Flexible implant arthroplasty in the proximal interphalangeal joint of the hand

Swanson, Alfred B.; Maupin, B; Gajjar, N.V.; Swanson, G de Groot

doi:10.1016/s0363-5023(85)80154-4

Cited by 169 publications

(114 citation statements)

References 12 publications

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“…RA, OA, trauma). However, as reported by Swanson et al (1985), and illustrated in these results, the pre-operative deformity can greatly influence the outcome that the patient can expect to achieve. This should be included in the pre-operative advice and education given to patients on rehabilitation periods and realistically achievable outcomes (Johnstone, 2001).…”

Section: Discussionmentioning

confidence: 72%

“…The PIP joint is frequently involved in rheumatoid arthritis (RA), degenerative osteoarthritis (OA) and trauma causing pain, weakness, malalignment and reduced motion. This often reduces function to the point of requiring surgical treatment (Linschield et al1997, Swanson et al 1985). Green et al (1991) and Pellegrini and Burton (1990) have suggested that to achieve a more stable pain free PIP joint (mainly for the index and middle finger) allowing better pinch and precision grip an arthrodesis of the joint in flexion should be the surgical treatment of choice.…”

Section: Introductionmentioning

confidence: 99%

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Post-Operative Rehabilitation After PIP Joint Arthroplasty with Early Active Motion: A Retrospective Review of Outcomes

Pratt

Burr

2007

The British Journal of Hand Therapy

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We present a retrospectively review of outcomes of the first fifteen patients who underwent proximal interphalangeal (PIP) joint arthroplasty and were treated using the same early active motion rehabilitation regime introduced by the therapy department at Mount Vernon Hospital. The regime utilises early motion of the PIP joint while protecting the arthroplasty with a small static splint and digit strapping to reduce lateral forces on the joint.The notes of fifteen patients were reviewed and their outcomes presented. To evaluate the outcomes in more detail the patients were divided into three groups according to their diagnostic reason for the procedure (rheumatoid arthritis, osteoarthritis and trauma). The overall mean arc of motion at the PIP joint on discharge from therapy was 54 improved from 28 pre operatively. Following this retrospective review of cases the team continue to use this regime for metal and silastic prosthesis but now routinely provide additional written information pre operatively to assist patients' understanding of the procedure and the extent of the rehabilitation required.3

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Section: Discussionmentioning

confidence: 72%

Section: Introductionmentioning

confidence: 99%

Post-Operative Rehabilitation After PIP Joint Arthroplasty with Early Active Motion: A Retrospective Review of Outcomes

Pratt

Burr

2007

The British Journal of Hand Therapy

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“…En este sentido, el tratamiento tradicional de esta particular patología, ha consistido en la artrodesis y/o la artroplastia de sustitución mediante implantes de silicona flexible [1][2] .…”

Section: Introductionunclassified

“…Sin embargo, presenta el gran inconveniente de eliminar el movimiento y afectar considerablemente la prensión de la mano, fundamentalmente cuando se realiza en los dedos cubitales 1 . En cuanto al implante de silicona flexible, si bien ofrece la ventaja de no sacrificar el movimiento, presenta varios problemas como son la deformidad angular en el caso de una mala resección ósea, la rotura del implante, la erosión cortical y la sinovitis por partículas de silicona, entre otros [2][3] .…”

Section: Introductionunclassified

“…Tratamiento de la artrosis postraumática de la interfalángica proximal mediante artroplastia de carbono pirolítico J. MOTA DA COSTA (1) , A. PINTO (2) HOSPITAL CUF DESCOBERTAS (1) Objetivos: Valorar los resultados obtenidos mediante la artroplastia de carbono pirolítico en pacientes con artrosis postraumática de las interfalángicas proximales. Material y Método: Se analizan un total de 25 pacientes (24 hombres, 1 mujer) con artrosis postraumática de la articulación interfalángica proximal (IFP), que fueron valorados clínica y radiográfica-mente, después de haber sido intervenidos mediante una artroplastia de carbono pirolítico.…”

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Tratamiento de la artrosis postraumática de la interfalángica proximal mediante artroplastia de carbono pirolítico

Costa

Pinto

2007

Rev Iberoam Cir Mano

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Objetivos: Valorar los resultados obtenidos mediante la artroplastia de carbono pirolítico en pacientes con artrosis postraumática de las interfalángicas proximales. Material y Método: Se analizan un total de 25 pacientes (24 hombres, 1 mujer) con artrosis postraumática de la articulación interfalángica proximal (IFP), que fueron valorados clínica y radiográfica-mente, después de haber sido intervenidos mediante una artroplastia de carbono pirolítico. Todos los casos fueron operados por vía dorsal, siguiendo siempre el mismo protocolo rehabilitador postquirúrgico. El seguimiento medio de estos pacientes fue de 42 meses, con un mínimo de 12 meses y un máximo de 72 meses. Resultados: Comparando la escala analógica de dolor y el rango de movilidad en el pre y postoperatorio, se obtuvieron en 24 casos, unos buenos resultados. El único caso que fue considerado como malo, presentó una subluxación dorsal del componente distal del implante, que requirió de una reducción quirúrgica. En cuanto a los hallazgos radiográficos, en el 10 % de los casos se objetivaron finas bandas radiolúcidas peri-implante, si bien no se correlacionó este hallazgo con un deterioro clí-nico. Objectives:To measure the results obtained using a pyrocarbon arthroplasty in patients with post-traumatic arthrosis of the proximal interphalangeal joints. Materials and Methods: Twenty five patients (24 male, 1 female) with post-traumatic arthrosis of the proximal interphalangeal joints were studied, with a clinical and radiological assessment after undergoing a pyrocarbon arthroplasty. All cases were operated through a dorsal approach and underwent the same post-operative regime. Average follow-up was 42 months, range 12 months to 72 months. Results: The change in the analog pain scale and range of movement pre and pot-operative indicates that the results were good in 24 cases. The only result considered poor presented a dorsal subluxation of the implant, requiring surgical reduction. Radiologically, 10% of cases show fine radiolucent lines around the implant, but this finding did not correlate with a clinical deterioration. Conclusions: Replacement arthroplasty of the PIPJ using a pyrocarbon implant, presents a valid alternative in cases with post-traumatic arthrosis. However, larger series with longer follow up are required to validate this treatment.

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