Open AccessEndoprosthesis of metacarpophalangeal joints of the hand
Author(s) -
В. М. Прохоренко,
Е. Н. Симонова,
Т. И. Александров
Publication year - 2018
Publication title -
vestnik travmatologii i ortopedii imeni n.n. priorova
Language(s) - English
Resource type - Journals
eISSN - 2658-6738
pISSN - 0869-8678
DOI - 10.17116/vto201803-041104
Subject(s) - fixation (population genetics) , silicone , medicine , orthodontics , dentistry , surgery , materials science , population , environmental health , composite material
The literature review presents information about the main types of prostheses for metacarpophalangeal joints that were elaborated from 1950 to 2017. Metacarpophalangeal joints arthroplasty shows good functional results enabling to eliminate the pain syndrome, improve social adaptation of a patient and cosmetic view of the hands. Special attention is paid to the modification of constructions in 3 generations of the implants. The changes in hinged joints, stem shape and methods of fixation are stipulated. Based on the analysis of complications for the implants of each generation the cause-effect relationships between the constructions, side-effects and the elaborated modifications are determined. The question on the choice of the material is discussed separately. In spite of the difficulties in retaining silicone implants in the bone marrow canals and the risk of ruptures, silicone is the only material that survived all the generation of implants with practically no changes. It can be considered as a starting point for further studies.