Siegmund, Andreas M. and Ruewe, Marc and Szymski, Dominik and Loucas, Rafael and Oliinyk, Dmytro and Pagani, Andrea and Ecklmaier, Cassandra and Geis, Sebastian and Anker, Alexandra M. and Prantl, Lukas and Klein, Silvan M. (2025) Emerging Healthcare Trends in Prosthetic Treatment of Hand Osteoarthritis. JOURNAL OF CLINICAL MEDICINE, 14 (2): 573. ISSN , 2077-0383
Full text not available from this repository. (Request a copy)Abstract
Background: For many years, advancements in hand joint replacement (JR) were relatively minor compared to those for large joints. However, the caution previously exercised due to high complication rates is gradually being replaced by the expanding use of JR therapies for small joints in the hand. Despite this progress, there is a lack of comprehensive data on the outcomes of hand JR and on the optimal infrastructure required to meet the growing demand for these therapies. Methods: This study examined trends and revision rates of JR for thumb carpometacarpal (CMC-1) and finger (MCP and PIP) joints in both inpatient and outpatient settings in Germany. Data from the Federal Statistical Office of Germany (Destatis) and the Central Institute for Statutory Health Insurance Physicians (ZI) were analyzed, focusing on the incidence, demographics, and outcomes of these procedures. Results: This study found a substantial national increase in prosthetic treatments specifically for CMC-1, with a 2.18-fold rise in the outpatient sector compared to a 1.65-fold increase in inpatient treatments. Despite this shift, 83.7% of JR procedures were still performed in an inpatient setting. Conclusions: The overall complication rates appear to be declining, suggesting that while the management of these procedures is shifting towards outpatient care, the quality remains stable.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | MODIFIED EPPING PROCEDURE; TOTAL JOINT ARTHROPLASTY; CARPOMETACARPAL JOINT; REPLACEMENT; prostheses; osteoarthrosis; arthrosis; finger joint; carpometacarpal joints; thumb; arthroplasty; replacement; finger; prosthesis implantation; revision surgery; joint revision; osteoarthritis; metacarpophalangeal joints; finger interphalangeal joints |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Unfallchirurgie Medicine > Zentren des Universitätsklinikums Regensburg > Zentrum für Plastische-, Hand- und Wiederherstellungschirurgie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 23 Jun 2026 08:53 |
| Last Modified: | 23 Jun 2026 08:53 |
| URI: | https://pred.uni-regensburg.de/id/eprint/66008 |
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