Surface replacement arthroplasty of the proximal interphalangeal and metacarpophalangeal joints: The current state
Surface replacement arthroplasty for proximal interphalangeal joint and metacarpophalangeal joints are becoming popular. Low profile, anatomically designed implants limit the amount of bone removed but need preservation of the collateral ligaments. Pyrocarbon and cobalt-chrome stemmed unconstrained...
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| Format: | Article |
| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2011-05-01
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| Series: | Indian Journal of Plastic Surgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1699508 |
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| author | Harvinder Singh Joseph J. Dias |
| author_facet | Harvinder Singh Joseph J. Dias |
| author_sort | Harvinder Singh |
| collection | DOAJ |
| description | Surface replacement arthroplasty for proximal interphalangeal joint and metacarpophalangeal joints are becoming popular. Low profile, anatomically designed implants limit the amount of bone removed but need preservation of the collateral ligaments. Pyrocarbon and cobalt-chrome stemmed unconstrained implants on ultra-high molecular weight polyethylene are the two commonly available bearing surfaces. The indications for small joint arthroplasty are degenerative, post-traumatic or rheumatoid arthritis. Early results are encouraging, primarily in patient satisfaction and pain relief, but are based on low numbers. The main concerns are progressive loss of range due to implant settling, dislocation, squeaking and poor osteo-integration with the appearance of a radiolucent line at the bone–implant interface. Our experience suggests that metacarpophalangeal joint replacements consistently give good results. |
| format | Article |
| id | doaj-art-5ec1921d78d64db3a6af47a975f8420b |
| institution | OA Journals |
| issn | 0970-0358 1998-376X |
| language | English |
| publishDate | 2011-05-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Plastic Surgery |
| spelling | doaj-art-5ec1921d78d64db3a6af47a975f8420b2025-08-20T01:57:00ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2011-05-01440231732610.1055/s-0039-1699508Surface replacement arthroplasty of the proximal interphalangeal and metacarpophalangeal joints: The current stateHarvinder Singh0Joseph J. Dias1Department of Health Sciences, University of Leicester, Leicester, England, UKDepartment of Health Sciences, University of Leicester, Leicester, England, UKSurface replacement arthroplasty for proximal interphalangeal joint and metacarpophalangeal joints are becoming popular. Low profile, anatomically designed implants limit the amount of bone removed but need preservation of the collateral ligaments. Pyrocarbon and cobalt-chrome stemmed unconstrained implants on ultra-high molecular weight polyethylene are the two commonly available bearing surfaces. The indications for small joint arthroplasty are degenerative, post-traumatic or rheumatoid arthritis. Early results are encouraging, primarily in patient satisfaction and pain relief, but are based on low numbers. The main concerns are progressive loss of range due to implant settling, dislocation, squeaking and poor osteo-integration with the appearance of a radiolucent line at the bone–implant interface. Our experience suggests that metacarpophalangeal joint replacements consistently give good results.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1699508fingerjoint replacementpyrocarbon |
| spellingShingle | Harvinder Singh Joseph J. Dias Surface replacement arthroplasty of the proximal interphalangeal and metacarpophalangeal joints: The current state Indian Journal of Plastic Surgery finger joint replacement pyrocarbon |
| title | Surface replacement arthroplasty of the proximal interphalangeal and metacarpophalangeal joints: The current state |
| title_full | Surface replacement arthroplasty of the proximal interphalangeal and metacarpophalangeal joints: The current state |
| title_fullStr | Surface replacement arthroplasty of the proximal interphalangeal and metacarpophalangeal joints: The current state |
| title_full_unstemmed | Surface replacement arthroplasty of the proximal interphalangeal and metacarpophalangeal joints: The current state |
| title_short | Surface replacement arthroplasty of the proximal interphalangeal and metacarpophalangeal joints: The current state |
| title_sort | surface replacement arthroplasty of the proximal interphalangeal and metacarpophalangeal joints the current state |
| topic | finger joint replacement pyrocarbon |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1699508 |
| work_keys_str_mv | AT harvindersingh surfacereplacementarthroplastyoftheproximalinterphalangealandmetacarpophalangealjointsthecurrentstate AT josephjdias surfacereplacementarthroplastyoftheproximalinterphalangealandmetacarpophalangealjointsthecurrentstate |