Proximal Interphalangeal Joint Replacement with Surface Replacement Arthroplasty (SR–PIP): Functional Results and Complications

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• 作者：Christina Luther (1)
  Guenter Germann (1)
  Michael Sauerbier (2)
  
• 关键词：Proximal interphalangeal joint surface replacement arthroplasty ; Arthritis of the PIP joint
• 刊名：HAND
• 出版年：2010
• 出版时间：September 2010
• 年：2010
• 卷：5
• 期：3
• 页码：233-240
• 全文大小：403KB
• 参考文献：1. Bickel KD. The dorsal approach to silicone implant arthroplasty of the proximal interphalangeal joint. J Hand Surg [Br]. 2007;32(6):909-3.
  2. Bravo CJ, Rizzo M, Hormel KB, et al. Pyrolytic carbon proximal interphalangeal joint arthroplasty: results with a minimum two-year follow-up evaluation. J Hand Surg [Br]. 2007;32(1):1-1.
  3. Condamine JL, Fourquet M, Marcucci L, et al. Lárthrose primitive metacarpo-phalangienne et interphalanienne proximale a la main. Indications et resultats de vingt.sept arthroplasies DJOA. Ann Chir Main. 1997;16:66-8.
  4. Daecke W, Streich N, Schneider S, et al. The role of alloarthroplasty in hand surgery. Alloarthroplasty versus additional procedures. Unfallchirurg. 2005;108:119-6. CrossRef
  5. Deb R, Sauerbier M, Rauschmann MA. History of arthroplasty in finger joints. Orthop?de. 2003;32:770-. CrossRef
  6. Duncan SF, Merritt MV, Kakinoki R. The volar approach to proximal interphalangeal joint arthroplasty. Tech Hand Up Extrem Surg. 2009;13(1):47-3. CrossRef
  7. Fahmy NR, Lavender A, Brew C. A conservative approach for proximal interphalangeal joint arthroplasty. J Hand Surg [Br]. 2001;26(3):235-.
  8. Gülke J, Wachter NJ, Mentzel M. DIGITOS—prosthesis for the proximal interphalangeal joint—long term results. Handchir Mikrochir Plast Chir. 2007;39:257-2. CrossRef
  9. Herren DB, Schindele S, Goldhahn J, et al. Problematic bone fixation with pyrocarbon implants in proximal interphalangeal joint replacement: short-term results. J Hand Surg [Br]. 2006;31B(6):643-1.
  10. Iselin F, Conti E. Long-term results of proximal interphalangeal joint resection arthroplasties with a silicone implant. J Hand Surg [Am]. 1995;20:595-. CrossRef
  11. Jennings CD, Livingstone DP. Surface replacement arthroplasty of the proximale interphalangeal joint using the PIP–SRA implant: results, complications and revisions. J Hand Surg [Am]. 2008;33(9):15651.e1-5651.e11. CrossRef
  12. Johnstone BR. Proximale interphalangeal joint surface replacement arthroplasty. Hand Surg. 2001;6(1):1-1. CrossRef
  13. Lang E, Schmidt A, Ishida A, et al. A contribution to the alloplastic replacement of the proximale interphalangeal joint. Experience with a new prosthesis. Handchir Mikrochir Plast Chir. 2000;32:44-0. CrossRef
  14. Lin HH, Wyrick JD, Stern PJ. Proximale interphalangeal joint silicone replacement arthroplasty: clinical results using an anterior approach. J Hand Surg [Am]. 1995;20:123-2. CrossRef
  15. Lin SY, Cy C, Lin GT, et al. Volar plate interposition arthroplasty for posttraumatic arthritis of the finger joints. J Hand Surg [Am]. 2008;33(1):35-. CrossRef
  16. Lundborg G, Branemark PI. Osseointegrated proximal interphalangeal joint prosthesis with a replaceable flexible joint spacer—long term results. Scand J Plast Reconstr Hand Surg. 2000;34:345-3. CrossRef
  17. Meier R, Schulz M, Krimmer H, et al. Proximal interphalangeal joint replacement with pyrolytic carbon prostheses. Oper Orthop Traumatol. 2007;19:1-5. CrossRef
  18. Merk R, Rudigier J. Denervation of finger joints as an alternative procedure to arthrodesis or endoprosthesis. Handchir Mikrochir Plast Chir. 2002;34:182-. CrossRef
  19. Nunley RM, Boyer MI, Goldfarb A. Pyrolytic carbon arthroplasty for posttraumatic arthritis of the proximal interphalangeal joint. J Hand Surg [Am]. 2006;31(9):1468-4. CrossRef
  20. Pei GX, Ren GH, Ren YJ. Reconstruction of phalangeal articulations of the hand with vascularised phalangeal articulations of the foot. Injury. 2008;39(Suppl 2):109-5. CrossRef
  21. Pellegrini VD, Burton RI. Osteoarthritis of the proximal interphalangeal joint of the hand: arthroplasty or fusion? J Hand Surg [Am]. 1990;15:194-09. CrossRef
  22. Pettersson K, Wagnsj? P, Hulin E. Replacement of proximal interphalangeal joints with new ceramic arthroplasty: a prospective series of 20 proximal interphalangeal joint replacements. Scand J Plast Reconstr Surg Hand Surg. 2006;40:291-6. CrossRef
  23. Sauerbier M, Linscheid RL. Proximal interphalangeal joint. In: Weiss A-PC, Hastings H, editors. Surgery of the arthritic hand and wrist, chapter 5. Philadelphia: Lippincott Williams & Wilkins; 2002. p. 65-4.
  24. Sauerbier M, Cooney WP, Berger RA, et al. Surface replacement arthroplasty of the proximale interphalangeal joint—long term results and surgical technique. Handchir Mikrochir Plast Chir. 2000;32:411-. CrossRef
  25. Squitieri L, Chung KC. A systematic review of outcomes and complications of vascularized toe joint transfer, silicone arthroplasty, and pyrocarbon arthroplasty for posttraumatic joint reconstruction of the finger. Plast Reconstr Surg. 2008;121(5):1697-07. CrossRef
  26. Stütz N, Meier R, Krimmer H. Pyrocarbon prosthesis for proximal interphalangeal joint replacement. Experience after one year. Unfallchirurg. 2005;108:365-9. CrossRef
  27. Takigawa S, Meletiou S, Sauerbier M, et al. Long-term assessment of Swanson implant arthroplasty in the proximal interphalangeal joint of the hand. J Hand Surg [Am]. 2004;29A(5):785-5. CrossRef
  28. Uchiyama S, Cooney WP, Linscheid RL, et al. Kinematics of the proximal interphalangeal joint of the finger after surface replacement. J Hand Surg [Am]. 2000;25(2):305-2. CrossRef
  29. Wesemann A, Flügel M, Marmarvar M. Moje prosthesis for the proximal interphalangeal joint. Handchir Mikrochir Plast Chir. 2008;40(3):189-6. CrossRef
  30. Wüstner-Hofmann MC, Hofman AK, Bassetto F, et al. Medium term experience of the Moje ceramic implant for the proximal interphalangeal joint. Riv Ital Chir Plastica Clin Exp PS. 2004;36:119-4.
  
