[Joint Arthroplasty with a silastic Spacer in open defect Injuries of a Finger Joint during primary Surgery].
Inga Swantje BesmensThomas GiesenMarco GuidiMaurizio CalcagniPublished in: Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Mikrochirurgie der Peripheren Nerven und Gefasse : Organ der V... (2021)
Silastic spacer replacement for the treatment of destroyed finger joints due to degenerative, post-traumatic or rheumatoid osteoarthritis has been well established for years. In acute severely traumatized hands silastic spacer replacement is seldomly performed We report five consecutive patients in whom a defect injury of a finger joint was replaced by a silicone implant without complications during primary care. We reviewed all our patients with a follow up of at least 8 months. In all patients healing was uneventful, with no infections and a functional range of motion. No patient complained about instability. With the right patient selection, joint replacement with silastic spacers is a valuable alternative to arthrodesis in acute destroyed finger joints.
Keyphrases
- end stage renal disease
- primary care
- ejection fraction
- newly diagnosed
- chronic kidney disease
- minimally invasive
- liver failure
- prognostic factors
- peritoneal dialysis
- rheumatoid arthritis
- respiratory failure
- intensive care unit
- coronary artery disease
- atrial fibrillation
- acute coronary syndrome
- acute respiratory distress syndrome
- mechanical ventilation
- soft tissue