Goldner J L, Gould J S, Urbaniak J R, McCollum D E
J Hand Surg Am. 1977 May;2(3):200-11. doi: 10.1016/s0363-5023(77)80070-1.
Four hundred and forty-one silicone-Dacron arthroplasties done since 1968 were reviewed. Results were influenced by both durability and immediate fixation of the prosthesis, disease characteristics, speed of progression, the amount of hand stress, the extent of soft tissue release, and postoperative dynamic and protective splinting. Dislocations were eliminated by a woven tie-in holding the prosthesis to bone; prosthetic buckling was eliminated by soft tissue release, sufficient bone removal, and suture of the dorsal capsule to the extensor mechanism. Early prosthetic models fractured easier than did current ones. Seventeen percent of the combined 4, 5, and 6 year follow-up prostheses fractured, and 30% of the 6 year prostheses have fractured. Function was not affected, however, and protheses have not been replaced. We continue to use silicone-Dacron protheses with immediate tie-in to bone.
回顾了自1968年以来实施的441例硅橡胶-涤纶人工关节成形术。结果受到假体的耐用性和即刻固定、疾病特征、进展速度、手部应力大小、软组织松解程度以及术后动态和保护性夹板固定的影响。通过将假体与骨编织固定来消除脱位；通过软组织松解、充分的骨切除以及将背侧关节囊缝合至伸肌机制来消除假体屈曲。早期的假体模型比当前的更容易断裂。在4年、5年和6年联合随访的假体中，17%发生了断裂，6年的假体中有30%发生了断裂。然而，功能并未受到影响，假体也未被更换。我们继续使用硅橡胶-涤纶假体并即刻与骨固定。
