Development of a surface replacement arthroplasty for proximal interphalangeal joints

Linscheid, Ronald L.; Murray, Peter M.; Vidal, M.; Beckenbaugh, Robert D.

doi:10.1016/s0363-5023(97)80165-7

Cited by 133 publications

(119 citation statements)

References 32 publications

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“…14.2 , 14.3 and 14.4 ). The Avanta-SRA has a cobalt chrome proximal component and a titanium distal component with an UHMWPE bearing surface [ 22 ]. The Finsbury is a similar design, with an HA coating to pro-…”

Section: Anatomical Designsmentioning

confidence: 99%

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PIPJ Replacement

Hobby¹

2014

Disorders of the Hand

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Section: Anatomical Designsmentioning

confidence: 99%

“…Linschied et al reported acceptable mid-term results with the Avanta-SRA implant [ 22 ]. Other authors have reported problems with implant loosening when the Avanta-SRA is used without cement, with radiographic loosening in 30-33 %, and revision rates of 17-26 % at 3 years [ 24 , 25 ].…”

Section: Clinical Pearlmentioning

confidence: 99%

PIPJ Replacement

Hobby¹

2014

Disorders of the Hand

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“…However, with primary and posttraumatic arthritis in particular, an increasing number of cases of fractured prosthesis or joint instability have occurred [8,13,16,[22][23][24][25]28]. This type of prosthesis is therefore no longer recommended for these indications.…”

Section: Vorteilementioning

confidence: 99%

“…Die häu-fig eingesetzten Silikonprothesen wurden für den Rheumatiker entwickelt, jedoch auch außerhalb dieser Indikation eingesetzt. Vor allem bei der primären und posttraumatischen Arthrose traten jedoch zunehmend Prothesenbrüche und Gelenkinstabilitäten auf [8,13,16,[22][23][24][25]27]. Deshalb werden diese Prothesentypen für die genannten Indikationen nicht mehr empfohlen.…”

Section: Introductionunclassified

Der Fingermittelgelenkersatz mit Pyrocarbonprothesen

Meier

Schulz

Krimmer³

et al. 2007

Orthop Traumatol

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20 patients were treated for posttraumatic or idiopathic arthritis with 24 pyrolytic carbon PIP prostheses, and a follow-up examination was carried out after an average of 15 months (6-30 months). Surgical management was changed from arthroplasty to arthrodesis in three cases. For the remaining prostheses, an average range of motion of 50 degrees was achieved for the proximal interphalangeal joint. On the visual analog scale (VAS; 0: no pain, 10: incapacitating pain), the patients suffered few symptoms (VAS: 0-3). 80% of patients said they were satisfied with the outcome of the operation. In three cases (one infection, two dislocations) the prostheses had to be removed and arthrodesis performed. Migration of the distal components was observed on the radiographs in five cases, and of the proximal components in four cases, although this did not have any effect on the functional parameters. The development of a painless noise ("squeaking") was noticed in nine out of 21 prostheses. However, as with prosthetic migration, this did not cause any functional deficits.

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“…Green et al (1991) state that a PIP joint arthroplasty provides and active arc of motion of approximately 60º at the PIP joint. This range of motion (ROM) is often not achieved in practice as the pre-operative PIP joint deformity greatly influences the overall outcome (Ashworth et al 1997, Conolly and Rath 1991, Lin et al 1995, Linscheid et al 1997, Strickland et al 1982. Despite an abundance of literature few articles described the post-operative rehabilitation regimen and the difficulties that hand therapists have to overcome when rehabilitating this anatomically complex joint.…”

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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Development of a surface replacement arthroplasty for proximal interphalangeal joints

Cited by 133 publications

References 32 publications

PIPJ Replacement

PIPJ Replacement

Der Fingermittelgelenkersatz mit Pyrocarbonprothesen

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

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