TMPR

TMPR

TMPR

Product catalog summary
Overview: The TMPR™ Total Metacarpophalangeal Replacement is designed to suit the entire population and all fingers of the hand, offering a modular design with interchangeable fixation options tailored to individual patient needs. Developed in collaboration with Mr. D Harris FRCS, the product aims to restore natural function and movement in the MCP joint.
Specifications: The TMPR™ system includes four diameters of metacarpal heads and seven size options for metacarpal plugs and proximal phalanx to ensure optimal fit with medullary canals. The design features a spherical metacarpal bearing for near-normal movement, a dorsal groove for the extensor tendon, and flared cams to protect collateral ligaments.
Instrumentation and Procedure: The procedure is fully instrumented with guided preparation for reliable and repeatable surgery. Instruments include ligament balancing tools and guide resection depths to match device thickness, ensuring controlled joint restoration. A single instrument tray system facilitates concurrent finger procedures.
Clinical Use and Outcomes: In clinical use since 1994, the TMPR™ has demonstrated significant pain relief, restoration of flexion from 10º to 70º, and maintenance of pinch and grip strength. Long-term studies show no evidence of loosening or wear, with minimal complications reported.
Fixation and Design: The TMPR™ employs uncemented interference-fit fixation with barb-action fins for secure placement. The design allows for all physiological degrees of freedom, with a shallow dished surface for low wear and ligament balancing for optimal joint restoration.
Clinical Evidence: Studies indicate a significant increase in postoperative range of motion and patient satisfaction, with improved PEM scores from 77% preoperatively to 9% postoperatively. The device is associated with minimal intraoperative and postoperative complications.
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Catalog excerpts

TMPR-1

Size range and options Size range to suit the entire population and all fingers of the hand. Templating for metacarpal size selection. Four diameters of metacarpal head. Proximal Phalanx Modular design with interchangeable fixation options for individual patient requirements. Seven metacarpal plug and proximal phalanx size options for optimum fit with medullary canals. Advanced instrumentation Fully instrumented procedure with guided preparation for reliable and repeatable surgery. Instruments guide resection depths equal to the thickness of device for restoration of soft tissue tensions. Precise and easy to use instrumentation includes ligament balancing tools for controlled joint restoration. Stepwise procedure enables downsizing the canal to bearing. Single instrument tray system facilitates concurrent fingers per case with an integrated memory block. Fully guided cuts aligned to the hand minimise any radial displacement of components. Developed with Mr D Harris FRCS, Robert Jones & Agnes Hunt Orthopaedic Hospital, Hand & Upper Limb Unit, Oswestry, UK. 1. 2. 3. Harris D and Diaz JJ. J Hand Surg (Br & Eu). 2003; 28B (5): 432–438. Blaha JD et al. JBJS-Br. 1982; 64(3):326-35. Singh H and Dias JJ. Indian J Plast Surg. 2011; 44(2): 317-26. MatOrtho Limited | 13 Mole Business Park | Randalls Road | Leatherhead | Surrey | KT22 7BA | United Kingdom. T: +44 (0)1372 224 200 | [email protected] | For more information visit: www.MatOrtho.com Part No. ML-300-036 L | Issue 2 TMPR™ Total Metacarpophalangeal Replacement Product Brochure Natural Functio

 Open the catalog to page 1
TMPR-2

TMPR™ Total Metacarpophalangeal Replacement Anatomical design Surface replacement of the MCP joint based on natural anatomy and MRI studies on a spectrum of adult patients where the shape and position achievable for the components provide reconstruction of near normal anatomy. The spherical metacarpal bearing provides close to normal movement in the MCP joint and maintains full conformity throughout ROM. The metacarpal head has a groove to stabilise the extensor mechanism and side panels to protect the collateral ligaments. Offset stems correspond to the insertion points of the collateral ligaments...

 Open the catalog to page 2

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