TWO TO FIVE YEAR FOLLOW-UP OF THE LPM CERAMIC COATED PROXIMAL INTERPHALANGEAL JOINT ARTHROPLASTY

2008 ◽  
Vol 33 (1) ◽  
pp. 38-44 ◽  
Author(s):  
J. FIELD
Keyword(s):  
Clinical Signs ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Pip Joint ◽  
Joint Implants ◽  
Post Traumatic ◽  
Joint Arthroplasties ◽  
Traumatic Arthritis

This paper presents a retrospective series of 20 LPM semi-constrained ceramic coated cobalt chrome proximal interphalangeal joint arthroplasties performed consecutively in 12 patients for arthritis of the proximal interphalangeal joint by a single surgeon between 2000 and 2004. Eleven were performed for osteoarthritis, four for post-traumatic arthritis and five for rheumatoid arthritis. Although 12 joints had an improvement in pain and an increased functional arc of movement, six joints required revision surgery for implant failure at an average of 19 months, with clinical signs of increasing pain, deteriorating motion and radiological signs of implant loosening and subsidence. This rate of revision is higher than in published series for other PIP joint implants and, therefore, close surveillance of all patients with this prosthesis currently in situ is recommended. Use of the prosthesis has ceased in this unit.

Pyrocarbon proximal interphalangeal joint arthroplasty: a medium to long term follow-up of a single surgeon series

2015 ◽  
Vol 40 (9) ◽  
pp. 952-956 ◽  
Author(s):  
P. A. Storey ◽  
M. Goddard ◽  
C. Clegg ◽  
M. E. Birks ◽  
S. H. Bostock
Keyword(s):  
Case Series ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Level Of Evidence ◽  
Visual Analogue Pain ◽  
Kaplan Meier ◽  
Long Term Follow Up ◽  
Post Traumatic ◽  
Joint Arthroplasties

We retrospectively reviewed a consecutive single surgeon series of 57 Ascension pyrocarbon proximal interphalangeal joint arthroplasties, with a mean follow-up of 7.1 years (range 2 years to 11 years 6 months). We assessed the ranges of motion, deformity, stability and pain of the operated joints, grip strength of the hand and patient satisfaction. Of the cases, 44 were for osteoarthritis, five for rheumatoid arthritis and eight for post-traumatic arthritis. The median post-operative active arc of motion was from 0° to 60°. The median post-operative visual analogue pain score was 0.3 out of ten. Thirty six of the joints had no complications; 14 had minor complications (squeak, slight swan neck); three required early reoperation (joint release, flexor tenodesis); and five required implant removal. A total of 69% of our patients would have the same operation if they had to make the decision again. The Kaplan-Meier survival method estimates the mean implant survival to be 10.7 years (95% confidence intervals 9.96–11.37 years). All five failures occurred during the first 2 years. Level of evidence 4 (Case-series).

Results of Vascularized Joint Transfers from the Foot

1997 ◽  
Vol 22 (4) ◽  
pp. 492-498 ◽  
Author(s):  
G. DAUTEL ◽  
M. MERLE
Keyword(s):  
Joint Space ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Indications For Surgery ◽  
Pip Joint ◽  
Prosthetic Implant ◽  
Metatarsophalangeal Joints ◽  
Second Toe ◽  
The Average Range

We report our results in ten cases of vascularized joint transfer to reconstruct the proximal interphalangeal joint (five cases) or metacarpophalangeal joints (five cases). Donor sites were the proximal interphalangeal or the metatarsophalangeal joints of the second toe. Indications for surgery were the need to reconstruct both the growth plate and joint space in children or the impossibility of a conventional prosthetic implant. The average range of motion was 44° for the PIP joint and 53° for the MP joint at a mean follow-up of 22.7 months.

The extensor tendon splitting approach to the proximal interphalangeal joint: do we need to reinsert the central slip?

2009 ◽  
Vol 35 (3) ◽  
pp. 188-191 ◽  
Author(s):  
A. M. Afifi ◽  
A. Richards ◽  
A. Medoro ◽  
D. Mercer ◽  
M. Moneim
Keyword(s):  
Extensor Tendon ◽  
Proximal Interphalangeal Joint ◽  
Joint Arthroplasty ◽  
Interphalangeal Joint ◽  
Middle Phalanx ◽  
Dorsal Approach ◽  
Pip Joint ◽  
Central Slip ◽  
Extensor Lag

Current approaches to the proximal interphalangeal (PIP) joint have potential complications and limitations. We present a dorsal approach that involves splitting the extensor tendon in the midline, detaching the insertion of the central slip and repairing the extensor tendon without reinserting the tendon into the base of the middle phalanx. A retrospective review of 16 digits that had the approach for a PIP joint arthroplasty with a mean follow up of 23 months found a postoperative PIP active ROM of 61° (range 25–90°). Fourteen digits had no extensor lag, while two digits had an extensor lag of 20° and 25°. This modified approach is fast and simple and does not cause an extensor lag.

