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Short-term studies suggest dual-mobility designs reduce dislocation and loosening compared to single-mobility prostheses. This retrospective study presents clinical outcomes after a mean follow-up of 24 months, focusing on revision surgery and providing insights about key surgical steps and the management of adverse events.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and methods<\/jats:title>\n                    <jats:p>A total of 78 patients (88 prostheses) with TMC osteoarthritis underwent surgery between August 2019 and December 2023, performed by a single surgeon in a monocentric setting. Preoperative assessments and follow-ups were conducted at 6 weeks, 6 months, 12 months, and annually. Outcome measures included radiographic analysis, range of motion, grip\/pinch strength, pain (NRS 1\u201310), and functional scores (qDASH, briefMHQ). Complications and revisions were recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      At a mean follow-up of 24 months (range 6\u201361 months), significant improvements in hand function, pain, and mobility were observed. Preoperative thumb MCP hyperextension (&gt;\u200915\u00b0 in 23 thumbs) was corrected to 6\u00b0 on average, and thumb length was restored. Four patients (4.5%) required implant revision: two due to secondary cup dislocation after misplacement, two due to impingement. Seven secondary surgeries addressed wound healing disorders (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20092) and secondary De Quervain tenosynovitis (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20095). Kaplan-Meier analysis showed a 96% prosthesis survival rate at two years.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The Touch\u00ae dual-mobility prosthesis demonstrates high effectiveness in improving pain, function, and thumb stability, with low revision rates. Restoration of thumb length and correction of hyperextension support its use as a reliable surgical option. These findings are consistent with existing literature suggesting superior long-term stability compared to single mobility implants. Identified surgical challenges highlight factors contributing to complications and emphasize intraoperative strategies to prevent revision.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00402-025-05926-5","type":"journal-article","created":{"date-parts":[[2025,5,22]],"date-time":"2025-05-22T08:29:20Z","timestamp":1747902560000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["TOUCH\u00ae duo-mobile prosthesis in TMC osteoarthritis: two-year results and practical insights regarding key surgical steps and complication management"],"prefix":"10.1007","volume":"145","author":[{"given":"Pia-Elena","family":"Frey","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simeon C.","family":"Daeschler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yusuf","family":"Naseri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maximilian","family":"Franzen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"Sommer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leila","family":"Harhaus","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin","family":"Panzram","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,5,22]]},"reference":[{"issue":"2","key":"5926_CR1","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1177\/1753193413481302","volume":"39","author":"T 1 Aasheim","year":"2014","unstructured":"Aasheim T, Finsen V (2014) The DASH and the quickdash instruments. 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B.P. received payment for a scientific lecture and a surgical workshop regarding the Touch\u00ae prosthesis by Medartis. L.H. received a research grant independently from this study by KeriMedical. Medartis and KeriMedical had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript; or in the decision to publish the results. The remaining authors declare no conflicts of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"308"}}