| Proximal interphalangeal joint silicone arthroplasty for posttraumatic arthritis. | |
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MedLine Citation:
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PMID: 10048519 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The long-term results of 16 silicone implant arthroplasties following severe destruction of the proximal interphalangeal joint and surrounding soft tissue in 14 patients were evaluated. Two implants were revised (1 arthrodesis and 1 amputation) and are not included in the results. On a visual analog scale of 0 to 100, the subjective evaluation relating to the quality of function and the ability to perform activities of daily living scored 73 on average (range, 0-100; median, 75). The range of active motion compared with the opposite side ranged from 0% to 100% (average, 47%; median, 56%). The lateral deviation, either radial or ulnar, averaged 4 degrees (range, 0 degrees to 9 degrees; median, 4 degrees). Rotational deformity, either radial or ulnar, averaged 8 (range, 0 degrees to 32 degrees; median, 4 degrees). Pinch strength of the operated finger on average was 75% of the opposite nonoperated finger (range, 14% to 164%; median, 70%). Possible statistical correlation between objective and subjective results was evaluated. Subjectively, most patients were satisfied because they were pain free. Objectively, notable rotational deformity, alignment deviation, and loss of pinch strength and range of motion were observed, but these did not correlate well with the subjective assessment. Silicone implant arthroplasty for posttraumatic arthrosis should be used for those cases in which associated adhesions may be corrected by simple tenolysis, allowing for active range of motion shortly following arthroplasty. Even in these cases, the objective results of silicone arthroplasty may not be as good as its subjective outcome. |
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Authors:
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J J Hage; E P Yoe; J P Zevering; P J de Groot |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of hand surgery Volume: 24 ISSN: 0363-5023 ISO Abbreviation: J Hand Surg Am Publication Date: 1999 Jan |
Date Detail:
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Created Date: 1999-04-16 Completed Date: 1999-04-16 Revised Date: 2009-06-08 |
Medline Journal Info:
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Nlm Unique ID: 7609631 Medline TA: J Hand Surg Am Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 73-7 Citation Subset: IM |
Affiliation:
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Department of Plastic and Reconstructive Surgery, Academisch Ziekenhuis Vrije Universiteit, Amsterdam, The Netherlands. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Arthritis / etiology, physiopathology, surgery* Arthroplasty, Replacement* Female Finger Injuries / complications* Finger Joint / surgery* Fractures, Bone / complications* Hand Strength Humans Male Patient Satisfaction Postoperative Complications Range of Motion, Articular Recovery of Function Reoperation Silicones* |
| Chemical | |
Reg. No./Substance:
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0/Silicones |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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