Long-term outcomes of silicone metacarpophalangeal arthroplasty: a longitudinal analysis of 325 cases

Boe, Chelsea C.; Wagner, Eric R.; Rizzo, Marco

doi:10.1177/1753193418778461

Cited by 25 publications

(25 citation statements)

References 32 publications

(46 reference statements)

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“…Silicone implant arthroplasty is still a widely used method to reconstruct destructed finger joints in the rheumatoid patient, especially at the MCP level [38]. However, silicone implants are a suboptimal alternative in the non-rheumatoid patients, especially in young individuals, since these implants are coupled with a high fracture rate [39,41] (Tab. 2).…”

Section: Discussionmentioning

confidence: 99%

Reconstruction of finger joints using autologous rib perichondrium – an observational study at a single Centre with a median follow-up of 37 years

Muder

Nilsson

Vedung

2020

BMC Musculoskelet Disord

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Background: Gratifying long-term results are difficult to achieve when reconstructing osteoarthritic finger joints. Implant surgery is the most commonly used method to restore function and dexterity. However, all types of implant have disadvantages and may be a less favorable option in some cases, especially in young patients with a long expected lifetime and high demands on manual load. Implant related complications as loosening, instability, subsidence and stiffness are the main concerns. In this context, joint reconstruction using rib perichondrium might be a reasonable alternative in selected cases. The aim of the study was to evaluate the long-term results of finger joint reconstruction using rib perichondrial transplantation. Methods: The study group (n = 11) consisted of eight individuals reconstructed in the proximal interphalangeal (PIP) joints and three reconstructed in the metacarpophalangeal (MCP) joints during 1974-1981. All patients were evaluated at clinical visits (median: 37 years after perichondrial transplantation, range: 34-41 years) using radiographs, disability in arm-shoulder-hand (DASH) score, Visual Analog Scale (VAS), range-of-motion (ROM) and manual strength (JAMAR). Results: None of the 11 patients had undergone additional surgery. All of the PIP-joints (n = 8) were almost painfree at activity (VAS 0,6) (range 0-4), had an average range-of-motion of 41 degrees (range 5-80) and a mean DASH-score of 8,3 (range 1-51). The mean strength was 41 kg compared to 44 kg in the contralateral hand (93%). The three MCP joints were almost pain-free at activity (VAS 0,7), (range 0-1). The ROM was on average 80 degrees (range 70-90) and the mean DASH-score was 2 (range 1-3). The mean strength was 43 kg compared to 53 kg in the contralateral hand (81%). Conclusions: Perichondrium transplants restored injured PIP and MCP joints that remained essentially pain-free and mostly well-functioning without need for additional surgeries up to 41 years after the procedure. Additional studies are needed to evaluate long-term results in comparison to modern implants and to better describe the factors that determine the outcome of these procedures.

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Section: Discussionmentioning

confidence: 99%

Reconstruction of finger joints using autologous rib perichondrium – an observational study at a single Centre with a median follow-up of 37 years

Muder

Nilsson

Vedung

2020

BMC Musculoskelet Disord

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“…The current review demonstrates an increase in number and percentage of reported LOE in the J Hand Surg Eur publications. Among these publications with LOE declaration in the European journal, many are American authors (Boe et al., 2018; Clark et al., 2019a, 2019b, Kazmers et al., 2019; Lovy et al., 2019; Trehan et al., 2019). It is clear that it is not American authors who have resistance or difficulty in declaration of LOE.…”

Section: Discussionmentioning

confidence: 99%

Surgeon level of expertise reported in Journal of Hand Surgery (American Volume) and (European Volume) publications

