期刊
INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY
卷 51, 期 5, 页码 665-668出版社
CHURCHILL LIVINGSTONE
DOI: 10.1016/j.ijom.2021.07.021
关键词
temporomandibular joint; joint re-placement; osteoarthritis; ankylosis; rheuma-toid arthritis; ankylosing spondylitis
This prospective analysis evaluated the long-term benefits of the TMJ Concepts joint replacement system in the UK. It found that total TMJ replacement led to significant improvements in pain, mouth opening, and dietary function over a 10-year period. This form of management is effective for irreparably damaged joints.
This prospective analysis was performed to assess the long-term benefits of the TMJ Concepts joint replacement system in the UK. All patients who had replacement temporomandibular joints (TMJ) with at least 10 years of follow-up were included. The most common primary diagnoses were trauma, multiple previous operations, psoriatic arthritis, rheumatoid arthritis, degenerative disease, and ankylosis. A total of 43 patients (62 joints) were followed up for 10 years (mean age 45, range 22???70 years); 39 were female and four were male. The mean number of previous TMJ procedures was 2.5 (range 0???10). Over the 10 years of follow-up, there were significant improvements in pain score (10-point scale; decreased from 7.4 to 1.7), maximum mouth opening (increased from 21.0 mm to 34.7 mm), and dietary score (10-point scale; increased from 4.1 to 9.5). Joints in two patients failed, one secondary to a local dental infection and one due to reankylosis. None failed due to wear of the prosthesis, whether the prosthesis was standard cobalt??? chrome or all-titanium. Total TMJ replacement gives good long-term improvements, both lessening pain and improving function, and is an effective form of management for irreparably damaged joints.
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