Document Detail

Seventeen-year survivorship analysis of silastic metacarpophalangeal joint replacement .
MedLine Citation:
PMID:  15446527     Owner:  NLM     Status:  MEDLINE    
We reviewed the records and radiographs of 381 patients with rheumatoid arthritis who had undergone silastic metacarpophalangeal joint replacement during the past 17 years. The number of implants was 1336 in the course of 404 operations. Implant failure was defined as either revision or fracture of the implant as seen on radiography. At 17 years, the survivorship was 63%, although on radiographs two-thirds of the implants were seen to be broken. Factors which improved survival included soft-tissue balancing, crossed intrinsic transfer and realignment of the wrist. Surgery to the thumb and proximal interphalangeal joint had a deleterious effect and the use of grommets did not protect the implant from fracture.
I A Trail; J A Martin; D Nuttall; J K Stanley
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  The Journal of bone and joint surgery. British volume     Volume:  86     ISSN:  0301-620X     ISO Abbreviation:  J Bone Joint Surg Br     Publication Date:  2004 Sep 
Date Detail:
Created Date:  2004-09-27     Completed Date:  2004-10-05     Revised Date:  2010-11-10    
Medline Journal Info:
Nlm Unique ID:  0375355     Medline TA:  J Bone Joint Surg Br     Country:  England    
Other Details:
Languages:  eng     Pagination:  1002-6     Citation Subset:  AIM; IM    
Wrightington Hospital, Wigan, England, UK.
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MeSH Terms
Aged, 80 and over
Arthritis, Rheumatoid / radiography,  surgery*
Arthroplasty, Replacement / methods*
Joint Prosthesis
Metacarpophalangeal Joint / radiography,  surgery*
Middle Aged
Prosthesis Failure
Risk Factors
Survival Analysis
Treatment Outcome
Reg. No./Substance:
0/Dimethylpolysiloxanes; 0/Silicones; 63148-62-9/baysilon

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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