The Treatment of Chronic Flexion Contractures of the Proximal Interphalangeal Joint

1995 ◽  
Vol 20 (3) ◽  
pp. 385-389 ◽  
Author(s):  
G. ABBIATI ◽  
G. DELARIA ◽  
E. SAPORITI ◽  
M. PETROLATI ◽  
C. TREMOLADA
Keyword(s):  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Collateral Ligaments ◽  
Collateral Ligament ◽  
Extension Deficit ◽  
Flexion Contractures ◽  
Complete Extension ◽  
Pip Joint ◽  
Surgical Release

A method of treatment of chronic flexion contractures of the PIP joint is presented, with the results obtained in 19 patients treated between 1989 and 1992 after a follow-up of from 6 to 53 months. The flexion contractures, with an extension deficit which ranged between 70 and 90°, had been present for a period of between 2 months and 24 years. Our treatment program involves the surgical release of the unreducible PIP joint followed by the use of static and/or dynamic splints. Surgery is performed using a midlateral approach; the accessory collateral ligament and the flexor sheath are incised and, after the volar plate and check-rein ligaments have been excised, forced hyperextension is applied. The main collateral ligaments are carefully spared and freed from the condyle if there are any remaining adhesions. In our 19 patients, complete extension of the finger was achieved in 11 cases (57.9%); in the remaining 8 cases (42.1%) the residual extension deficit ranges from 10 to 15°. In our experience this combined surgical and rehabilitative approach had led to consistently good results with minimal complications.

Arthroplasty of the Proximal Interphalangeal Joint Using the Sutter Implant for Traumatic Joint Destruction

1999 ◽  
Vol 24 (5) ◽  
pp. 565-569 ◽  
Author(s):  
C. MATHOULIN ◽  
A. GILBERT
Keyword(s):  
Range Of Motion ◽  
Joint Destruction ◽  
Functional Results ◽  
Proximal Interphalangeal Joint ◽  
Dorsal Approach ◽  
Active Range Of Motion ◽  
Post Traumatic ◽  
Traumatic Arthritis ◽  
Better Than

We report the functional results in a series of 21 Sutter arthroplasties for post-traumatic arthritis with an average follow-up of more than 2 years. The dorsal approach was used in every case. Pain was always present preoperatively and mobility was reduced to an average range of motion of 15°. Postoperatively, pain was absent in 18 cases. The average active range of motion was 55°. There were two fractures of implants. Although the follow-up is limited, the Sutter arthroplasty has given results that are similar to, or better than, those reported for other techniques.

TREATMENT OF CHRONIC POST-TRAUMATIC HYPEREXTENSION DEFORMITY OF PROXIMAL INTERPHALANGEAL JOINT USING THE SUTURE ANCHOR: A CASE REPORT

Hand Surgery ◽  
2007 ◽  
Vol 12 (01) ◽  
pp. 47-49 ◽  
Author(s):  
Yasuo Onishi ◽  
Hiroyuki Fujioka ◽  
Minoru Doita
Keyword(s):  
Suture Anchor ◽  
Proximal Phalanx ◽  
Attachment Site ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Suture Anchors ◽  
Acceptable Result ◽  
Pip Joint ◽  
Post Traumatic ◽  
Little Finger

We present a case of chronic post-traumatic hyperextension of the PIP joint of the little finger. The volar plate was reattached at the original attachment site of the proximal phalanx using two suture anchors and tenodesis of the radial half slip of the FDS tendon was added. An acceptable result was obtained.

Investigation of Squeaking in Pyrolytic Carbon Proximal Interphalangeal Joint Implants

2014 ◽  
Vol 8 (1) ◽  
Author(s):  
Caleb Davis ◽  
Andrew R. Thoreson ◽  
Lawrence Berglund ◽  
Steven L. Moran ◽  
Kai-Nan An ◽  
...  
Keyword(s):  
Fetal Bovine Serum ◽  
Pyrolytic Carbon ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Implant Loosening ◽  
Test Device ◽  
Implant Size ◽  
Pip Joint ◽  
Joint Implants ◽  
Fetal Bovine

