TY - JOUR
T1 - Foreign body reaction associated with polyethylene mesh interposition used for treatment of trapeziometacarpal osteoarthritis
T2 - Report of 8 cases
AU - Spaans, Anne J.
AU - Van Heeswijk, E. J.M.
AU - Arnold, Dorothee E.
AU - Beumer, Annechien
N1 - Publisher Copyright: © 2014 American Society for Surgery of the Hand.
PY - 2014/10/1
Y1 - 2014/10/1
N2 - Purpose To report the incidence of foreign body reactions associated with placement of a polyethylenemesh implant in patients treated with trapiezectomy for trapeziometacarpal osteoarthritis. Methods Between November 2008 and September 2012, 70 hands in 66 adults with stage IV trapeziometacarpal osteoarthritis had a trapiezectomy with interposition of a spacer made of polyethylene terephthalate mesh (Anchois Ligastic, Orthomed SA, St Jeannet, France). Out of these 70 implants, 8 implants (11%) in 8 patients (mean age, 60 y; range, 49e75 y) were removed because of persistent swelling, synovitis, and pain. Results The mean interval between primary and revision surgery was 14 (range, 5e27) months. Histological analysis in all cases showed a foreign body giant cell reaction. Two hands showed bone resorption or carpal bone cysts similar to silicone particle synovitis. The cysts resolved after implant removal and bone grafting. Conclusions In the light of these results and the available literature, we recommend not using this material for interposition in the treatment of osteoarthritis of the trapeziometacarpal joint.
AB - Purpose To report the incidence of foreign body reactions associated with placement of a polyethylenemesh implant in patients treated with trapiezectomy for trapeziometacarpal osteoarthritis. Methods Between November 2008 and September 2012, 70 hands in 66 adults with stage IV trapeziometacarpal osteoarthritis had a trapiezectomy with interposition of a spacer made of polyethylene terephthalate mesh (Anchois Ligastic, Orthomed SA, St Jeannet, France). Out of these 70 implants, 8 implants (11%) in 8 patients (mean age, 60 y; range, 49e75 y) were removed because of persistent swelling, synovitis, and pain. Results The mean interval between primary and revision surgery was 14 (range, 5e27) months. Histological analysis in all cases showed a foreign body giant cell reaction. Two hands showed bone resorption or carpal bone cysts similar to silicone particle synovitis. The cysts resolved after implant removal and bone grafting. Conclusions In the light of these results and the available literature, we recommend not using this material for interposition in the treatment of osteoarthritis of the trapeziometacarpal joint.
KW - Osteoarthritis
KW - foreign body reaction
KW - interposition
KW - polyethylene terephthalate
KW - trapeziometacarpal joint
UR - http://www.scopus.com/inward/record.url?scp=84908148808&partnerID=8YFLogxK
U2 - https://doi.org/10.1016/j.jhsa.2014.07.038
DO - https://doi.org/10.1016/j.jhsa.2014.07.038
M3 - Article
C2 - 25172386
SN - 0363-5023
VL - 39
SP - 2016
EP - 2019
JO - Journal of Hand Surgery
JF - Journal of Hand Surgery
IS - 10
ER -