Nine patients with osteoarthrosis of the carpo-metacarpal joint of the thumb were treated surgically with the metacarpo-trapezial silicone rubber prosthesis designed by Kessler. Patients with pantrapezoidal changes were specifically excluded. All patients at follow-up had chronic synovitis and in five the prosthesis was dislocated. In three patients who had revision operations the previously inserted prostheses were found to be badly torn.
Get full access to this article
View all access options for this article.
References
1.
ASHWORTHC. R., BLATTG., and CHUINARDR. G. (1976) Interposition Arthroplasty of the First Metacarpaltrapezial Joint. The Journal of Hand Surgery, 1: 81.
2.
DICKSONR. A. (1976) Arthritis of the Carpometacarpal Joint of the Thumb—Treatment by Silicone Sponge Interposition Arthroplasty. The Hand, 8: 197–208.
3.
ENTINM. A. (1971) Management of Early Rheumatoid Arthritis in the Hand. In: Surgery of Rheumatoid Arthritis. Ed. CruessR. L., and MitchellN. S., Philadelphia, J. B. Lippincott Company, 165–175.
4.
KESSLERI., and AXERA. (1971) Silastic Arthroplasty of the First Carpo-metacarpal Joint, Journal of Bone and Joint Surgery, 53B: 560.
5.
HAFFAJEED. (1977) Endoprosthetic Replacement of the Trapezium for Arthrosis in the Carpometacarpal Joint of the Thumb. The Journal of Hand Surgery, 2: 141–148.
6.
KESSLERI., and AXERA. (1971) Arthroplasty of the First Carpometacarpal Joint with a Silicone Implant, Plastic and Reconstructive Surgery, 47: 252–257.
7.
KESSLERI. (1973) Silicone Arthroplasty of the Trapezio-Metacarpal Joint. Journal of Bone and Joint Surgery, 55B: 285–291.
8.
KESSLERI. (1973) Aetiology and Management of Adduction Contracture of the Thumb in Rheumatoid Arthritis, The Hand, 5: 170–174.
9.
KESSLERI., BARUCHA., HECHTO., and AMITS. (1976) Osteoarthritis at the Base of the Thumb. Acta Orthopaedica Scandinavica, 47: 361–369.
10.
SWANSONA. B. (1966) A Flexible Implant for Replacement of Arthritic or Destroyed Joints of the Hand. Inter-Clinic Information Bulletin, New York University, 6: 16–19.
11.
SWANSONA. B. (1968) Silicone Rubber Implants for Replacement of Arthritis for Destroyed Joints in the Hand. The Surgical Clinics of North America, 48: 1113–1127.
12.
SWANSONA. B. (1972) Disabling Arthritis at the Base of the Thumb — Treatment by Resection of the Trapezium and Flexible (Silicone) Implant Arthroplasty. Journal of Bone and Joint Surgery, 54A: 456–471.
13.
SWANSONA. B., MEESTERW. D., deGROOTG., RANGASWAMYL., and SCHUTG. E. D. (1973) Durability of Silicone Implants — An in Vivo Study, The Orthopedic Clinics of North America, 4: 1097–1112.
14.
SWANSONA. B. (1975) in Hand Surgery. Ed. FlynnJ. E.Second Edition, Baltimore, The Williams and Wilkins Co., 262–281.
15.
SWANSONA. B. (1976) Flexible Implant Arthroplasty in the Hand, Clinical Plastic Surgery, 3: 141–157.