One commonly reported complication of pyrolytic carbon arthroplasty at the proximal interphalangeal (PIP) joint is an annoying, painless, squeaking postoperatively. This squeak has been anecdotally associated with implant loosening or impending dislocation. The purpose of this study was to investigate the etiology of this squeaking. Proximal and distal components of the pyrolytic carbon PIP implant were inserted into foam bones and mounted onto an oscillating test device. We evaluated the effect of 96 combinations of load, velocity, contact angle, implant size, lubrication, and displacement amplitude over a total of 300 cycles for each condition. Sound analysis was performed on squeaking conditions. Fourteen conditions resulted in squeaking, all with a sound pattern similar to that noted clinically. Unlubricated, “dry” joints did not squeak. Squeaking most commonly occurred with fetal bovine serum lubrication, at higher loads, and at 0 deg hyperextension. Hyaluronic acid viscosupplementation stopped the squeaking in all cases.

Impact of multi- versus single finger proximal interphalangeal joint arthroplasty: analysis of 249 fingers treated in 15 years

2018 ◽  
Vol 43 (5) ◽  
pp. 524-529
Author(s):  
Jason J. Srnec ◽  
Eric R. Wagner ◽  
Marco Rizzo
Keyword(s):  
Proximal Interphalangeal Joint ◽  
Joint Arthroplasty ◽  
Interphalangeal Joint ◽  
Level Of Evidence ◽  
Single Digit ◽  
Free Survival ◽  
Single Finger ◽  
Joint Arthroplasties ◽  
Single Versus

We retrospectively reviewed and compared the outcomes and complications associated with 81 single digit and 168 multi-digit proximal interphalangeal joint arthroplasties performed from 1998 to 2012 in 136 patients. Clinical outcomes were assessed with an average follow-up of 5.3 years for single digit and 5.9 years for multi-digit proximal interphalangeal joint arthroplasty. Comparing single versus multi-digit proximal interphalangeal joint arthroplasty, the reoperation-free survival was 67% and 68% at 5 years and 56% and 67% at 10 years, respectively. Furthermore, in comparison of single versus multi-digit proximal interphalangeal joint arthroplasty, the revision-free survival was 80% and 86% at 5 years and 80% and 85% at 10 years, respectively. Given the similar, or even slightly improved, rates of complications, reoperation, and revision surgery, proximal interphalangeal joint arthroplasty performed on multi-digits results in no worse outcomes compared with single digit proximal interphalangeal joint arthroplasty. Level of evidence: IV

scholarly journals Volar Plate Avulsion of Pip Joint: An Unusual Fielding Injury in Cricket

2015 ◽  
Vol 49 (4) ◽  
pp. 209-212
Author(s):  
Sharad Prabhakar ◽  
Himmat Singh Dhillon ◽  
Kevin Syam ◽  
Sidak Singh Dhillon ◽  
Mandeep Singh Dhillon
Keyword(s):  
Soft Tissue ◽  
Team Sport ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Hand Injuries ◽  
Volar Plate ◽  
Finger Injuries ◽  
Pip Joint ◽  
Unusual Injury

ABSTRACT Fielding injuries are the predominant contact injury in cricket, with the fingers taking the blunt of the trauma due to direct hit by the ball while taking catches. Many types of hand and finger injuries like soft tissue contusions, fractures/dislocations and ligament and joint sprains have been observed in this popular team sport. One of the unique kind of hand injuries associated with cricket is the avulsion of the volar plate of the proximal interphalangeal joint (PIP). Here, we report this unusual injury in a 24-year-old cricketer, its management and 3-month follow-up along with a review of hand injuries in cricket. How to cite this article Prabhakar S, Dhillon HS, Syam K, Dhillon SS, Dhillon MS. Volar Plate Avulsion of Pip Joint; An Unusual Fielding Injury in Cricket. J Postgrad Med Edu Res 2015;49(4):209-212.

Chronic Fracture Dislocations of the Proximal Interphalangeal Joint

1994 ◽  
Vol 19 (6) ◽  
pp. 783-787 ◽  
Author(s):  
N. R. M. FAHMY ◽  
N. KENNY ◽  
N. KEHOE
Keyword(s):  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Fracture Dislocation ◽  
Range Of Movement ◽  
Fracture Dislocations ◽  
Pip Joint ◽  
Phalangeal Fracture

The “S” Quattro has proved its value in the treatment of acute displaced comminuted intraarticular phalangeal fracture dislocations. We have used the system to treat five cases of chronic fracture-dislocation or subluxation of the PIP joint. At an average follow-up period of 16.4 months, there was a mean increase in the range of movement of the injured joint by 75°. We recommend this technique for selected cases.

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