Joint replacement arthroplasty: Is it ever indicated in PIP joint fracture-dislocations?

H. L. Baltzer, Steven Lawrence Moran

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Reconstruction of the proximal interphalangeal (PIP) joint in the setting of post-traumatic joint arthritis is a challenging problem. When there is little range of motion preoperatively within the PIP joint, arthrodesis can be performed. Amputation can be offered in the setting of a stiff painful finger, but is generally not the first-line treatment and is rather a salvage procedure in the setting of a failed joint reconstruction. In patients wishing to maintain some range of joint motion and avoid fusion, PIP joint reconstruction can be performed with a variety of techniques including vascularized toe joint transfer, autologous non-vascularized hemi-hamate transfer, and replacement joint arthroplasty. A variety of materials have been tried for PIP joint arthroplasty including silicone [1], titanium [2], cobalt, chrome, and polyethylene [3]. While silicone PIP arthroplasty has the longest track record within the United States, its nonanatomic design, limited durability, and limited stability make it a less than ideal choice for younger, more active patients. New options for PIP joint arthroplasty include the use of pyrocarbon. This chapter will examine the use of pyrocarbon arthroplasty following PIP trauma.

Original languageEnglish (US)
Title of host publicationPIP Joint Fracture Dislocations: A Clinical Casebook
PublisherSpringer International Publishing
Pages155-170
Number of pages16
ISBN (Electronic)9783319285795
ISBN (Print)9783319285771
DOIs
StatePublished - Jan 1 2016

Keywords

  • Arthroplasty
  • Hemiarthroplasty
  • Proximal interphalangeal joint
  • Pyrocarbon

ASJC Scopus subject areas

  • Medicine(all)

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