PROXIMAL INTERPHALANGEAL JOINT SURFACE REPLACEMENT ARTHROPLASTY

Hand Surgery ◽  
2001 ◽  
Vol 06 (01) ◽  
pp. 1-11 ◽  
Author(s):  
Bruce R. Johnstone
Keyword(s):  
Proximal Interphalangeal Joint ◽  
Joint Surface ◽  
Consecutive Series ◽  
Surface Replacement ◽  
Work Related ◽  
Replacement Arthroplasty ◽  
Pip Joint ◽  
Manipulation Under Anaesthesia ◽  
Post Traumatic

A consecutive series of 20 joints in 13 patients underwent arthroplasty with the RMS PIP joint surface replacement implant. Twelve joints were treated for painful osteoarthritis (all females). Two joints were implanted for rheumatoid arthritis, two for post-traumatic pain and stiffness, two for post-traumatic stiffness and one each for post-traumatic pain and pain-free post-traumatic instability. Excellent, often total long-term pain relief was obtained in 18 joints. The other two patients with (compensible work-related) post-traumatic pain and stiffness reported "50–70% pain reduction". No patients lost movement and 14 out of 20 joints were pain-free with a 73.1° average arc of motion. Six joints from the first half of the series had poor motion (average arc of 19.6°), even after open extensor tenolysis or manipulation under anaesthesia. As experience was gained, reliably better results were achieved with a more intensive regimen of hand therapy, particularly within the first post-operative week.

Pyrolytic carbon arthroplasty for the proximal interphalangeal joint: results after minimum 3 years of follow-up

2012 ◽  
Vol 37 (6) ◽  
pp. 501-505 ◽  
Author(s):  
S. A. Mashhadi ◽  
L. Chandrasekharan ◽  
M. A. Pickford
Keyword(s):  
Range Of Motion ◽  
Statistical Significance ◽  
Objective Assessment ◽  
Pyrolytic Carbon ◽  
Proximal Interphalangeal Joint ◽  
Consecutive Series ◽  
Modest Improvement ◽  
Replacement Arthroplasty ◽  
Pip Joint

A retrospective study was undertaken to review the outcomes of a consecutive series of patients treated using pyrocarbon surface replacement arthroplasty by the same surgeon. We analyzed the results of this procedure in 24 proximal interphalangeal (PIP) joints in 19 hands of 16 patients. The minimum follow-up was 3 years. The study showed that pyrocarbon PIP joint replacements provided excellent pain relief and high patient satisfaction. More than two-thirds of patients subjectively rated postoperative range of motion and functional outcomes as better than preoperatively. Objective assessment showed a modest improvement in the active range of motion, which did not achieve statistical significance, although we did observe a statistically significant increase in passive range of motion. The results are encouraging for those surgeons who seek an alternative to silicone implant PIP joint arthroplasty in high-demand patients.

scholarly journals Surface Replacement Arthroplasty Using a Volar Approach for Osteoarthritis of Proximal Interphalangeal Joint: Results After a Minimum 5-Year Follow-up

Hand ◽  
2018 ◽  
Vol 15 (1) ◽  
pp. 81-86
Author(s):  
Ken Shirakawa ◽  
Masahiko Shirota
Keyword(s):  
Extensor Tendon ◽  
Proximal Interphalangeal Joint ◽  
Surface Replacement ◽  
Main Risk Factor ◽  
Volar Approach ◽  
Surface Replacement Arthroplasty ◽  
Replacement Arthroplasty ◽  
Pip Joint ◽  
The Relationship

Background: Surface replacement arthroplasty (SRA) through a volar approach for the proximal interphalangeal (PIP) joint can preserve the integrity of the extensor tendon, which allows early range of motion (ROM) exercise postoperatively. However, a few reports have shown that the PIP ROM tends to decline with longer follow-up. The goal of this study is to assess the results of at least 5 years of follow-up of SRA through a volar approach and also to investigate the cause of deterioration of ROM with time after SRA through this approach. Methods: Eleven fingers with degenerative osteoarthritis that underwent SRA through the volar approach were examined. ROM of the PIP joint preoperation, 1 year after the surgery, and at final follow-up was measured and statistically analyzed. Also, the relationship between PIP ROM and the osteophyte developed postoperatively was examined. Results: The average follow-up period was 7.3 years. The average PIP ROM of the PIP joints was 52.3° preoperatively, 54.1° at 1 year postoperatively, and 31.1° at the final follow-up. PIP ROM at the final follow-up was significantly decreased compared with that preoperatively or at 1 year postoperatively. Also, the development of an osteophyte was negatively correlated with the ROM of the PIP joint at the final follow-up. Conclusions: PIP ROM after SRA through a volar approach has the tendency to deteriorate with a longer follow-up. Development of an osteophyte is considered to be a main risk factor of deterioration in the cases of SRA through a volar approach.

