Feasibility of model-based Roentgen Stereophotogrammetric Analysis to evaluate early migration of the trapeziometacarpal joint prosthesis

BMC Musculoskeletal Disorders

G.A. Kraan⁴  R.L.M. Deijkers²  I.F. Blom³  N.M.C. Mathijssen⁴  B. ten Brinke⁴  E.M. Ooms¹ 

[1]Centre for Orthopaedic Surgery, OCON, Hand and Wrist unit, Hengelo, The Netherlands

[2]Department of Orthopaedic Surgery, Haga Ziekenhuis, Den Haag, The Netherlands

[3]Departments of Radiology and Orthopaedic Surgery, Reinier de Graaf Groep, Delft, 2600 GA, The Netherlands

[4]Department of Orthopaedic Surgery, Reinier de Graaf Groep, Delft, The Netherlands

关键词: Early migration;    Micromotion;    TMC joint arthroplasty;    Thumb arthrosis;    Roentgen Stereophotogrammetric Analysis (RSA);   

Others  :  1232855
DOI  :  10.1186/s12891-015-0747-3

 received in 2014-12-11, accepted in 2015-10-02,  发布年份 2015

【 摘 要 】

Background

The purpose of this study was to determine the feasibility of Roentgen Stereophotogrammetric Analysis (RSA) in total joint arthroplasty of the trapeziometacarpal (TMC) joint of the thumb.

Methods

In five cadaveric hands the TMC-joint was replaced by the Surface Replacement Trapeziometacarpal prosthesis (SR™ TMC prosthesis; Avanta, San Diego, CA) and tantalum beads of 0.8 mm were implanted for RSA. RSA radiographs in two directions were made in ten positions to calculate the measurement error. Migration values from zero are indicative for the measurement error. The number of detected markers was recorded.

Results

The accuracy analysis showed that for the translations the mean measurement error varied between 0.003 mm (SD 0.057) and 0.055 mm (SD 0.133). For the rotations values ranged from 0.034° (SD 1.759) to 0.502° (SD 1.617).

Conclusions

RSA analysis of the SR™ TMC prosthesis is feasible. The measurement error is good for the translations but high for the rotations. The latter is due to the close position of the markers relative to each other. Level of evidence III.

【 授权许可】

   
2015 Ooms et al.

【 图 表 】

Fig. 1.

Fig. 2.

Fig. 3.

Figure 6.

