Long-term evaluation of Silastic trapezial arthroplasty in patients with osteoarthritis

Osteotomy versus tendon arthroplasty in trapeziometacarpal arthrosis 17 patients followed for 1 year

“…TMC arthrodesis can require prolonged immobilization and cause some functional limitations and may result in non-union (Bamberger et al 1992). Silicon implant arthroplasty has been associated with complications, such as implant dislocation and wear and silicon-induced bony changes (Sollerman et al 1988, Creighton et al 1991. Total TMC arthroplasty entails a high risk of prosthetic loosening (Sondergaard et a].…”

Update on Nonautogenous Interposition Arthroplasty for Thumb Basilar Joint Arthritis

“…[2][3][4] Although many patients do report satisfaction, the levels of satisfaction tend to be lower than or not as dramatic as noted in the earlier studies. [1][2][3][4] Most concerning has been the development of cysts in the scaphoid and metacarpals in a majority of patients, although this has not consistently correlated with clinical outcomes and patient satisfaction. 2 Other noted concerns include implant instability and implant fracture, the latter of which occurred in 6% in one study and required revision.…”

“…[1][2][3][4] Most concerning has been the development of cysts in the scaphoid and metacarpals in a majority of patients, although this has not consistently correlated with clinical outcomes and patient satisfaction. 2 Other noted concerns include implant instability and implant fracture, the latter of which occurred in 6% in one study and required revision. 3 Despite relatively high patient satisfaction with silicone basilar joint arthroplasty, bony lesions in response to silicone synovitis are a concern, which has prompted most surgeons to abandon silicone for basilar joint arthroplasty.…”

Interposition Arthroplasty Options for Carpometacarpal Arthritis of the Thumb

“…In long-term follow-up and head-to-head comparison with trapeziectomy-LRTI, silicone implants have been shown to cause synovitis, pain, and high rate of revision. 27,29 Total joints and implant arthroplasty, however, are outside the scope of this discussion.…”