Patient characteristics, therapy service delivery and patient outcomes following pyrocarbon proximal interphalangeal joint arthroplasty

The aim of this study is to assess outcomes of a lateral surgical approach for proximal interphalangeal joint arthroplasty with NeuFlex® silicone implants for primary degenerative osteoarthritis. We reviewed 51 arthroplasties performed on 43 patients. The mean follow up period was 36 months (range 18–42). The average preoperative range of motion (ROM) was 38°. The average postoperative ROM was 63°. In 21/51 (41%) cases, there was an average axial deviation of 17° (range 10–30°). VAS and Quick DASH scores improved. In 5/51 (10%) cases, further surgery was required. Our lateral approach seems to be effective and minimally invasive, providing adequate exposure. Contralateral incision and contralateral ligament reinforcement should be performed, whenever necessary, to improve lateral stability.

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Surface Replacement Proximal Interphalangeal Joint Arthroplasty: A Case Series

Hand ◽

10.1177/1558944718760035 ◽

2018 ◽

Vol 14 (5) ◽

pp. 669-674

Author(s):

Pieter W. Jordaan ◽

Duncan McGuire ◽

Michael W. Solomons

Keyword(s):

Patient Satisfaction ◽

Range Of Motion ◽

Retrospective Review ◽

Case Series ◽

Proximal Interphalangeal Joint ◽

Joint Arthroplasty ◽

Interphalangeal Joint ◽

Surface Replacement ◽

Significant Difference

Background: In 2012, our unit published our experience with a pyrocarbon proximal interphalangeal joint (PIPJ) implant. Due to high subsidence rates, a decision was made to change to a cemented surface replacement proximal interphalangeal joint (SR-PIPJ) implant. The purpose of this study was to assess whether the change to a cemented implant would improve the subsidence rates. Methods: Retrospective review of all patients who had a cemented SR-PIPJ arthroplasty performed from 2011 to 2013 with at least 12 months follow-up. Results: A total of 43 joints were included with an average follow-up of 26.5 months. There was a significant ( P = .02) improvement in arc of motion with an average satisfaction score of 3.3 (satisfied patient). Subsidence was noted in 26% of joints with a significant difference in range of motion ( P = .003) and patient satisfaction ( P = .001) between the group with and without subsidence. Conclusions: The change to a cemented implant resulted in satisfied patients with an improvement in range of motion. The rate of subsidence improved but remains unacceptably high.

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Primary Proximal Interphalangeal Joint Arthroplasty

Arthroplasty of the Upper Extremity ◽

10.1007/978-3-030-68880-6_20 ◽

2021 ◽

pp. 335-351

Author(s):

Ian A. Trail

Keyword(s):

Proximal Interphalangeal Joint ◽

Joint Arthroplasty ◽

Interphalangeal Joint

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Revision/Failed Proximal Interphalangeal Joint Arthroplasty

Arthroplasty of the Upper Extremity ◽

10.1007/978-3-030-68880-6_21 ◽

2021 ◽

pp. 353-366

Author(s):

Daniel B. Herren ◽

Stephan F. Schindele

Keyword(s):

Proximal Interphalangeal Joint ◽

Joint Arthroplasty ◽

Interphalangeal Joint

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Design Considerations for Proximal Interphalangeal Joint Arthroplasty

Arthroplasty of the Upper Extremity ◽

10.1007/978-3-030-68880-6_19 ◽

2021 ◽

pp. 315-334

Author(s):

Yoshitaka Minamikawa

Keyword(s):

Proximal Interphalangeal Joint ◽

Joint Arthroplasty ◽

Interphalangeal Joint ◽

Design Considerations

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TOTAL PROXIMAL INTERPHALANGEAL JOINT ARTHROPLASTY FOR OSTEOARTHRITIS VERSUS RHEUMATOID ARTHRITIS — A SYSTEMATIC REVIEW

Hand Surgery ◽

10.1142/s0218810415300016 ◽

2015 ◽

Vol 20 (01) ◽

pp. 181-190 ◽

Cited By ~ 3

Author(s):

Mazin Saad Ibrahim ◽

Robert W. Jordan ◽

Rami Kallala ◽

Jacob Koris ◽

Indranil Chakrabarti

Keyword(s):

Rheumatoid Arthritis ◽

Systematic Review ◽

Functional Outcomes ◽

Proximal Interphalangeal Joint ◽

Joint Arthroplasty ◽

Interphalangeal Joint ◽

Study Quality ◽

Cochrane Database ◽

Disease Aetiology ◽

Operation Rate

Osteoarthritis (OA) and rheumatoid arthritis (RA) of the proximal interphalangeal joints (PIPJ) can be treated with arthroplasty, although the complicated anatomy of the joint makes surgery challenging. Controversy exists regarding outcomes in relation to disease aetiology. This study aims to compare functional outcomes and re-operation rates in these two conditions. The electronic databases MEDLINE, EMBASE, Cochrane database and Google scholar were searched in accordance with PRISMA. The study quality was assessed using the Methodological Index for Non-Randomised Studies (MINOR). A total of 16 studies were reviewed including 506 cases in the OA and 542 in the RA group. Five studies assessed function and patient satisfaction, demonstrating a non-significant improvement in the OA group. Five studies reported re-operation rate; three showing it to be lower in the OA group and two reporting similar rates. This review suggests that those undergoing PIPJ arthroplasty for OA may have a better functional outcome and lower re-operation rate.

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