Foreign body reaction associated with polyethylene mesh interposition used for treatment of trapeziometacarpal osteoarthritis: report of 8 cases

Anne J Spaans; E J M Leonieke van Heeswijk; Dorothee E Arnold; Annechien Beumer

doi:10.1016/j.jhsa.2014.07.038

Foreign body reaction associated with polyethylene mesh interposition used for treatment of trapeziometacarpal osteoarthritis: report of 8 cases

Anne J Spaans^*
, E J M Leonieke van Heeswijk
, Dorothee E Arnold
, Annechien Beumer

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

PURPOSE: To report the incidence of foreign body reactions associated with placement of a polyethylene mesh 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, 49-75 y) were removed because of persistent swelling, synovitis, and pain.

RESULTS: The mean interval between primary and revision surgery was 14 (range, 5-27) 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.

TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic IV.

Original language	English
Pages (from-to)	2016-2019
Number of pages	4
Journal	Journal of Hand Surgery (Am)
Volume	39
Issue number	10
DOIs	https://doi.org/10.1016/j.jhsa.2014.07.038
Publication status	Published - Oct 2014
Externally published	Yes

Keywords

Aged
Arthroplasty, Replacement/adverse effects
Biocompatible Materials/adverse effects
Carpometacarpal Joints/surgery
Device Removal
Female
Foreign-Body Reaction/etiology
Humans
Joint Prosthesis/adverse effects
Male
Middle Aged
Osteoarthritis/surgery
Polyethylene Terephthalates/adverse effects
Surgical Mesh/adverse effects
Trapezium Bone/surgery

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10.1016/j.jhsa.2014.07.038

Cite this

@article{d1866d95a69d4b16adbee3eb1acb929c,

title = "Foreign body reaction associated with polyethylene mesh interposition used for treatment of trapeziometacarpal osteoarthritis: report of 8 cases",

abstract = "PURPOSE: To report the incidence of foreign body reactions associated with placement of a polyethylene mesh 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, 49-75 y) were removed because of persistent swelling, synovitis, and pain.RESULTS: The mean interval between primary and revision surgery was 14 (range, 5-27) 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.TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic IV.",

keywords = "Aged, Arthroplasty, Replacement/adverse effects, Biocompatible Materials/adverse effects, Carpometacarpal Joints/surgery, Device Removal, Female, Foreign-Body Reaction/etiology, Humans, Joint Prosthesis/adverse effects, Male, Middle Aged, Osteoarthritis/surgery, Polyethylene Terephthalates/adverse effects, Surgical Mesh/adverse effects, Trapezium Bone/surgery",

author = "Spaans, \{Anne J\} and \{van Heeswijk\}, \{E J M Leonieke\} and Arnold, \{Dorothee E\} and Annechien Beumer",

year = "2014",

month = oct,

doi = "10.1016/j.jhsa.2014.07.038",

language = "English",

volume = "39",

pages = "2016--2019",

journal = "Journal of Hand Surgery (Am)",

issn = "0363-5023",

publisher = "W.B. Saunders",

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}

Foreign body reaction associated with polyethylene mesh interposition used for treatment of trapeziometacarpal osteoarthritis: report of 8 cases. / Spaans, Anne J; van Heeswijk, E J M Leonieke; Arnold, Dorothee E et al.
In: Journal of Hand Surgery (Am), Vol. 39, No. 10, 10.2014, p. 2016-2019.

Research output: Contribution to journal › Article › Academic › peer-review

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 Leonieke

AU - Arnold, Dorothee E

AU - Beumer, Annechien

PY - 2014/10

Y1 - 2014/10

N2 - PURPOSE: To report the incidence of foreign body reactions associated with placement of a polyethylene mesh 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, 49-75 y) were removed because of persistent swelling, synovitis, and pain.RESULTS: The mean interval between primary and revision surgery was 14 (range, 5-27) 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.TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic IV.

AB - PURPOSE: To report the incidence of foreign body reactions associated with placement of a polyethylene mesh 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, 49-75 y) were removed because of persistent swelling, synovitis, and pain.RESULTS: The mean interval between primary and revision surgery was 14 (range, 5-27) 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.TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic IV.

KW - Aged

KW - Arthroplasty, Replacement/adverse effects

KW - Biocompatible Materials/adverse effects

KW - Carpometacarpal Joints/surgery

KW - Device Removal

KW - Female

KW - Foreign-Body Reaction/etiology

KW - Humans

KW - Joint Prosthesis/adverse effects

KW - Male

KW - Middle Aged

KW - Osteoarthritis/surgery

KW - Polyethylene Terephthalates/adverse effects

KW - Surgical Mesh/adverse effects

KW - Trapezium Bone/surgery

U2 - 10.1016/j.jhsa.2014.07.038

DO - 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 (Am)

JF - Journal of Hand Surgery (Am)

IS - 10

ER -

Foreign body reaction associated with polyethylene mesh interposition used for treatment of trapeziometacarpal osteoarthritis: report of 8 cases

Abstract

Keywords

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