[Foreign body reaction in osteoarthritis of the trapeziometacarpal joint treated by trapezectomy and interposition of a L-polylactic acid "anchovy" (Arex®615R). A series of eight cases]

A Semere; A Forli; D Corcella; V Mesquida; M G Loret; F Moutet

doi:10.1016/j.main.2013.03.005

[Foreign body reaction in osteoarthritis of the trapeziometacarpal joint treated by trapezectomy and interposition of a L-polylactic acid "anchovy" (Arex®615R). A series of eight cases]

Chir Main. 2013 Jun;32(3):161-8. doi: 10.1016/j.main.2013.03.005. Epub 2013 Apr 18.

[Article in French]

Authors

A Semere¹, A Forli, D Corcella, V Mesquida, M G Loret, F Moutet

Affiliation

¹ Service de chirurgie de la main et des brûlés, centre hospitalier A.-Michallon, hôpital Nord, 38700 La Tronche, France. [email protected]

PMID: 23665309
DOI: 10.1016/j.main.2013.03.005

Abstract

Osteoarthritis of the trapeziometacarpal joint is a common pathology. When the trapezium is not large enough to allow using a total joint arthroplasty or in case of peritrapezial osteoarthrosis, the authors used a trapeziectomy with interposition of an absorbable L-polylactic acid anchovy (Arex(®)615R). This technique is simple and fast. From 2006 to 2010, out of 68 implants, nine displayed a prolonged inflammatory reaction, both clinically and radiologically abnormal, leading the patients to undergo revision surgery for removal of the implant before the end of the third postoperative year. Histological analysis highlighted in all the cases a resorptive gigantocellular immune foreign body reaction.

MeSH terms

Adult
Aged, 80 and over
Arthroplasty / methods
Arthroscopy
Biocompatible Materials / administration & dosage
Biocompatible Materials / adverse effects*
Carpometacarpal Joints / diagnostic imaging
Carpometacarpal Joints / surgery*
Female
Follow-Up Studies
Foreign-Body Reaction / diagnostic imaging
Foreign-Body Reaction / etiology*
Foreign-Body Reaction / surgery*
Humans
Lactic Acid / administration & dosage
Lactic Acid / adverse effects*
Male
Middle Aged
Osteoarthritis / complications*
Osteoarthritis / diagnostic imaging
Osteoarthritis / surgery
Pain Measurement
Patient Satisfaction
Polyesters
Polymers / administration & dosage
Polymers / adverse effects*
Prostheses and Implants
Radiography
Risk Factors
Time Factors
Trapezium Bone / diagnostic imaging
Trapezium Bone / surgery*
Treatment Outcome

Substances

Biocompatible Materials
Polyesters
Polymers
Lactic Acid
poly(lactide)