The
Avanta CMC implant is a “ball and socket” design used
to treat basal joint arthritis of the thumb. The prosthesis is
offered in various sizes to accommodate anthropomorphic variations
in trapezio-metacarpal sizes. The metacarpal component is titanium
and is designed
to fit the medullary canal of the thumb metacarpal. The implant
is fixed in the metacarpal using a mantle of bone cement. The stem
has a conical shape to resist impaction stresses and a highly polished
ball for engagement with the trapezial component. The trapezial
component is made from ultra-high molecular weight polyethylene
(UHMWPe) and has a proximal stem for insertion into the prepared
trapezium. A mantle of bone cement is used to facilitate fixation
to the trapezium bone. The trapezial component has a congruous
cup corresponding to the polished ball on the metacarpal component.
The components are coupled together using a snap fit. The “ball
and socket” design allows for 90° of conical articulation
that permits radial circumduction of the CMC joint. The implant
is provided with instrumentation to aid in bone preparation and
proper size determination.
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