Prosthetic replacement of the condylar head for temporomandibular joint disease.
Temporomandibular joint replacement was performed in 8 adults who had intraarticular ankylosis, 6 who had end-stage osteoarthritis, and 12 who had rheumatoid arthritis. Three methods of replacement were used; an ulnar head prosthesis (8 patients), an interpositional implant (11 patients), and a Proplast-coated metallic prosthesis (7 patients). The mean age of the 26 patients (19 women and 7 men) at surgery was 38 years (range 17 to 58 years), and the mean follow-up was 36 months (range 3 to 84 months). Relief of pain was experienced by 23 patients, and maintenance or improvement of incisal opening was experienced by 21. Prosthetic replacement of the condylar head for end-stage disease is highly successful in the patients for whom it is indicated.
Posnick
J C
JC
Department of Plastic Surgery, Eastern Virginia Medical School, Norfolk.
Jacobs
J S
JS
Magee
W P
WP
D000293:Adolescent; D000328:Adult; D000844:Ankylosis / Q000601:surgery; D001172:Arthritis, Rheumatoid / Q000601:surgery; D005081:Exercise Therapy; D005260:Female; D006801:Humans; D007595:Joint Prosthesis; D008297:Male; D008875:Middle Aged; D010003:Osteoarthritis / Q000601:surgery; D011182:Postoperative Care; D011183:Postoperative Complications; D011428:Proplast; D013704:Temporomandibular Joint / Q000033:anatomy & histology / Q000502:physiology / Q000601:surgery*; D013705:Temporomandibular Joint Disorders / Q000601:surgery*
D011428:Proplast