[Value of Swanson implants in complex traumatic lesions of the proximal interphalangeal joint].
The authors report the results of 30 Swanson implants, inserted immediately, or secondarily in complex trauma of the proximal interphalangeal joint of long fingers in 24 patients (19 men, 5 women). All patients were reviewed by the same examiner with a mean follow-up of 7 years (range: 17 months-17.2 years). All implants were inserted secondarily after the accident, except in 7 cases in which the local conditions led the operator to insert the implant immediately. At review, 20 implants were still in place, 6 patients had requested amputation, and arthrodesis had been performed in 4 cases. The mean range of movement was -13,4 degrees to 37 degrees, i.e. a mean amplitude of 23.6 degrees. The lateral stability of the operated finger was considered to be satisfactory in 50% of cases, and the patient was satisfied with the operation in 65% of cases. The authors consider that useful mobility of the proximal interphalangeal joint should be preserved whenever possible. The Swanson implant is currently a useful alternative to amputation or arthrodesis, especially as it does not compromise these procedures if they are required subsequently.
Gérard
F
F
Service d'Orthopédie Traumatologie et Chirurgie Plastique, CHU Jean Minjoz, Besançon.
Garbuio
P
P
Galleze
B
B
Obert
L
L
Tropet
Y
Y
D000328:Adult; D000671:Amputation, Surgical; D005260:Female; D005383:Finger Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D005384:Finger Joint / Q000000981:diagnostic imaging / Q000601:surgery*; D005597:Fractures, Open / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D007595:Joint Prosthesis; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology; D012086:Reoperation; D016896:Treatment Outcome