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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© 2005 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.
