Auburn Hospital, Sydney, Australia.
Macquarie Hospital Hand Unit, Macquarie University, Sydney, Australia.
J Hand Surg Asian Pac Vol. 2024 Oct;29(5):472-476. doi: 10.1142/S2424835524720159. Epub 2024 Aug 30.
Arthroplasty of the small joints of the hand and fingers is a complex problem facing the hand surgeon. Pyrocarbon implants have been available for several decades. They were originally thought to provide better functional outcomes than silicone implants in patients, mostly due to recreation of the joint anatomy. In a recent publication, pyrocarbon proximal interphalangeal joint (PIPJ) arthroplasty was found to have a higher complication and revision rate. We present a patient with pyrocarbon metallosis of the PIPJ in a revision arthroplasty procedure. Level V (Therapeutic).
手部小关节和手指的关节成形术是手外科医生面临的一个复杂问题。热解碳植入物已经问世几十年了。它们最初被认为比硅酮植入物能为患者提供更好的功能结果,主要是因为它们能够重建关节解剖结构。在最近的一项出版物中,发现热解碳近节指间关节(PIPJ)关节成形术的并发症和翻修率更高。我们介绍了 1 例在翻修关节成形术中发生 PIPJ 热解碳金属中毒的患者。 五级(治疗性)。