Foreign body reaction after modified silicone rubber arthroplasty of the first carpometacarpal joint

• Twenty patients who had been treated with a silicone rubber trapezial implant for degenerative changes in the first carpometacarpal joint were evaluated radiologically and clinically. After a mean follow up of 4.5 years, 11 of the 20 required reoperation and removal of the prosthesis for persisting pain and weakness. In all hands in which the prosthesis remained radiographs showed bone resorption or carpal bone cysts typical of silicone particle synovitis. In the light of these results we now do not recommend this procedure for the treatment of arthritis of the first carpometacarpal joint.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Kirurgi (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Surgery (hsv//eng)

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Radiologi och bildbehandling (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Radiology, Nuclear Medicine and Medical Imaging (hsv//eng)

Keyword

Adult

Aged

Arthroplasty/adverse effects

Female

Finger Joint/diagnostic imaging

Foreign-Body Reaction/diagnostic imaging

Humans

Male

Middle Aged

Osteoarthritis/surgery

Prostheses and Implants/adverse effects

Radiography

Reoperation

Silicone Elastomers/adverse effects

Publication and Content Type

art (subject category)

ref (subject category)