Silicone rubber arthroplasty of the proximal interphalangeal joint: dorsal and lateral approaches.
Although arthrodesis of an arthritic proximal interphalangeal joint provides excellent relief of pain, it does so at the expense of mobility.  Silicone rubber implant arthroplasty also provides predictable relief of pain and approximately 60 degrees  of motion. Insertion of the implant through a dorsal extensor-splitting approach is preferred when a tendon reconstruction is necessary, as in cases of boutonniére deformity.  If tendon reconstruction is not necessary, the lateral approach is an excellent alternative because it does not disturb the extensor mechanism and therefore permits earlier rehabilitation exercises.  The following article outlines the dorsal and lateral techniques and postoperative rehabilitation of silicone rubber arthroplasty.
Hand Service of the Hospital for Joint Diseases Orthopaedic Institute, New York, NY 10021.
S M
SM
Green
M A
MA
Posner
A
A
Garay
D001168:Arthritis / Q000601:surgery; D005384:Finger Joint / Q000601:surgery*; D049673:History, 20th Century; D006801:Humans; D007595:Joint Prosthesis / Q000266:history / Q000295:instrumentation* / Q000379:methods; D011474:Prosthesis Design; D011475:Prosthesis Failure; D012826:Silicone Elastomers