Osteoarthritis of the proximal interphalangeal joint of the hand: Arthroplasty or fusion?

Pellegrini, Vincent D.; Burton, Richard I.

doi:10.1016/0363-5023(90)90096-a

Cited by 148 publications

(104 citation statements)

References 32 publications

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“…Common postoperative complications with PIP joint replacement mentioned in the literature are (1) tendon adhesions leading to loss of motion, (2) migration of the prosthesis/heterotopic bone formation/aseptic prosthesis loosening, (3) swan neck deformity and (4) infection of the implant bed [10,13,14,21,25,27].…”

Section: Discussionmentioning

confidence: 99%

Proximal Interphalangeal Joint Replacement with Surface Replacement Arthroplasty (SR–PIP): Functional Results and Complications

Luther

Germann

Sauerbier³

2009

Hand (New York, N,Y.)

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The purpose of the study was to investigate patients with proximal interphalangeal (PIP) joint replacements regarding postoperative function, pain, complications and incidence of reoperations. From 2000 to 2007, 23 patients (11 male, 12 female) with an average age of 47 years (19-72 years) who had symptomatic posttraumatic (15) or idiopathic arthritis (nine) in 24 PIP joints underwent unconstrained PIP joint replacements (formerly AVANTA, now Small Bone Innovations TM ). All 23 patients were instructed in special hand exercises starting the first postoperative day. Thirteen of 23 patients had previous operations. The median history of pain was 12 months (2-120). Fourteen of 24 prostheses needed reoperations (58%): teno-arthrolysis (9×), PIP tenodesis (one in three with swan neck deformity) and explantation (four with infections/ loosening). The four explantations resulted in a PIP joint arthrodesis in all cases. Twenty-two patients were available for follow-up at an average of 27 months (4-73 months) postoperatively. The median postoperative pinch grip was 7.6 lbs (4-28 lbs), and the disabilities of the arm, shoulder and hand score was 24 (1-58). The active range of motion of the PIP joint was 33°preoperatively (min 0°, max 75°) and 54°p ostoperatively (min 0°, max 90°). On the Visual Analogue Pain Scale (VAS, range 0-10), seven patients had mild (VAS 1-3) and four moderate pain (VAS 4-7) in the finger on exercise. Seventy percent were overall satisfied with operation and functional results. The results of surface replacement arthroplasty of the PIP joint are overall satisfying; however, postoperative complications and incidence of reoperations are noticeable and should be mentioned to the patients in the preoperative setting.

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Section: Discussionmentioning

confidence: 99%

Proximal Interphalangeal Joint Replacement with Surface Replacement Arthroplasty (SR–PIP): Functional Results and Complications

Luther

Germann

Sauerbier³

2009

Hand (New York, N,Y.)

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“…Pellegrini and Burton (1990) reported the findings of silicone prosthesis with the majority of OA patients achieving an average arc of motion of 56º.…”

Section: Discussionmentioning

confidence: 99%

“…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. The ring and little fingers require mobility for good hand function so joint arthroplasty is often considered for these digits (Swanson and De Groot Swanson, 1994).…”

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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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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“…A predictable and durable arthroplasty of the PIP joint remains an unsolved problem in the care of the osteoarthritic hand [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

PIPJ Replacement

Hobby¹

2014

Disorders of the Hand

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Osteoarthritis of the proximal interphalangeal joint of the hand: Arthroplasty or fusion?

Cited by 148 publications

References 32 publications

Proximal Interphalangeal Joint Replacement with Surface Replacement Arthroplasty (SR–PIP): Functional Results and Complications

Proximal Interphalangeal Joint Replacement with Surface Replacement Arthroplasty (SR–PIP): Functional Results and Complications

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

PIPJ Replacement

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