Complications, reoperations and revisions after proximal interphalangeal joint arthroplasty : a systematic review and meta-analysis

Forster, Nicole; Schindele, Stephan; Audigé, Laurent; Marks, Miriam

doi:10.1177/1753193418770606

Publication type:	Article in scientific journal
Type of review:	Peer review (publication)
Title:	Complications, reoperations and revisions after proximal interphalangeal joint arthroplasty : a systematic review and meta-analysis
Authors:	Forster, Nicole Schindele, Stephan Audigé, Laurent Marks, Miriam
et. al:	No
DOI:	10.1177/1753193418770606
Published in:	Journal of Hand Surgery (European Volume)
Volume(Issue):	43
Issue:	10
Page(s):	1066
Pages to:	1075
Issue Date:	2018
Publisher / Ed. Institution:	Sage
ISSN:	1753-1934 2043-6289
Language:	English
Subjects:	Replacement; Finger; Proximal interphalangeal joint; Reoperation; Carbon; Human; Joint Prosthesis; Polyethylene; Postoperative complication; Silicones; Arthroplasty
Subject (DDC):	617.5: Orthopaedic surgery
Abstract:	This systematic review and meta-analysis investigates the prevalence of complications, reoperations (surgeries without implant modifications) and revisions (surgeries with implant modifications) after proximal interphalangeal joint arthroplasty with pyrocarbon, metal-polyethylene and silicone implants. Thirty-four articles investigating 1868 proximal interphalangeal joints were included. Implant-related complications were associated with 14%, 10% and 11% of the pyrocarbon, metal-polyethylene and silicone implants, respectively, yet these rates were not significantly different from one another. Silicone implants showed more finger deviations (3%) and instabilities (2%) compared with the other implants. Reoperations were fewer for silicone arthroplasties (1%) compared with pyrocarbon (7%) and metal-polyethylene implants (10%). The revision rates of 4%, 3% and 2% were similar for pyrocarbon, metal-polyethylene and silicone implants. Our results indicate that silicone implants remain a valuable option for the treatment of stable proximal interphalangeal joints. Surface replacing implants might be better to correct unstable or deviated proximal interphalangeal joints, although they are associated with a higher risk of reoperations.
URI:	https://digitalcollection.zhaw.ch/handle/11475/27588
Fulltext version:	Published version
License (according to publishing contract):	Licence according to publishing contract
Departement:	School of Health Sciences
Organisational Unit:	Institute of Physiotherapy (IPT)
Appears in collections:	Publikationen Gesundheit

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Forster, N., Schindele, S., Audigé, L., & Marks, M. (2018). Complications, reoperations and revisions after proximal interphalangeal joint arthroplasty : a systematic review and meta-analysis. Journal of Hand Surgery (European Volume), 43(10), 1066–1075. https://doi.org/10.1177/1753193418770606

Forster, N. et al. (2018) ‘Complications, reoperations and revisions after proximal interphalangeal joint arthroplasty : a systematic review and meta-analysis’, Journal of Hand Surgery (European Volume), 43(10), pp. 1066–1075. Available at: https://doi.org/10.1177/1753193418770606.

N. Forster, S. Schindele, L. Audigé, and M. Marks, “Complications, reoperations and revisions after proximal interphalangeal joint arthroplasty : a systematic review and meta-analysis,” Journal of Hand Surgery (European Volume), vol. 43, no. 10, pp. 1066–1075, 2018, doi: 10.1177/1753193418770606.

FORSTER, Nicole, Stephan SCHINDELE, Laurent AUDIGÉ und Miriam MARKS, 2018. Complications, reoperations and revisions after proximal interphalangeal joint arthroplasty : a systematic review and meta-analysis. Journal of Hand Surgery (European Volume). 2018. Bd. 43, Nr. 10, S. 1066–1075. DOI 10.1177/1753193418770606

Forster, Nicole, Stephan Schindele, Laurent Audigé, and Miriam Marks. 2018. “Complications, Reoperations and Revisions after Proximal Interphalangeal Joint Arthroplasty : A Systematic Review and Meta-Analysis.” Journal of Hand Surgery (European Volume) 43 (10): 1066–75. https://doi.org/10.1177/1753193418770606.

Forster, Nicole, et al. “Complications, Reoperations and Revisions after Proximal Interphalangeal Joint Arthroplasty : A Systematic Review and Meta-Analysis.” Journal of Hand Surgery (European Volume), vol. 43, no. 10, 2018, pp. 1066–75, https://doi.org/10.1177/1753193418770606.