Iselin F, Conti E, Perrotte R, Stephan E
Centre Mains Paris-Ouest.
Ann Chir Main Memb Super. 1995;14(3):126-33. doi: 10.1016/s0753-9053(05)80310-2.
238 PIP joint arthroplasties with "Silastic" implant were performed between 1969 and 1990. Their results were evaluated after 12 to 24 months. We reviewed 25 patients operated between 1971 and 1988 with a follow-up of 4 to 23 years. The results are evaluated in terms of joint mobility, pain, stability, strength, radiological appearance and patient satisfaction. These results are identical to those observed at short follow-up indicating the absence of any significant deterioration. The result obtained at 12 months postoperatively will therefore be maintained at 12 years. Our conclusion is that unless an ideal arthroplasty with joint prosthesis can be shown to be effective, joint resection-arthroplasty remains a valuable and durable solution for the treatment of PIP joint stiffness.
1969年至1990年间，共进行了238例采用“硅橡胶”植入物的近端指间关节成形术。在术后12至24个月对其结果进行了评估。我们回顾了1971年至1988年间接受手术的25例患者，随访时间为4至23年。从关节活动度、疼痛、稳定性、力量、影像学表现和患者满意度等方面对结果进行了评估。这些结果与短期随访时观察到的结果相同，表明没有任何明显恶化。因此，术后12个月获得的结果在12年后仍能保持。我们的结论是，除非能证明理想的关节假体成形术有效，否则关节切除成形术仍是治疗近端指间关节僵硬的一种有价值且持久的解决方案。
