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Journal of Hand Surgery (British and European Volume)
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Articles

Liquid Silicone as a Lunate Prosthesis

G. HASSELGREN
R. JERRE
M. ULLMAN
A. TÖRNVALL
S. EDSHAGE

From the Sahlgren University Hospital, Gothenburg, Sweden

Correspondence: Dr Göran Hasselgren, Section for Hand Surgery, Department of Orthopaedics, Sahlgren University Hospital, Gothenburg, Sweden.

Eleven patients with lunatomalacia were treated by excision of the lunate and instillation of liquid silicone. The silicone vulcanised and formed an in-situ molded prosthesis. The patients were re-examined after a mean of 7.1 years. Four patients were pain-free and two had pain only at work; three had not been improved by the operation and two had undergone arthrodesis. The patients with good results all belonged to group IV pre-operatively. Surprisingly, no patient showed any sign of silicone synovitis, although all the prostheses except one had either fractured or deformed. The reasons for this are discussed and the indications for the operation established.

Journal of Hand Surgery (British and European Volume), Vol. 15, No. 1, 35-39 (1990)
DOI: 10.1016/0266-7681(90)90044-5
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