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Review
. 2022 May;38(2):249-259.
doi: 10.1016/j.hcl.2021.11.004.

Revision Thumb Carpometacarpal Arthroplasty

Shepard P Johnson  1 , Kevin C Chung  2
Affiliations
Review

Revision Thumb Carpometacarpal Arthroplasty

Shepard P Johnson et al. Hand Clin. 2022 May.

Abstract

Revision thumb carpometacarpal (CMC) arthroplasty alleviates persistent pain and instability after nonimplant or implant CMC arthroplasty. Metacarpal subsidence onto the scaphoid causing impingement, missed diagnosis such as scaphotrapezoid arthritis, and metacarpophalangeal hyperextension are common causes of failed CMC arthroplasty. Literature shows that revision CMC arthroplasty has satisfactory outcomes. Currently, the mantra of revision is to restore the metacarpal height and treat concomitant pathology, but no single operation is a universal solution. Revision CMC arthroplasty has a relatively high complication rate, lower patient satisfaction than primary CMC arthroplasty, and may result in the need for further operative intervention.

Keywords: Failed thumb carpometacarpal arthroplasty; Impingement; Revision carpometacarpal arthroplasty; Subsidence.

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Conflict of interest statement

Disclosure Dr K.C. Chung receives funding from the National Institutes of Health and book royalties from Wolters Kluwer and Elsevier. He is a consultant for Integra and Axogen. None of the authors has a financial interest in any of the products or devices mentioned in this discussion or the manuscript being discussed.

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