【 参考文献 】

• [1]Moriatis Wolf J, Turkiewicz A, Atroshi I, Englund M. Prevalence of doctor-diagnosed thumb carpometacarpal joint osteoarthritis: an analysis of Swedish health care. Arthritis Care Res. 2014; 66:961-5.
• [2]Shuler MS, Luria S, Trumble TE. Basal joint arthritis of the thumb. J Am Acad Orthop Surg. 2008; 16:418-423.
• [3]Badia A, Sambandam SN. Total joint arthroplasty in the treatment of advanced stages of thumb carpometacarpal joint osteoarthritis. J Hand Surg. 2006; 31A:1605-1614.
• [4]Wachtl SW, Guggenheim PR, Sennwald GR. Cemented and non-cemented replacements of the trapeziometacarpal joint. J Bone Joint Surg (Br). 1998; 80-B:121-125.
• [5]Perez-Ubeda M, Garcia-Lopez A, Marco Martinez F, Junyent Vilanova E, Molina Martos M, Lopez-Duran Stern L. Results of the cemented SR trapeziometacarpal prosthesis in the treatment of thumb carpometacarpal osteoarthritis. J Hand Surg. 2003; 28:917-925.
• [6]Naidu SN, Kulkarni N, Saunders M. Titanium basal joint arthroplasty: a finite element analysis and clinical study. J Hand Surg. 2006; 31A:760-765.
• [7]Uchiyama S, Cooney WP, Niebur G, An K, Linscheid RL. Biomechanical Analysis of the trapeziometacarpal joint after surface replacement arthroplasty. J Hand Surg. 1999; 24A:483-490.
• [8]Linscheid RL. Implant arthroplasty of the hand: retrospective and prospective considerations. J Hand Surg. 2000; 25A:796-816.
• [9]Van Rijn J, Gosens T. A Cemented Surface Replacement Prosthesis in the Basal Thumb Joint. J Hand Surg. 2010; 35A:572-579.
• [10]Pendse A, Nisar A, Shah SZ, Bhosale A, Freeman JV, Chakrabarti I. Surface replacement trapeziometacarpal joint arthroplasty – early results. J Hand Surg Eur Vol. 2009; 34:748-57.
• [11]Van Capelle HG, Elzenga P, van Horn JR. Long-term results and loosening analysis of de la Caffiniere replacements of the trapezopmetacarpal joint. J Hand Surg. 1999; 24A:476.
• [12]De Smet L, Sioen W, Spaepen D, Van Ransbeeck H. Total joint arthroplasty for osteoarthritis of the thumb basal joint. Acta Orthop Belg. 2004; 70:19-24.
• [13]Selvik G. Roentgen stereophotogrammetry. A method for the study of the kinematics of the skeletal system. Acta Othop Scand. 1989; 60:1-51.
• [14]Pijls BG, Valstar ER, Nouta KA et al.. Early migration of tibial components is associated with late revision: a systematic review and meta-analysis of 21.000 knee arthroplasties. Acta Orthop. 2012; 83:614-24.
• [15]Pijls BG, Nieuwenhuijse MJ, Fiocco M et al.. Early proximal migration of cups is associated with late revision in THA: a systematic review and meta-analysis of 26 RSA studies and 49 survival studies. Acta Orthop. 2012; 83:583-91.
• [16]Valstar ER, Gill R, Ryd L, Flivik G, Börlin N, Kärrholm J. Guidelines for standardization of radiostereometry (RSA) of implants. Acta Orthop. 2005; 76:563-572.
• [17]Hansen TB, Larsen K, Bjergelund L, Stilling M. Trapeziometacarpal joint implants can be evaluated by roentgen stereophotogrammetric analysis. J Hand Surg Eur Vol. 2010; 35:480-5.
• [18]Hansen TB, Stilling M. Equally good fixation of cemented and uncemented cups in total trapeziometacarpal joint prostheses. A randomized clinical RSA study with 2-year follow-up. Acta Orthop. 2013; 84:98-105.
• [19]Kaptein BL, Valstar ER, Stoel BC, Rozing PM, Reiber JH. A new model-based RSA method validated using CAD models and models from reversed engineering. J Biomech. 2003; 36:873-882.
• [20]Valstar ER, Nelissen RGHH, Reiber JHC, Rozing PM. The use of Roentgen stereophotogrammetry tot study micromotion of orthopaedic implants. ISPRS Journal of Photogrammetry & remote sensing. 2002; 56:376-389.
• [21]Garling EH, Valstar ER, Nelissen RG. Comparison of micromotion in mobile bearing and posterior stabilized total knee prostheses: a randomized RSA study of 40 knees followed for 2 years. Acta Orthop. 2005; 76:353-361.
• [22]Valstar ER, de Jong FW, Vrooman HA, Rozing PM, Reiber JH. Model-based Roentgen stereophotogrammetry of orthopaedic implants. J Biomech. 2001; 34:715-722.
• [23]Jones LC, Frondoza C, Hungerford DS. Effect of PMMA particles and movement on an implant interface in a canine model. J Bone Joint Surg (Br). 2001; 83:448-458.
• [24]Aspenberg P, Herbertsson P. Periprosthetic bone resorption. Particles versus movement. J Bone Joint Surg (Br). 1996; 78:641-646.
• [25]Aspenberg P, van der Vis H. Migration, particles and fluid pressure; a discussion of causes of prosthetic loosening. Clin Orthop Relat Res. 1998; 352:75-80.