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Foot and Ankle Clinics Mar 2005Joint replacement of the hallux metatarsophalangeal joint has not enjoyed the same success as hip and knee arthroplasties. Silastic implants have achieved a high patient... (Review)
Review
Joint replacement of the hallux metatarsophalangeal joint has not enjoyed the same success as hip and knee arthroplasties. Silastic implants have achieved a high patient satisfactory rate but have caused many complications, including silicone synovitis and lymph node inflammation. Metal and polyethylene hemiarthroplasties and total toe replacements seem to be more promising although results are preliminary. Problems with these implants seem to be related to soft tissue instability of the joint; patients who have hallux rigidus have more success than patients who have hallux valgus or rheumatoid arthritis. Severe complications can be treated with removal and synovectomy or arthrodesis, depending on the length and alignment of the foot, as well as the functional demands of the patients. It would be beneficial to have more data on these implants so that improvements can be made in design and patient selection.
Topics: Arthroplasty, Replacement; Hallux; Humans; Joint Prosthesis; Metatarsophalangeal Joint; Prosthesis Design; Salvage Therapy; Treatment Failure
PubMed: 15831260
DOI: 10.1016/j.fcl.2004.09.002 -
The Journal of Hand Surgery, European... Feb 2024We reviewed the incidence and management of complications after total wrist arthroplasty, as reported in the literature, with so-called fourth-generation implants and... (Review)
Review
We reviewed the incidence and management of complications after total wrist arthroplasty, as reported in the literature, with so-called fourth-generation implants and other recent designs. While early intraoperative and postoperative complications, including fractures, tendon lacerations, infection, nerve compression, tendonitis, stiffness and chronic regional pain syndrome, had an acceptable incidence, late complications, such as periprosthetic osteolysis and implant loosening, occurred more frequently. Implant survival at 10 years was in the range of 70%-80% in most publications. Several of the implants have been modified or withdrawn. Instability and dislocation were frequent after a pyrocarbon spacer. Failed arthroplasties can be salvaged by revision arthroplasty or total wrist arthrodesis. Revision arthroplasty has a lower survival rate than primary arthroplasty and does not clearly offer important significant advantages over total wrist arthrodesis in terms of patient-reported outcome measures. Further development of prosthetic design, new materials and more knowledge on patient-related risk factors are needed.
Topics: Humans; Wrist; Arthroplasty, Replacement; Joint Prosthesis; Postoperative Complications; Risk Factors; Reoperation
PubMed: 38315136
DOI: 10.1177/17531934231203297 -
Der Orthopade May 2019Precise knowledge of the anatomy and biomechanics of the metacarpophalangeal and proximal interphalangeal joint is the basis for both indication and implantation of... (Review)
Review
BACKGROUND
Precise knowledge of the anatomy and biomechanics of the metacarpophalangeal and proximal interphalangeal joint is the basis for both indication and implantation of a finger joint prosthesis. Currently available finger joint prostheses inadequately take into account individual, ethnological, gender, age, and side differences. They can remain compromised despite the possible combination of their components.
OBJECTIVES
To elucidate which problems of finger joint arthroplasty exist due to the anatomy and biomechanics of the metacarpophalangeal and proximal interphalangeal joints.
METHODS
The anatomy and biomechanics of the metacarpophalangeal and proximal interphalangeal joint are described, and the problems and solutions of finger joint arthroplasty are presented.
RESULTS
Despite precise knowledge of the anatomy and biomechanics of the metacarpophalangeal and proximal interphalangeal joint, not all problems of finger joint arthroplasty have been solved. However, a modular surface replacement appears promising for the proximal interphalangeal joint.
CONCLUSIONS
Artificial joint replacement of the metacarpophalangeal and proximal interphalangeal joint is difficult with regard to morphology, small bone dimensions, complex biomechanics, and the strain of the hand. Further improvements, especially in design, should be achieved by exact anatomical imitation.
Topics: Arthroplasty; Arthroplasty, Replacement, Finger; Finger Joint; Joint Prosthesis; Respect
PubMed: 30911776
DOI: 10.1007/s00132-019-03716-7 -
The Journal of Arthroplasty Dec 2014
Topics: Arthroplasty, Replacement; Asia; Humans; Joint Prosthesis
PubMed: 25454704
DOI: 10.1016/j.arth.2014.09.031 -
Techniques in Hand & Upper Extremity... Mar 2008In this article, the surgical technique of the reverse shoulder prosthesis is described in detail. Indications for the procedure, difficulties encountered during... (Review)
Review
In this article, the surgical technique of the reverse shoulder prosthesis is described in detail. Indications for the procedure, difficulties encountered during surgery, and potential postoperative complications and their solutions are discussed.
