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Sixty-six surface replacement proximal interphalangeal prostheses with a CrCo proximal
and an ultrahigh-molecular-weight polyethylene distal component were used in the hands
of 47 patients (mean age, 58 years) over a 14-year period. There were 37 fingers with
degenerative arthrosis, 16 with traumatic arthrosis, and 13 with rheumatoid arthritis.
The mean follow-up period was 4.5 years (range, 1–14 years). The results based on
pain relief, motion, and deformity were good in 32 fingers, fair in 19, and poor in
15. Poor results occurred primarily in fingers with previous extensive injury or static
deformity. Results with a dorsal approach were better than those with a lateral or
palmar approach. Component loosening at the bone-cement junction beyond a minimal
radiolucent line was seen in one late x-ray. Results in individuals changed little
after the first year of follow-up care, but results overall improved during the course
of the study, perhaps because of improvements in surgical technique and experience.
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Article info
Publication history
Accepted:
September 15,
1996
Received:
May 12,
1995
Footnotes
*No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article.
Identification
Copyright
© 1997 The American Society for Surgery of the Hand. All rights reserved. Published by Elsevier Inc.
