Evidence map›Paper›PMID 38202128›Full record

ArticleJournal of clinical medicine2023

Failure Rate and Early Complications of Thumb Carpometacarpal Joint Replacement-A Multicenter Retrospective Study of Two Modern Implant Designs.

Uri Farkash, Mojahed Sakhnini, Daniel Dreyfuss, Daniel Tordjman, Gilad Rotem, Shai Luria

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05644132 (Thumb Hemi-Arthroplasty With Natural Kinematics), which is not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
4.8field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05644132 nacompletednot on this map

Thumb Hemi-Arthroplasty With Natural Kinematics (THANKS) Trial

TypeinterventionalSponsorLoci OrthopaedicsRan2021 to 2024Enrolled15ConditionsOsteoarthritis Thumb Base JointArmsInDx Implant for the carpometacarpal joint
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Total Trapeziometacarpal Joint Arthroplasty Using the Uncemented HORUSJournal of functional morphology and kinesiology · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 1 country.

Uri FarkashHand Surgery Unit, Department of Orthopedic Surgery, Assuta-Ashdod University Hospital, Ashdod 7747629, Israel.ORCID 0000-0001-6804-3259
Mojahed SakhniniDepartment of Orthopedic Surgery, Rivka Ziv Medical Center, Safed 1304435, Israel.ORCID 0000-0001-7710-8106
Daniel DreyfussHand and Microsurgery Unit, Rambam Health Care Campus, Haifa 3525408, Israel.
Daniel TordjmanHand Surgery Unit, Orthopedic Division, Tel-Aviv Sourasky Medical Center, Tel Aviv 6423906, Israel.ORCID 0000-0002-6669-1153
Gilad RotemSackler Faculty of Medicine, Tel-Aviv University, Tel Aviv 6139001, Israel.
Shai LuriaDepartment of Orthopedic Surgery, Hadassah Medical Center, Jerusalem 9371125, Israel.
Tel Aviv University · ILBen-Gurion University of the Negev · ILHebrew University of Jerusalem · ILRambam Health Care Campus · ILRebecca Sieff Hospital · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Joint replacement arthroplasty for the treatment of thumb osteoarthritis is gaining popularity as recent studies have demonstrated better pinch and grip strength and faster rehabilitation. Our aim was to identify early complications in modern implant designs using a multicenter study. A total of 381 patients who underwent thumb carpometacarpal replacement surgery in six participating hospitals were enrolled. The complications included were fractures, dislocations, infections, tendon and nerve injuries, and complex regional pain syndrome. Major complications were defined as a failure to implant the prosthesis, revision surgery to remove the implant, and any other need for further surgical intervention. The secondary outcomes were any other complications treated non-surgically and the timing of the complications. Eleven procedures failed, and these patients were treated with trapeziectomies. Twelve other patients required repeat surgical interventions. Minor adverse events occurred in 25.4% of the cases, and transient irritation of the superficial radial nerve and De Quervain tendinopathy were the most prevalent complications. Although this cohort depicted the learning curves of multiple surgeons, our study demonstrated low short-term failure rates. An inability to achieve primary stability of the cup in the trapezium was the leading cause of failure. Dislocations and other major complications with modern implants were very few.

Indexed as

arthroplastycarpometacarpal osteoarthritispostoperative complicationsprosthesistrapeziometacarpal osteoarthritis

Identifiers

PMID38202128
PMCPMC10779986
OpenAlexW4390234558

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.