Dislocation in Single-Mobility Versus Dual-Mobility Trapezometacarpal Joint Prostheses

Hand (N Y). 2024 May;19(3):426-432. doi: 10.1177/15589447221124257. Epub 2022 Oct 8.

Abstract

Background: The purpose of this study was to analyze postoperative dislocation rates in single-mobility (Ivory) versus dual-mobility (Moovis) trapezometacarpal (TMC) joint prostheses. Second, we report complications requiring additional surgery in these 2 types of prostheses.

Methods: We retrospectively obtained data of all patients receiving a TMC joint prothesis at our hospital between January 2015 and December 2020. We recorded the type of implant used (ie, single vs dual mobility; Ivory vs Moovis), and recorded dislocations and complications requiring additional surgery.

Results: We recorded significantly more prosthetic dislocations in the single-mobility (Ivory) group (n = 6, 9.7%), compared with the dual-mobility (Moovis) group (n = 1, 1.4%). The most frequent complication requiring additional surgery was De Quervain tendinitis (n = 13, 9.6%).

Conclusions: This study shows that a dual-mobility TMC prosthesis has significantly less postoperative dislocations compared with its single-mobility counterpart. We identity De Quervain tendinitis as the most frequent complication requiring additional surgery.

Keywords: TMC prosthesis; complications; dislocation; dual mobility; single mobility.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Aged
  • Arthroplasty, Replacement / adverse effects
  • Arthroplasty, Replacement / methods
  • Carpometacarpal Joints* / surgery
  • Female
  • Humans
  • Joint Dislocations* / surgery
  • Joint Prosthesis* / adverse effects
  • Male
  • Middle Aged
  • Postoperative Complications / epidemiology
  • Prosthesis Design*
  • Prosthesis Failure*
  • Reoperation / statistics & numerical data
  • Retrospective Studies
  • Trapezium Bone / surgery