Functional and patient reported outcomes of Pyrocardan implants for carpometacarpal osteoarthritis.

IF 1.7 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Irish Journal of Medical Science Pub Date : 2024-12-01 Epub Date: 2024-08-19 DOI:10.1007/s11845-024-03785-4
Aoife O'Halloran, Lauren Tiedt, Olivia Flannery
{"title":"Functional and patient reported outcomes of Pyrocardan implants for carpometacarpal osteoarthritis.","authors":"Aoife O'Halloran, Lauren Tiedt, Olivia Flannery","doi":"10.1007/s11845-024-03785-4","DOIUrl":null,"url":null,"abstract":"<p><strong>Aims: </strong>The primary aim of this study was to assess functional and patient reported outcomes among those with first carpometacarpal joint osteoarthritis treated with the Pyrocardan implant (Stryker-Wright Medical) in Ireland. The secondary aim of this study was to assess implant survival and revision rates.</p><p><strong>Methods: </strong>We conducted a single surgeon retrospective study assessing 40 Pyrocardan arthroplasties among 37 patients, with a minimum of 6 months follow-up. Patient reported outcomes were assessed via quick disability of the arm, shoulder and hand (quick DASH) questionnaire, the visual analog score (VAS) for pain, and patient rated wrist evaluation (PRWE) questionnaire. Functional scores were assessed via lateral key pinch strength and Kapandji scores. Implant survival, complication and revision rates were also recorded.</p><p><strong>Results: </strong>Forty Pyrocardan implants among 37 patients were included. Mean follow-up was 2.5 years with a 97.5% implant survival rate. One patient underwent revision to trapeziectomy and Weilby sling. Eighty-eight percent of survey responders admitted that they would undergo the operation again, and 75% declared a 75-100% improvement in symptoms. Post-operative pain scores include a mean VAS of 2.07, quickDASH of 22.82, and PRWE of 26.92. Of those tested, there was an average increase in post-operative lateral key pinch, and 89% obtained a post-operative Kapandji score equal to or better than pre-operative scores.</p><p><strong>Conclusions: </strong>This is the first study assessing the Pyrocardan interpositional arthroplasty in Ireland. The implant appears to produce good functional and patient reported outcomes. There is high satisfaction and low revision rate, producing a reliable and successful surgical technique for treating CMC joint osteoarthritis.</p>","PeriodicalId":14507,"journal":{"name":"Irish Journal of Medical Science","volume":" ","pages":"2819-2824"},"PeriodicalIF":1.7000,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Irish Journal of Medical Science","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s11845-024-03785-4","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/8/19 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0

Abstract

Aims: The primary aim of this study was to assess functional and patient reported outcomes among those with first carpometacarpal joint osteoarthritis treated with the Pyrocardan implant (Stryker-Wright Medical) in Ireland. The secondary aim of this study was to assess implant survival and revision rates.

Methods: We conducted a single surgeon retrospective study assessing 40 Pyrocardan arthroplasties among 37 patients, with a minimum of 6 months follow-up. Patient reported outcomes were assessed via quick disability of the arm, shoulder and hand (quick DASH) questionnaire, the visual analog score (VAS) for pain, and patient rated wrist evaluation (PRWE) questionnaire. Functional scores were assessed via lateral key pinch strength and Kapandji scores. Implant survival, complication and revision rates were also recorded.

Results: Forty Pyrocardan implants among 37 patients were included. Mean follow-up was 2.5 years with a 97.5% implant survival rate. One patient underwent revision to trapeziectomy and Weilby sling. Eighty-eight percent of survey responders admitted that they would undergo the operation again, and 75% declared a 75-100% improvement in symptoms. Post-operative pain scores include a mean VAS of 2.07, quickDASH of 22.82, and PRWE of 26.92. Of those tested, there was an average increase in post-operative lateral key pinch, and 89% obtained a post-operative Kapandji score equal to or better than pre-operative scores.

Conclusions: This is the first study assessing the Pyrocardan interpositional arthroplasty in Ireland. The implant appears to produce good functional and patient reported outcomes. There is high satisfaction and low revision rate, producing a reliable and successful surgical technique for treating CMC joint osteoarthritis.

Abstract Image

Pyrocardan植入物治疗腕掌骨关节炎的功能和患者报告结果。
目的:本研究的主要目的是评估在爱尔兰接受Pyrocardan植入物(史赛克-莱特医疗公司)治疗的第一腕掌关节骨关节炎患者的功能和患者报告结果。这项研究的次要目的是评估植入物的存活率和翻修率:我们对 37 名患者中的 40 例 Pyrocardan 人工关节置换术进行了单外科医生回顾性研究,随访时间至少 6 个月。患者报告的结果通过手臂、肩部和手部快速残疾(quick DASH)问卷、疼痛视觉模拟评分(VAS)和患者腕部评价(PRWE)问卷进行评估。功能评分通过侧键夹持力量和 Kapandji 评分进行评估。此外,还记录了植入物的存活率、并发症和翻修率:37名患者中的40名患者接受了Pyrocardan假体植入手术。平均随访时间为 2.5 年,种植体存活率为 97.5%。一名患者接受了梯形切除术和 Weilby 吊带术的翻修。88%的受访者承认他们会再次接受手术,75%的受访者表示症状改善了75%-100%。术后疼痛评分包括平均 VAS 2.07 分、quickDASH 22.82 分和 PRWE 26.92 分。在接受测试的患者中,术后侧键捏合平均增加,89%的患者术后 Kapandji 评分等于或优于术前评分:这是爱尔兰首次对Pyrocardan关节间置换术进行评估研究。该假体似乎具有良好的功能和患者报告结果。满意度高,翻修率低,是治疗CMC关节骨关节炎的可靠而成功的手术技术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Irish Journal of Medical Science
Irish Journal of Medical Science 医学-医学:内科
CiteScore
3.70
自引率
4.80%
发文量
357
审稿时长
4-8 weeks
期刊介绍: The Irish Journal of Medical Science is the official organ of the Royal Academy of Medicine in Ireland. Established in 1832, this quarterly journal is a contribution to medical science and an ideal forum for the younger medical/scientific professional to enter world literature and an ideal launching platform now, as in the past, for many a young research worker. The primary role of both the Academy and IJMS is that of providing a forum for the exchange of scientific information and to promote academic discussion, so essential to scientific progress.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信