Is there a role for silicone trapezial replacement in the rheumatoid hand?

The Rheumatoid Thumb

“…Despite a relatively high complication rate, many papers report favorable clinical results and a high patient satisfaction [ 9 , 10 ]. Although there is a general agreement on a rather high rate of subluxation or even dislocation, the importance of silicone synovitis is much more debatable [ 11 ], and the silicone implants are rarely if ever used today [ 12 ]. In more recent decades, an increasing number of implants have been designed for replacement of the CMC joint of the thumb.…”