scholarly journals Two-component surface replacement implants compared with perichondrium transplantation for restoration of Metacarpophalangeal and proximal Interphalangeal joints: a retrospective cohort study with a mean follow-up time of 6 respectively 26 years

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Daniel Muder ◽  
Nils P. Hailer ◽  
Torbjörn Vedung
Keyword(s):  
Primary Outcome ◽  
Statistical Significance ◽  
Surface Replacement ◽  
Level Of Evidence ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Two Component ◽  
Pip Joint

Abstract Background The aim of our study was to compare the long-term outcome after perichondrium transplantation and two-component surface replacement (SR) implants to the metacarpophalangeal (MCP) and the proximal interphalangeal (PIP) joints. Methods We evaluated 163 joints in 124 patients, divided into 138 SR implants in 102 patients and 25 perichondrium transplantations in 22 patients. Our primary outcome was any revision surgery of the index joint. Results The median follow-up time was 6 years (0–21) for the SR implants and 26 years (1–37) for the perichondrium transplants. Median age at index surgery was 64 years (24–82) for SR implants and 45 years (18–61) for perichondium transplants. MCP joint survival was slightly better in the perichondrium group (86.7%; 95% confidence interval [CI]: 69.4–100.0) than in the SR implant group (75%; CI 53.8–96.1), but not statistically significantly so (p = 0.4). PIP joint survival was also slightly better in the perichondrium group (80%; CI 55–100) than in the SR implant group (74.7%; CI 66.6–82.7), but below the threshold of statistical significance (p = 0.8). Conclusion In conclusion, resurfacing of finger joints using transplanted perichondrium is a technique worth considering since the method has low revision rates in the medium term and compares favorable to SR implants. Level of evidence III (Therapeutic).

The Long-term Results of Proximal Interphalangeal Joint Arthroplasty of the Osteoarthritic Index Finger

Hand ◽  
2020 ◽  
pp. 155894472092146
Author(s):  
Tomos Richards ◽  
Laura Ingham ◽  
Ian Russell ◽  
David Newington
Keyword(s):  
Index Finger ◽  
Visual Analog Scale Score ◽  
Functional Results ◽  
Reoperation Rate ◽  
Proximal Interphalangeal Joint ◽  
Joint Arthroplasty ◽  
Long Term Results ◽  
Good Pain Relief ◽  
Pip Joint

Background: Arthroplasty of the proximal interphalangeal (PIP) joint is a widely performed procedure for patients with osteoarthritis. Its use in the index finger is often discouraged due to concerns over implant longevity and stability secondary to coronal forces this digit is exposed to during pinch. Methods: We analyzed 47 consecutive index finger silastic interposition arthroplasties, performed through a dorsal approach, at a mean follow-up of 5.15 years. Results: Only 2 patients had ulnar deviation greater than 15°. The reoperation rate was 12.8%, with only 1 finger requiring arthrodesis. The mean Visual Analog Scale score was 1.1; and of the whole series, only 1 patient would retrospectively have preferred a fusion. Conclusions: Our series shows that excellent functional results and patient satisfaction can be gained using silastic PIP joint arthroplasty in the index finger. We would advocate offering this procedure, especially in lower demand patients as an alternative to arthrodesis, with the benefit of providing good pain relief while preserving movement.

Work-related threats and violence and post-traumatic symptoms in four high-risk occupations: short- and long-term symptoms

2018 ◽  
Vol 92 (2) ◽  
pp. 195-208 ◽  
Author(s):  
Lars Peter Andersen ◽  
Annie Hogh ◽  
Ask Elklit ◽  
Johan Hviid Andersen ◽  
Karin Biering
Keyword(s):  
High Risk ◽  
Work Related ◽  
Short And Long Term ◽  
Post Traumatic ◽  
Traumatic Symptoms
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