Rhizarthrosis Clinical Trial
Official title:
Long-term Evaluation of Primary Trapeziectomy and Placement of a RegJoint Implant in the Treatment of Rhizarthrosis
In a society based on the use of everyday tools and objects, the loss of function of one or
both thumbs due to Rhizarthrosis can drastically reduce the quality of life. Many patients
are refractory to preservative treatments.Therefore, multiple arthroplasty techniques were
developed.
Trapeziectomy, with or without tendon interposition, gives very good results in terms of
pain, function or force. However, it can result in a reduction of the size of the column of
the thumb, therefore leading to a loss of force.
Replacement of the trapezo-metacarpal joint with prosthetic material is also proposed and has
the advantage to avoid the reduction of the thumb column. Several models are available, mono
or bipolar, with a conical or hemispherical cup. Another option is the placement of implants.
They were first used when a partial trapeziectomy was possible to counter the collapse of the
column and are made of different materials such as metal, silicone, ceramic, pyrocarbon , and
gelfoam.
The bioabsorbable poly-LD-lactide implant (PLDLA) is a relatively new possibility for the
reconstruction of small joints. Studies have previously revealed that the PLDLA implant is
biocompatible and represents a good alternative to arthroplasty by tendon interposition in
the reconstruction of the trapezo-metacarpal articulation with osteoarthritis.
In this study, the investigators will investigate the long term effects (1 year after
placement) of the Regjoint, a poly-LD-lactide implant (PLDLA).
n/a
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