Research Article| Volume 5, ISSUE 4, P201-208, November 2005

Metacarpophalangeal Joint Silicone Implant Arthroplasty

  • I.A. Trail
    Address reprint requests to I. A. Trail, MD, FRCS, Wrightington Hospital NHS Trust, Hall Lane, Appley Bridge, Wigan WN6 9EP, United Kingdom.
    Wrightington Hospital NHS Trust, Wigan, United Kingdom.
    Search for articles by this author
      Silastic metacarpophalangeal joint replacement has been used successfully to treat patients with inflammatory arthritis, particularly rheumatoid arthritis of the hand, for many years. Initially, patients can expect satisfactory relief of pain, improved alignment, movement between 30° to 60° of active flexion, and, as a consequence, improved function. The implants themselves can survive in situ for many years with a published overall survival rate of greater than 60% at 15 years or more. There are, however, a number of complications, these complications and their management are discussed further.
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