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Journal of Hand Surgery (British and European Volume)
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Articles

Silicone Arthroplasty for Trapeziometacarpal Arthritis

S. T. O’LEARY
A. O. GROBBELAAR
N. GOLDSMITH
P. J. SMITH
D. H. HARRISON

From the RAFT Institute for Plastic Surgical Research, Mount Vernon Hospital, Northwood, Middlesex HA62RN, UK

Correspondence: Correspondence to: Mr S.T. O’Leary, 2 Braybrooke Road, Wargrave, Berkshire RG10 8DT, UK. Tel.: +44 118 940 1883; Fax: +44 118 940 1895. E-mail: sean.oleary1{at}btinternet.com

Twenty-three patients who had undergone trapeziectomy and Helal silicone rubber ball interposition for trapeziometacarpal arthritis were reviewed. The average age at operation was 63 (range 48–84) years and the mean follow-up was 59 (range 12–138) months. Of the 23 patients reviewed, two had pain at rest and four had some discomfort on exertion. Mean post-operative thumb extension was 37° whilst mean palmar abduction was 40°. Mean post-operative grip strength was 19 kg and thumb-pinch strength was 4.0 kg, 77% and 78% of the age- and sex-matched normal values. There were no cases of prosthetic dislocation, prosthetic fracture or silicone synovitis.

Journal of Hand Surgery (British and European Volume), Vol. 27, No. 5, 457-461 (2002)
DOI: 10.1054/jhsb.2002.0827
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This article has been cited by other articles:


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 J Hand Surg Eur VolHome page
R. M. SZABO and B. PETERSON
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J Hand Surg Eur Vol., December 1, 2008; 33(6): 806 - 809.
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