Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

Click here to sign up for SAGE Journal Email Alerts today!

Sign In to gain access to subscriptions and/or personal tools.
Journal of Hand Surgery (British and European Volume)
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by PARKKILA, T. J.
Right arrow Articles by LEPPILAHTI, J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by PARKKILA, T. J.
Right arrow Articles by LEPPILAHTI, J.
Right arrowPubmed/NCBI databases
*Compound via MeSH
*Substance via MeSH
Hazardous Substances DB
*POLYDIMETHYLSILOXANE
*POLYDIMETHYLSILOXANES
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

Articles

Grading of Radiographic Osteolytic Changes after Silastic Metacarpophalangeal Arthroplasty and a Prospective Trial of Osteolysis Following Use of Swanson and Sutter Prostheses

T. J. PARKKILA
E. A. BELT
M. HAKALA
H. J. KAUTIAINEN
J. LEPPILAHTI

From the Rheumatism Foundation Hospital, Heinola, Finland and Department of Surgery, Oulu University Hospital, Oulu, Finland

Correspondence: Dr. Timo Parkkila, Rheumatism Foundation Hospital, FIN-18120 Heinola, Finland. Tel.: +358 40 5431988; fax: +358 3 8491512 E-mail: timoparkkila{at}hotmail.com

The purpose of this study was to compare the incidence of radiographic osteolysis following insertion of 89 Swanson and 126 Sutter metacarpophalangeal implants in rheumatoid arthritis patients. The mean follow-up time in the two groups of patients was 57 (40–80) and 55 (36–79) months, respectively. This paper proposes a new method of classifying radiographic osteolysis. The remarkable number of osteolytic changes seen in the bones adjacent to MCP prostheses in this study would suggest that silastic prostheses should only be used when other surgical alternatives cannot be used and that long-term control by radiography be maintained after implantation of silicone prostheses into the MCP joint. In all grades of our classification, osteolysis was more frequent in the Sutter than in the Swanson group in this study, suggesting that use of the Sutter rather than the Swanson implant is questionable.

Key Words: Swanson implant • Sutter implant • rheumatoid arthritis • prospective study • metacarpophalangeal joint

Journal of Hand Surgery (British and European Volume), Vol. 30, No. 4, 382-387 (2005)
DOI: 10.1016/J.JHSB.2004.03.019
Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?


This article has been cited by other articles:


Home page
 J Hand Surg Eur VolHome page
P. B. HONKANEN, M. KELLOMAKI, Y. T. KONTTINEN, S. MAKELA, and M. U. K. LEHTO
A Midterm Follow-Up Study of Bioreconstructive Polylactide Scaffold Implants in Metacarpophalangeal Joint Arthroplasty in Rheumatoid Arthritis Patients
J Hand Surg Eur Vol., April 1, 2009; 34(2): 179 - 185.
[Abstract] [Full Text] [PDF]