Updates
Ten year study on use of special implants for thumb arthritis published in JHS

In my practice, interposition arthroplasty using pyrocarbon implants still represents a useful and reliable treatment option in the surgical treatment of early thumb basal joint arthritis.

Twenty-nine convex bi-articular pyrocarbon implants (PyroDisc®) inserted in a selected cohort of patients led to a significant postoperative improvement in all key hand outcome measures: pain reduction, DASH score, grip, and pinch strength at the median follow up of 59 months. This operation is technically demanding, but provides good results and can act as a time-procuring procedure while retaining the option of conventional trapeziectomy later, if necessary.

Our results have just been published in The Journal of Hand Surgery (Eur Vol) 2021, Vol. 46(3) 325–326 as a letter in response to similar outcomes reported by other European centers.

For the full article here

RECENTLY PUBLISHED
Practice relocation

As from spring of this year, Sonja has relocated her practice to Dubai, UAE. After many years of responsible surgical and managerial roles in London busy hospitals, she appreciated a period of change, professional and cultural.

Leave from April 2024

I am on a professional leave from the UK from April 2024 and unable to handle patients queries. If you need any advice, please feel free to consult one of my Plastic Surgery or Orthopaedics colleagues at Parkside, Spire St Anthony’s, Ashtead or King Edward Hospitals. Details of my new overseas practice will be posted shortly.

Joint replacement surgery for thumb arthritis – practice modifications

Our department recently commenced a prospective audit on use of two component carpo-metacarpal prosthesis, in management of thumb basal joint arthrosis. Thumb osteoarthritis is a common condition and many patients are in need of surgical input in order to alleviate disability. Immediate and 6 months post surgery results presented below, are encouraging, but monitoring continues.

New modified rehabilitation regime for internally fixed metacarpal fractures

Metacarpal fractures account for 40% of all hand injuries and up to 44% of all hand fractures. While we are still collecting and processed data, preliminary results are suggesting that splint is neither needed, nor beneficial for patients who have undergone uncomplicated, rigid, internal fixation of metacarpal fractures.

Contact

All enquiries are handled

by the Practice Manager:

Rachel Gould

Tel: +44 (0) 845 026 7776

Email: contact@sonjacerovac.com

Correspondence address:

Miss Sonja Cerovac

Ashtead Hospital

The Warren

Ashtead, Surrey KT21 2SB