A Systematic Review of Outcomes and Complications of Vascularized Toe Joint Transfer, Silicone Arthroplasty, and PyroCarbon Arthroplasty for Posttraumatic Joint Reconstruction of the Finger

Squitieri, Lee; Chung, Kevin C.

doi:10.1097/prs.0b013e31816aa0b3

Cited by 78 publications

(78 citation statements)

References 29 publications

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“…The median active range of motion is mentioned between 30°and 47°f or the pyrocarbon prosthesis (ASCENSION TM ), 30-44°f or silicone prosthesis, 47°for AVANTA SBi, 29-60°for a ceramic prosthesis (Moje ® ) and 29-37°for vascularised toe joint transfer [2,24,25,27,30].…”

Section: Discussionmentioning

confidence: 99%

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Proximal Interphalangeal Joint Replacement with Surface Replacement Arthroplasty (SR–PIP): Functional Results and Complications

Luther

Germann

Sauerbier³

2009

Hand (New York, N,Y.)

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The purpose of the study was to investigate patients with proximal interphalangeal (PIP) joint replacements regarding postoperative function, pain, complications and incidence of reoperations. From 2000 to 2007, 23 patients (11 male, 12 female) with an average age of 47 years (19-72 years) who had symptomatic posttraumatic (15) or idiopathic arthritis (nine) in 24 PIP joints underwent unconstrained PIP joint replacements (formerly AVANTA, now Small Bone Innovations TM ). All 23 patients were instructed in special hand exercises starting the first postoperative day. Thirteen of 23 patients had previous operations. The median history of pain was 12 months (2-120). Fourteen of 24 prostheses needed reoperations (58%): teno-arthrolysis (9×), PIP tenodesis (one in three with swan neck deformity) and explantation (four with infections/ loosening). The four explantations resulted in a PIP joint arthrodesis in all cases. Twenty-two patients were available for follow-up at an average of 27 months (4-73 months) postoperatively. The median postoperative pinch grip was 7.6 lbs (4-28 lbs), and the disabilities of the arm, shoulder and hand score was 24 (1-58). The active range of motion of the PIP joint was 33°preoperatively (min 0°, max 75°) and 54°p ostoperatively (min 0°, max 90°). On the Visual Analogue Pain Scale (VAS, range 0-10), seven patients had mild (VAS 1-3) and four moderate pain (VAS 4-7) in the finger on exercise. Seventy percent were overall satisfied with operation and functional results. The results of surface replacement arthroplasty of the PIP joint are overall satisfying; however, postoperative complications and incidence of reoperations are noticeable and should be mentioned to the patients in the preoperative setting.

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Section: Discussionmentioning

confidence: 99%

“…Common postoperative complications with PIP joint replacement mentioned in the literature are (1) tendon adhesions leading to loss of motion, (2) migration of the prosthesis/heterotopic bone formation/aseptic prosthesis loosening, (3) swan neck deformity and (4) infection of the implant bed [10,13,14,21,25,27].…”

Section: Discussionmentioning

confidence: 99%

Proximal Interphalangeal Joint Replacement with Surface Replacement Arthroplasty (SR–PIP): Functional Results and Complications

Luther

Germann

Sauerbier³

2009

Hand (New York, N,Y.)

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“…They reviewed 21 studies and found a comparable active ROM in the PIP joint between the silicone and pyrocarbon implants (44 ± 11°and 43 ± 11°, respectively) [6].…”

Section: Discussionmentioning

confidence: 98%

Finger proximal interphalangeal joint gap arthroplasty

Abdelshaheed¹,

Khalil²,

Younis³

et al. 2016

Eur J Plast Surg

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Background The proximal interphalangeal (PIP) joint plays an important role in both grasp and pinch. In terms of mobility and stability, an intact PIP joint plays an important role in isolated finger function as well as the function of the entire hand. Currently, there are only a few surgical management protocols: arthrodesis, arthroplasty without joint replacement and arthroplasty with prosthetic replacement. This study aims to evaluate the gap arthroplasty technique as an alternative method for PIP joint reconstruction and to identify its advantages and disadvantages. Methods This interventional prospective study was conducted in a university hospital setting. We performed PIP joint gap arthroplasty using a dynamic traction device system after resection of the ankylotic area. The assessed outcome parameters were pain relief and range of motion (ROM) at 6 months, post-operatively. ResultsThe results showed a complete pain relief, excellent passive ROM (in mean 65°) and a good active ROM (in mean 41°). This allows the patient to move the four ulnar fingers together without interruption from the injured finger. Overall patient satisfaction was very good. Conclusions Gap arthroplasty is an easy and effective technique for the PIP joint, and it does not require expensive materials as do artificial joint procedures. However, further studies are needed to conduct a longterm functional evaluation. Level of Evidence: Level IV, therapeutic study.

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“…Most of retrospective clinical studies found that pyrocarbon PIP joint arthroplasty provided patients with excellent pain relief overall and maintained their preoperative PIP joint motion; however, overall implant complications has been very variable, with some good outcomes at short-medium-term follow-up (Branam et al, 2007;Bravo et al, 2007;Chung et al, 2009;Desai et al, 2014;Mashhadi et al, 2012;McGuire et al, 2012;Watts et al, 2012) and some bad outcomes at medium-longer-term follow-up (Chan et al, 2013;Daecke et al, 2012;Dickson et al, 2015;Hutt et al, 2012;Ono et al, 2012;Reissner et al, 2014;Squitieri and Chung, 2008;Sweets and Stern, 2011). Implant loosening with migration, dislocation and implant fracture were the main reported clinical complications (Chan et al, 2013;Ceruso et al, 2017;Dickson et al, 2015;Sweets and Stern, 2011;Reissner et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

Biomechanical evaluation of pyrocarbon proximal interphalangeal joint arthroplasty: An in-vitro analysis

Completo

Nascimento

Girão

et al. 2018

Clinical Biomechanics

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A Systematic Review of Outcomes and Complications of Vascularized Toe Joint Transfer, Silicone Arthroplasty, and PyroCarbon Arthroplasty for Posttraumatic Joint Reconstruction of the Finger

Cited by 78 publications

References 29 publications

Proximal Interphalangeal Joint Replacement with Surface Replacement Arthroplasty (SR–PIP): Functional Results and Complications

Proximal Interphalangeal Joint Replacement with Surface Replacement Arthroplasty (SR–PIP): Functional Results and Complications

Finger proximal interphalangeal joint gap arthroplasty

Biomechanical evaluation of pyrocarbon proximal interphalangeal joint arthroplasty: An in-vitro analysis

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