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Fixation of trapezial implants in a trapeziometacarpal total joint prosthesis tested in a model of porcine bone

Authors: Torben Bæk, Hansen; David, Hengst; Jesper, Mortensen; Anders Læssøe, Amstrup;

Fixation of trapezial implants in a trapeziometacarpal total joint prosthesis tested in a model of porcine bone

Abstract

High aseptic loosening rates have been reported in total joint prostheses of the carpometacarpal joint of the thumb, particularly in the trapezial component. The primary fixation of new implants may be tested in cadaver bones, but the anatomy of the pig is in many ways similar to that of the human, so we compared the central carpal bone from the forefoot of 6-month-old pigs, which has a saddle joint surface similar to the trapezium, to the trapezium in patients with carpometacarpal osteoarthritis. The mean (SD) bone mineral density of the 13 pig forefoot bones was 0.88 (0.12) g/cm(2) compared with 0.63 (0.16) g/cm(2) in the 31 human trapeziums. The measured size of the porcine bones was slightly larger than that of the human trapeziums. The similarity in form, size, and bone mineral density means that the central bone of the forefoot of 6-month-old pigs may be used for fixation tests in trapezial implants.

Keywords

Adult, Swine, Joint Prosthesis, Carpometacarpal Joints, Middle Aged, Sensitivity and Specificity, Sampling Studies, Biomechanical Phenomena, Prosthesis Implantation, Trapezium Bone, Bone Density, Tensile Strength, Models, Animal, Animals, Humans, Stress, Mechanical, Aged

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
5
Average
Average
Average
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