Complications after surface replacing and silicone PIP arthroplasty: an analysis of 703 implants.
Adverse event
CapFlex arthroplasty
Finger middle joint
Implant failure
Swanson silicone implant
Journal
Archives of orthopaedic and trauma surgery
ISSN: 1434-3916
Titre abrégé: Arch Orthop Trauma Surg
Pays: Germany
ID NLM: 9011043
Informations de publication
Date de publication:
Jan 2021
Jan 2021
Historique:
received:
27
08
2020
accepted:
15
10
2020
pubmed:
8
11
2020
medline:
19
5
2021
entrez:
7
11
2020
Statut:
ppublish
Résumé
The aim was to analyse complications after surface replacing and silicone proximal interphalangeal (PIP) joint arthroplasty. All complications, reoperations (subsequent intervention without implant modification) and revisions (subsequent surgery with implant modification or removal) were extracted out of our registry for two cohorts: (1) Patients who received a surface replacing arthroplasty at the PIP joint using the CapFlex-PIP prosthesis and (2) patients who received a PIP silicone implant. Furthermore, radiographs were evaluated for deviations from the longitudinal finger axis. In our registry, 279 surface replacing implants and 424 silicone implants have been documented. The overall complication rate was 20% for surface replacements and 11% for silicone arthroplasties (p ≤ 0.01) with soft tissue-related events being the most prevalent in both groups. Reoperations were significantly more frequent after surface replacement (5.4%) than silicone arthroplasty (0.5%; p ≤ 0.001), while the revision rates did not differ significantly (4.4% and 3.3%, respectively; p = 0.542). Postoperative axis deviations were significantly less frequent in the surface replacement group (19% versus 58% for silicone arthroplasty; p ≤ 0.001). We recommend using a surface replacing implant in fingers with preoperative axis deviations and correctable anatomical situation, bearing in mind the higher risk of a second surgery. However, treatment outcomes also need to be considered before choosing one implant over another.
Identifiants
pubmed: 33159549
doi: 10.1007/s00402-020-03663-5
pii: 10.1007/s00402-020-03663-5
doi:
Substances chimiques
Silicones
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
173-181Références
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