Thumb interphalangeal joint replacements with silicone and surface gliding implants. A case report

Schindele, Stephan; Marks, Miriam; Herren, Daniel

doi:10.1177/1753193419839645

Cited by 5 publications

(4 citation statements)

References 4 publications

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“…In our experience though, the implantation of the prosthesis in this location is not a simple procedure, due to the tightness of the soft tissue in this approach. However, in their case report, Schindele et al [5] did free the radial collateral ligament.…”

Section: Discussionmentioning

confidence: 90%

“…Till this day, only two papers have reported on this subject, both of which were published in April 2019. Schindele et al [5] reported their results of thumb IP arthroplasty in a 53-year-old patient, presenting with bilateral thumb IP osteoarthritis. She benefited from a silicone arthroplasty on the first side and a surface gliding implant arthroplasty on the second side.…”

Section: Discussionmentioning

confidence: 99%

“…ere also is no proof that blocking the IP joint might speed up the development of arthritis in the MCP and CMC joints. Very few reports about IP joint arthroplasty have been described so far [5,6]. We offered this alternative technique to patients desiring to keep some motion of the IP joint, assuming that they would benefit from it, by reducing pain and improving dexterity in their activities and potentially avoiding an early onset of arthritis in the more proximal joints of the thumb.…”

Section: Introductionmentioning

confidence: 99%

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Thumb Interphalangeal Joint Replacement as an Alternative to Joint Fusion

Gruber

Kohut

Voser

2020

Advances in Orthopedics

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Arthrodesis is the generally accepted treatment for symptomatic osteoarthritis of the interphalangeal (IP) joint of the thumb. For 7 thumbs in 5 patients, an IP joint replacement was offered as a pain alleviating and motion conserving treatment option for osteoarthritis. In these cases, an offlabel use of the SR-PIP prosthesis was performed. All patients did well postoperatively with reasonable pain-free range of motion of the interphalangeal joint except one patient who required further surgeries for recurring joint instability. Radiologically, though, an osteolysis around the stems that could lead to loosening of the prosthesis and progressing periarticular ossifications that might cause a blockage of the joint were observed. IP joint arthroplasty represents a viable option on the short term; however, further studies should be conducted to ensure their long-term sustainability.

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Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Thumb Interphalangeal Joint Replacement as an Alternative to Joint Fusion

Gruber

Kohut

Voser

2020

Advances in Orthopedics

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“…Der Kunstgelenksersatz mit einem Silikonspacer am Endgelenk wurde in 2 Publikationen bzw. Case-reports beschrieben[21,22]. Die Anwendung von Oberflächen-Gleitprothesen wurde in zwei Serien mit 7 Patienten bzw 13.…”

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Differentialtherapeutische Zugänge bei der prothetischen Versorgung von Fingergelenken

Labèr

Schindele

2022

Handchir Mikrochir Plast Chir

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ZusammenfassungFortgeschrittene degenerative Veränderungen der Fingergelenke führen nicht selten zu chirurgischen Behandlungen unterschiedlicher Art. Dabei kommt neben der Arthrodese auch die bewegungserhaltende Therapie mittels eines Kunstgelenks in Frage. Hierfür kann der behandelnde Chirurg zwischen einer Vielzahl unterschiedlicher Zugänge wählen. Die verschiedenen Zugänge mit ihren charakteristischen intraoperativen Vor- und Nachteilen sowie für die postoperative Behandlung sollten patienten-, implantat- und nachbehandlungsspezifisch ausgewählt und angewendet werden. Im Folgenden wird eine Übersicht über die möglichen Zugänge sowie die damit einhergehenden Operationstechniken zum Fingergelenksersatz am Grund-, Mittel- und Endglied gegeben.

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