Massel

Lezak

Summers

et al. 2020

J Hand Surg Eur Vol

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The purpose of the study was to evaluate the trend in documentation of surgeon level of expertise among the Journal of Hand Surgery (American Volume) and the Journal of Hand Surgery (European Volume) publications. A review of Journal of Hand Surgery (American Volume) and Journal of Hand Surgery (European Volume) databases for level of expertise between January 2015 and October 2019 was performed. Of 1042 articles identified, all 115 (20%) reporting level of expertise were published in Journal of Hand Surgery (European Volume). Since 2015, there has been an increase in reported level of expertise in Journal of Hand Surgery (European Volume) (2015: 8 (7%); 2016: 15 (13%); 2017: 22 (19%); 2018: 28 (24%); 2019: 42 (37%)). In the same period, no publications have reported level of expertise in Journal of Hand Surgery (American Volume). Documenting level of expertise may provide readers with additional information for incorporation of novel techniques into their practices. It may identify procedures that require a baseline level of expertise for effective performance. Further evaluation of level of expertise criteria may improve the reliability of the numeric scale, while widespread adoption of this scale will allow future outcome analysis by level of expertise.

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“…Eine Langzeit-Nachuntersuchung von 325 Silikonspacern am MCP-Gelenk zeigte nach 15 Jahren eine Implantatbruchrate von 65 %, jedoch eine Revisionsrate von nur 5 % bis zu diesem Zeitpunkt. Weder ein Implantatbruch noch eine Deformität von > 10° Deviation in der Frontalebene hatten einen signifikanten Zusammenhang mit schlechter Funktion [23].…”

Section: Resultsunclassified

Übersicht über die Endoprothetik an den Fingergrund- und Mittelgelenken

Keller

Gübeli

Honigmann

2020

Handchir Mikrochir Plast Chir

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Zusammenfassung Hintergrund Arthrotische Veränderungen der Fingergelenke sind häufig, insbesondere in der älteren Population. Unbehandelt können diese zu Schmerzen, Deformität, Instabilität oder Bewegungseinschränkung führen. Nebst Denervation und Arthrodese ist der prothetische Gelenkersatz eine mögliche operative Behandlungsmethode. Patienten/Material und Methode Während der letzten Jahrzehnte erschienen diverse Prothesenmodelle zum Gelenkersatz des Fingergrund- und -mittelgelenkes auf dem Markt. Dieser Artikel bietet eine Übersicht über deren Entwicklung, heutige Prothesenmodelle, klinische Ergebnisse sowie zukunftsträchtige technische Neuheiten. Ergebnisse Der seit den 1960er Jahren erhältliche Silikonspacer bleibt aufgrund guter klinischer Langzeitergebnisse, niedriger Revisionsraten sowie günstiger Kosten das Implantat der Wahl. Am Zeige- und Mittelfinger ist die laterale Stabilität wichtig, um dem Daumen beim Präzisionsgriff ein Widerlager zu bieten. Medullär verankernde Prothesen und modulare Oberflächenersatz-Prothesen können hier durch ihre erhöhte intrinsische Stabilität einen Vorteil bieten. Neue derartige Implantate zeigen vielversprechende mittelfristige klinische Ergebnisse. Schlussfolgerung Obwohl sich die technischen Fortschritte auf dem Gebiet der Endoprothetik der großen Gelenke in der Vergangenheit nur bedingt auf die der Fingergelenke und der restlichen Hand übertragen ließen, gewinnen langsam auch Neuheiten wie patientenspezifische oder auf 3D-Druck-Technologie basierende Implantate an Bedeutung.

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Long-term outcomes of silicone metacarpophalangeal arthroplasty: a longitudinal analysis of 325 cases

Cited by 25 publications

References 32 publications

Reconstruction of finger joints using autologous rib perichondrium – an observational study at a single Centre with a median follow-up of 37 years

Reconstruction of finger joints using autologous rib perichondrium – an observational study at a single Centre with a median follow-up of 37 years

Surgeon level of expertise reported in Journal of Hand Surgery (American Volume) and (European Volume) publications

Übersicht über die Endoprothetik an den Fingergrund- und Mittelgelenken

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