Paulos R-G, Sousa E Silva R, Le Viet D
Institut de la main, clinique Jouvenet, 6, square Jouvenet, 75016 Paris, France.
Institut de la main, clinique Jouvenet, 6, square Jouvenet, 75016 Paris, France.
Chir Main. 2014 Feb;33(1):55-8. doi: 10.1016/j.main.2013.11.003. Epub 2013 Dec 12.
Pyrolytic carbon prostheses are one of the options for the treatment of arthritis of the proximal interphalangeal (PIP) joint. Deficiency of the extensor mechanism, instability, dislocation and infection are the most frequent causes described for revision. We report the case of a female patient who underwent a PIP arthroplasty with a pyrolytic carbon implant of her right long finger; she suffered from an implant fracture only 11 months after surgery, a rare complication of this kind of implant; it makes think to fragility of this kind of implant.
热解碳假体是治疗近端指间(PIP)关节关节炎的选择之一。伸肌机制缺陷、不稳定、脱位和感染是翻修手术中最常见的原因。我们报告了一例女性患者,她接受了右手中指的PIP关节置换术,植入热解碳假体;术后仅11个月,她就出现了假体骨折,这是这种假体罕见的并发症;这让人想到这种假体的易碎性。