RESUMO
The results of 77 de la Caffinière arthroplasties for osteoarthritis of the thumb carpometacarpal joint were reviewed. The mean follow-up period was 8.5 years (range, 2-16 years). The survival rate at 16 years was 72%. Clinical and subjective scores were good in primary implants, reasonable in revisions, and poor in salvage procedures. The total loosening rate was 44%. Half of the loosening cases led to revision; the other half had good results. Loosening occurred significantly more often in men and younger women. The use of this prosthesis is only advised for women, preferably those older than 60 years.
Assuntos
Artroplastia de Substituição , Polegar/cirurgia , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Falha de Prótese , Reoperação , Resultado do Tratamento , Articulação do Punho/cirurgiaRESUMO
Computed tomography of acetabular fractures, using 3 mm thick continuous slices, was routinely supplemented with reformatted images in the coronal and sagittal plane. We have found this to be helpful in the preoperative evaluation of our cases for insight into these often complex fractures. Three representative case reports are presented.
