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Replacement of the Trapezium with a Silicone Elastomer Universal Small Joint Spacer

From the London Hospital and Highlands Hospital, Enfield

Correspondence: Mr. B. Helal, The Corner House, 23 St. Catharines Road, Broxbourne, Herts., EN10 7LD.

31 patients have been received between one and five years (average 2 years) after replacement of the trapezium with a silicone elastomer universal small joint spacer for carpo-metacarpal arthritis. Good pain relief was achieved in 84% and most patients retained 80% of power and movement compared to the other hand. Two prostheses fractured and two more subluxed painfully; another two were too big, causing pain, and had to be removed. Minor damage to the radial nerve occurred in four patients.

Journal of Hand Surgery (British and European Volume), Vol. 14, No. 4, 456-459 (1989)
DOI: 10.1016/0266-7681(89)90169-1


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