Pyrolytic Carbon Proximal Interphalangeal Joint Resurfacing Arthroplasty

Tuttle, Harrison G.; Stern, Peter J.

doi:10.1016/j.jhsa.2006.02.018

Cited by 108 publications

(68 citation statements)

References 15 publications

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“…The manufacturers initially stated that the implant had the potential for bony ingrowth, but recent studies have confirmed that no bony ingrowth occurs between pyrocarbon and the surrounding bone. 13 Bravo and colleagues, Nunley and colleagues, and Tuttle and Stern [13][14][15] have reported on retrospective series of patients who have pyrocarbon implants inserted for PIP arthritis.…”

Section: Pyrocarbonmentioning

confidence: 99%

Complications of Small Joint Arthroplasty

Drake

Segalman

2010

Hand Clinics

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Section: Pyrocarbonmentioning

confidence: 99%

Complications of Small Joint Arthroplasty

Drake

Segalman

2010

Hand Clinics

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“…The desirability of silicone replacement is limited by particulate synovitis and ultimate fracture of the implant in a younger, high-demand patient [1,13]. The desirability of surface replacement is limited by the modest ROM, dislocation, squeaking joints, and prosthetic loosening/subsidence at the prosthesis-bone interface [2,6,7,13,15,16]. When used for post-traumatic cases as opposed to arthritis, the results may be even worse [12].…”

Section: Discussionmentioning

confidence: 99%

“…Most patients are unwilling to accept the donor site morbidity in the foot for such limited motion in the finger and decline that option when offered. When both sides of the joint have lost articular cartilage, but motion is still desired, the remaining options are silicone or surface total joint replacement [1,2,6,7,11,12,15,16].…”

Section: Introductionmentioning

confidence: 99%

Prosthetic Hemi-Arthroplasty for Post-Traumatic Articular Cartilage Loss in the Proximal Interphalangeal Joint

Henry

2010

Hand (New York, N,Y.)

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This article discusses the indications, contra-indications, and technique for proximal interphalangeal joint prosthetic hemi-arthroplasty in the setting of sub-acute or chronic post-traumatic articular cartilage loss. Two case examples are provided: one for replacement of the head of the proximal phalanx, the other for replacement of the base of the middle phalanx.This procedure serves as a recently available alternative to fusion, silicone total joint replacement, total joint arthroplasty with unlinked surface replacements, volar plate arthroplasty, hemi-condylar osteochondral autograft reconstruction, or free vascularized joint transfer.

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“…Y con respecto a las artroplastias de carbono pirolítico, también hay diferencias considerables según el autor consultado. Así, mientras que Nunley et al 10 , abandonaron prematuramente un trabajo clínico prospectivo con este tipo de artroplastias al obtener en sus primeros 5 casos unos muy malos resultados y con complicaciones añadidas, y que Tuttle y Stern 11 consideraron dicho procedimiento como impredecible, en cuanto a resultados se refiere, tenemos a Schulz et al 12 , quienes en un estudio retrospectivo sobre 20 pacientes con artrosis postraumática y con un seguimiento medio entre 6 meses y 3 años, consideran que la artroplastia de carbono pirolítico es una buena opción de tratamiento para este tipo de casos. Nuestro trabajo puede equipararse a este último, si bien apuntamos también, la necesidad de un estudio con más número de casos y a más largo plazo para sacar conclusiones válidas al respecto.…”

Section: Discussionunclassified

Tratamiento de la artrosis postraumática de la interfalángica proximal mediante artroplastia de carbono pirolítico

Costa

Pinto

2007

Rev Iberoam Cir Mano

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Objetivos: Valorar los resultados obtenidos mediante la artroplastia de carbono pirolítico en pacientes con artrosis postraumática de las interfalángicas proximales. Material y Método: Se analizan un total de 25 pacientes (24 hombres, 1 mujer) con artrosis postraumática de la articulación interfalángica proximal (IFP), que fueron valorados clínica y radiográfica-mente, después de haber sido intervenidos mediante una artroplastia de carbono pirolítico. Todos los casos fueron operados por vía dorsal, siguiendo siempre el mismo protocolo rehabilitador postquirúrgico. El seguimiento medio de estos pacientes fue de 42 meses, con un mínimo de 12 meses y un máximo de 72 meses. Resultados: Comparando la escala analógica de dolor y el rango de movilidad en el pre y postoperatorio, se obtuvieron en 24 casos, unos buenos resultados. El único caso que fue considerado como malo, presentó una subluxación dorsal del componente distal del implante, que requirió de una reducción quirúrgica. En cuanto a los hallazgos radiográficos, en el 10 % de los casos se objetivaron finas bandas radiolúcidas peri-implante, si bien no se correlacionó este hallazgo con un deterioro clí-nico. Objectives:To measure the results obtained using a pyrocarbon arthroplasty in patients with post-traumatic arthrosis of the proximal interphalangeal joints. Materials and Methods: Twenty five patients (24 male, 1 female) with post-traumatic arthrosis of the proximal interphalangeal joints were studied, with a clinical and radiological assessment after undergoing a pyrocarbon arthroplasty. All cases were operated through a dorsal approach and underwent the same post-operative regime. Average follow-up was 42 months, range 12 months to 72 months. Results: The change in the analog pain scale and range of movement pre and pot-operative indicates that the results were good in 24 cases. The only result considered poor presented a dorsal subluxation of the implant, requiring surgical reduction. Radiologically, 10% of cases show fine radiolucent lines around the implant, but this finding did not correlate with a clinical deterioration. Conclusions: Replacement arthroplasty of the PIPJ using a pyrocarbon implant, presents a valid alternative in cases with post-traumatic arthrosis. However, larger series with longer follow up are required to validate this treatment.

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Pyrolytic Carbon Proximal Interphalangeal Joint Resurfacing Arthroplasty

Cited by 108 publications

References 15 publications

Complications of Small Joint Arthroplasty

Complications of Small Joint Arthroplasty

Prosthetic Hemi-Arthroplasty for Post-Traumatic Articular Cartilage Loss in the Proximal Interphalangeal Joint

Tratamiento de la artrosis postraumática de la interfalángica proximal mediante artroplastia de carbono pirolítico

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