Topics: Arthroplasty, Replacement; Humans; Joint Prosthesis; Physical Therapy Modalities; Postoperative Care; Reoperation; Shoulder Joint
PubMed: 18388755
DOI: 10.1097/BTH.0b013e3181572b14 -
Zhongguo Xiu Fu Chong Jian Wai Ke Za... Jul 2018Since Swanson designed the silicone small joint prosthesis, the material and design of the small joint prosthesis have been constantly innovating. The number of small...
Since Swanson designed the silicone small joint prosthesis, the material and design of the small joint prosthesis have been constantly innovating. The number of small joint reconstruction and arthroplasty has gradually increased in the past decade. The numerous studies have focused on design and application of new material prosthesis and its long-term effectiveness analysis, in order to overcome prosthesis loosening, shift, dislocation, and poor function problem, at the same time to challenge the difficulty of the small joints revision procedures. Although the small joint prosthesis which has got the overall performance of the Swanson joints and been mature and stable like a knee joints prosthesis has not been obtained, but the small joint development has made revolutionary changes in the treatment of joint diseases, and the prosthesis selection criterion and surgical technique tendency solution have been established. In the future, digital three-dimensional printing, regenerative medicine, and translational medicine will contribute to the development of small joint reconstruction and replacement.
Topics: Arthroplasty, Replacement; Hand; Humans; Joint Prosthesis; Knee Prosthesis; Prosthesis Design; Prosthesis Failure; Treatment Outcome
PubMed: 30129306
DOI: 10.7507/1002-1892.201806109 -
The Journal of Bone and Joint Surgery.... May 2009Resurfacing is a type of shoulder arthroplasty that involves replacing the humeral joint surface with a metal covering, or cap, thus preserving the bone of the proximal... (Review)
Review
Resurfacing is a type of shoulder arthroplasty that involves replacing the humeral joint surface with a metal covering, or cap, thus preserving the bone of the proximal part of the humerus. If the glenoid is also replaced, a current conventional polyethylene glenoid replacement prosthesis or an interposed soft-tissue graft is used. The potential advantages of humeral resurfacing, as compared with conventional shoulder arthroplasty, are: (1) no osteotomy is performed (and thus the head-shaft angle does not have to be addressed); (2) minimal bone resection; (3) a short operative time; (4) a low prevalence of humeral periprosthetic fractures; and (5) ease of revision to a conventional total shoulder replacement, if needed. Outcomes of surface replacement arthroplasty have been comparable with those of arthroplasties with a stemmed prosthesis in numerous short and mid-term follow-up studies. Future studies are required to assess the long-term outcomes of humeral resurfacing and to evaluate alternative surface bearing materials, especially on the glenoid side. Resurfacing appears to be a viable option for shoulder replacement, especially in young patients.
Topics: Arthroplasty, Replacement; Humans; Humerus; Joint Prosthesis; Postoperative Complications; Shoulder Joint
PubMed: 19411474
DOI: 10.2106/JBJS.H.01082 -
The Bone & Joint Journal Apr 2020
Topics: Arthroplasty, Replacement, Hip; Arthroplasty, Replacement, Knee; Hip Prosthesis; Humans; Joint Prosthesis; Knee Prosthesis; Osteoarthritis; Osteoarthritis, Hip; Osteoarthritis, Knee; Prosthesis Failure; Time Factors
PubMed: 32228077
DOI: 10.1302/0301-620X.102B4.BJJ-2020-0183 -
Current Osteoporosis Reports Jun 2018Recently, significant progress has been made in the research related to regenerative medicine. At the same time, biomedical implants in orthopedics and dentistry are... (Review)
Review
PURPOSE OF REVIEW
Recently, significant progress has been made in the research related to regenerative medicine. At the same time, biomedical implants in orthopedics and dentistry are facing many challenges and posing clinical concerns. The purpose of this chapter is to provide an overview of the clinical applications of current regenerative strategies to the fields of dentistry and orthopedic surgery. The main research question in this review is: What are the major advancement strategies in regenerative medicine that can be used for implant research?
RECENT FINDINGS
The implant surfaces can be modified through patient-specific stem cells and plasma coatings, which may provide methods to improve osseointegration and sustainability of the implant. Overall understanding from the review suggesting that the outcome from the studies could lead to identify optimum solutions for many concerns in biomedical implants and even in drug developments as a long-term solution to orthopedic and dental patients.
Topics: Arthroplasty, Replacement, Hip; Arthroplasty, Replacement, Knee; Bone-Implant Interface; Dental Implants; Hip Prosthesis; Humans; Joint Prosthesis; Knee Prosthesis; Orthopedics; Osseointegration; Osteoarthritis; Prostheses and Implants; Regenerative Medicine; Spondylosis; Stem Cells; Total Disc Replacement
PubMed: 29679306
DOI: 10.1007/s11914-018-0441-0 -
Foot and Ankle Clinics Jun 2017
Topics: Ankle Joint; Arthritis; Arthroplasty, Replacement, Ankle; Humans; Joint Prosthesis
PubMed: 28502360
DOI: 10.1016/j.fcl.2017.01.015