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KMID : 0358819850120030379
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Journal of Korean Society of Plastic and Reconstructive Surgeons
1985 Volume.12 No. 3 p.379 ~ p.384
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SILICONE IMPLANT ARTHROPLASTY IN STIFF FINGERS
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Hahn Hyun-Oun
Kim Yong-Sung
Oh Suck-Joon
Lee Se-Il
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Abstract
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Replacement of man’s diseased or degenerated part has been a dream. The purpose of this paper is to describe an flexible hinge silicone arthroplasty for the small joint of hand which has been helpful in certain selected cases. The basic principle of this operation is to correct the deformity and subluxation by bone resection, implantation, and encapsultion thereby preserving range of motion which often is compromised.
Since Aug. 1983, we have been using a high performance silicone elastomer double stemmed flexible hinge as an adjunct to resection arthroplasty of the metacarpal joint and proximal interphalangeal joint in thumb, index and middle finger.
No. 4 Swanson flexible hinge implant was used in metacarpophalangeal joint of thumb and proximal interphalangeal joint of middle finger, and No. 3 in proximal interphalangeal joint of index finger and metacarpophalangeal joint of index and middle fingers. Active exercise was gradually started at 3∼6 days postoperatively in majority of the cases. Although the follow up(range 4 months-9 months) in the majority is too short to permit a complete assessment of the results. The postoperation range of motion was gained up 30 degree.
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