Document Detail

Outcome of pyrocarbon proximal interphalengeal joint replacement.
MedLine Citation:
PMID:  24641745     Owner:  NLM     Status:  In-Data-Review    
Pyrocarbon arthroplasty of the proximal interphalangeal joint (PIPJ) has been reported to provide excellent pain relief when treating osteoarthritis of the hand. We retrospectively reviewed 20 PIPJ arthroplasties performed on 14 patients by a single surgeon using Ascension prosthesis. The mean follow up period was 3.5 years (range 1-7 years). Excellent pain relief was noted at the final follows-up. The mean range of motion improved from 40° pre-operatively to 70° post-operatively which was statistically significant. Twelve patients had significant improvement in quality of life and would consider similar procedure for other fingers. Radiological assessment revealed an average of 1 mm subsidence and there was no correlation noted between subsidence, migration and ROM at the final follow-up. Stiffness was the main complication and was comparable with other studies. The results of this series are encouraging and demonstrate excellent to good outcome in 86% of patients at the mid-term follow-up.
Aravind Desai; Fraser J Gould; David C Mackay
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Hand surgery : an international journal devoted to hand and upper limb surgery and related research : journal of the Asia-Pacific Federation of Societies for Surgery of the Hand     Volume:  19     ISSN:  1793-6535     ISO Abbreviation:  Hand Surg     Publication Date:  2014  
Date Detail:
Created Date:  2014-03-19     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9602613     Medline TA:  Hand Surg     Country:  Singapore    
Other Details:
Languages:  eng     Pagination:  77-83     Citation Subset:  IM    
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