• 作者单位：Christina Luther (1)
  Guenter Germann (1)
  Michael Sauerbier (2)
  
  1. BG Trauma Center Ludwigshafen—Department for Hand, Plastic and Reconstructive Surgery—Burn Center—Plastic and Hand Surgery, University of Heidelberg, Ludwigshafen, Germany
  2. Department for Plastic, Hand and Reconstructive Surgery, Main-Taunus-Hospital, Academic Hospital, Johann Wolfgang Goethe-University Frankfurt am Main, Kronberger Str. 36, 65812, Bad Soden am Taunus, Germany
  

文摘

The purpose of the study was to investigate patients with proximal interphalangeal (PIP) joint replacements regarding postoperative function, pain, complications and incidence of reoperations. From 2000 to 2007, 23 patients (11?male, 12 female) with an average age of 47?years (19-2?years) who had symptomatic posttraumatic (15) or idiopathic arthritis (nine) in 24 PIP joints underwent unconstrained PIP joint replacements (formerly AVANTA, now Small Bone InnovationsTM). All 23 patients were instructed in special hand exercises starting the first postoperative day. Thirteen of 23 patients had previous operations. The median history of pain was 12?months (2-20). Fourteen of 24 prostheses needed reoperations (58%): teno-arthrolysis (9×), PIP tenodesis (one in three with swan neck deformity) and explantation (four with infections/loosening). The four explantations resulted in a PIP joint arthrodesis in all cases. Twenty-two patients were available for follow-up at an average of 27?months (4-3?months) postoperatively. The median postoperative pinch grip was 7.6 lbs (4-8 lbs), and the disabilities of the arm, shoulder and hand score was 24 (1-8). The active range of motion of the PIP joint was 33° preoperatively (min 0°, max 75°) and 54° postoperatively (min 0°, max 90°). On the Visual Analogue Pain Scale (VAS, range 0-0), seven patients had mild (VAS 1-) and four moderate pain (VAS 4-) in the finger on exercise. Seventy percent were overall satisfied with operation and functional results. The results of surface replacement arthroplasty of the PIP joint are overall satisfying; however, postoperative complications and incidence of reoperations are noticeable and should be mentioned to the patients in the preoperative setting.