Implant arthroplasty in the rheumatoid hand and wrist: current state of the art in the United States.
Implant arthroplasty in deforming arthritis of the hand and wrist is a useful procedure that provides pain relief and mobility. Resection arthroplasty enhanced by silicone elastomer interpositional implants remains the standard of comparison and procedure of choice in most areas. Articulated and nonarticulated fixed-fulcrum implants have had limited success. Soft tissue disease significantly limits the eventual success of implant arthroplasty in the rheumatoid hand and wrist.
D001172:Arthritis, Rheumatoid / Q000601:surgery*; D002348:Carpal Bones / Q000601:surgery; D005384:Finger Joint / Q000601:surgery; D006225:Hand / Q000601:surgery*; D006801:Humans; D007595:Joint Prosthesis / Q000592:standards*; D008662:Metacarpophalangeal Joint / Q000601:surgery; D012826:Silicone Elastomers; D014955:Wrist Joint / Q000601:surgery*
D012826:Silicone Elastomers