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Two-year results of the Moovis trapeziometacarpal joint arthroplasty with focus on early complications

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DOI

In this prospective study, we aimed to analyse the early results of 200 consecutive total trapeziometacarpal joint arthroplasties using the Moovis cup, a new generation, dual-mobility, uncemented conical cup, with special focus on early complications. At the 24-month follow-up, we found clinically relevant improvement of function and comfort. Among intraoperative complications were nine intraoperative trapezial fractures, which were treated by screw osteosynthesis; prolonged immobilization; and conversion to cemented cup fixation or primary or secondary trapeziectomy. One was left untreated as the loose cup did not cause notable symptoms. There were three implants with polyethylene wear and two with liner dislocation. We conclude that early outcomes of this new-generation implant are favourable, but its surgery is challenging and associated with important intraoperative and early postoperative complications related to the learning curve. Attentive reaming of the trapezium and careful cup impaction are crucial steps to avoid trapezial fracture and early cup failure. Level of evidence: II.

Original languageEnglish
JournalJournal of Hand Surgery: European Volume
Volume46
Issue2
Pages (from-to)131-140
Number of pages10
ISSN1753-1934
DOIs
Publication statusPublished - Feb 2021

    Research areas

  • carpometacarpal, dual mobility, Moovis, Trapeziometacarpal arthroplasty, trapeziometacarpal osteoarthritis

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