Is it useful to replace the proximal interphalangeal joint at the index finger? Analysis of prospective 5-year outcomes

Herren, Daniel; Oyewale, Michael; Marks, Miriam

doi:10.1177/17531934221121908

Cited by 3 publications

(2 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In a large study with over 700 cases, Helder et al (2021) reported significantly better lateral stability with less axial deviation. Satisfactory axial stability for the index finger in comparison to the three ulnar digits has been shown for the CapFlex implant (Herren et al, 2022) and is confirmed in our study. Importantly, the axis of the two radial fingers was significantly improved.…”

Section: Discussionsupporting

confidence: 87%

“…However, in the absence of a control group, and because of only partial preoperative assessment, it is difficult to classify our results in regards of their clinical impact. The minimal important change (MIC) for ROM in PIP joint arthroplasty has been calculated as 8 and the patient acceptable symptom state (PASS) as 66 (Marks et al, 2022). The PASS is a subjective patient rating and indicates the score for a symptom beyond which patients consider themselves well.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Prosthetic arthroplasty of the proximal interphalangeal joint using a surface replacing implant (CapFlex-PIP): 3-year outcomes

Meuser,

Richter,

Kernich

2023

J Hand Surg Eur Vol

View full text Add to dashboard Cite

The aim of this retrospective study was to evaluate the outcomes after prosthetic arthroplasty of the proximal interphalangeal joint. Of 73 prostheses, 67 were available for follow-up at a median of 35 months (range 10–78 months). The median brief Michigan Hand Questionnaire score was 88/100 (interquartile range [IQR] 69–98), quickDASH 11 (IQR 1–29), pain on the visual analogue scale during activity 0 (IQR 0–2) and at rest 0 (IQR 0). Median range of motion improved from 50° (IQR 40°–70°) to 70° (IQR 53°–88°; p < 0.001). Preoperatively, there was axial deviation of >15° in 15 (23%) joints, with none postoperatively. There were no signs of loosening or migration of the prostheses. Two cases required revision with the implant staying in situ. In two cases, the prosthesis was removed and the joint was fused. Prosthetic arthroplasty of the proximal interphalangeal joint using a modular surface gliding implant is a good option for patients with primary osteoarthritis achieving acceptable pain relief, range of motion and axial stability. Level of evidence: IV

show abstract

Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%