram","role":"aut","given":"Benjamin"},{"display":"Harhaus-Wähner, Leila","role":"aut","given":"Leila","family":"Harhaus-Wähner"}],"physDesc":[{"extent":"8 S.","noteIll":"Illustrationen"}],"language":["eng"],"type":{"bibl":"article-journal","media":"Online-Ressource"},"relHost":[{"pubHistory":["Volume 108, issue 1 (January 1989)-"],"physDesc":[{"extent":"Online-Ressource"}],"language":["eng"],"titleAlt":[{"title":"Orthopaedic and trauma surgery"}],"note":["Gesehen am 28.03.25","Fortsetzung der Druck-Ausgabe"],"type":{"bibl":"periodical","media":"Online-Ressource"},"title":[{"title_sort":"Archives of orthopaedic and trauma surgery","title":"Archives of orthopaedic and trauma surgery"}],"disp":"Scapho-metacarpal dual mobility prosthesis for TMC-1 joint salvage technical insightsArchives of orthopaedic and trauma surgery","recId":"253390087","part":{"extent":"8","text":"145(2025), Artikel-ID 128, Seite 1-8","volume":"145","pages":"1-8","year":"2025"},"origin":[{"publisherPlace":"Berlin ; Heidelberg","dateIssuedKey":"1989","publisher":"Springer","dateIssuedDisp":"1989-"}],"id":{"issn":["1434-3916"],"zdb":["1458452-9"],"eki":["253390087"]}}],"note":["Gesehen am 23.09.2025"]} 
SRT |a GLASERJULISCAPHOMETA1520 

Similar Items