Endoprosthesis of metacarpophalangeal joints of the hand

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The literature review presents information about the main types of prostheses for metacarpophalangeal joints that were elaborated from 1950 to 2017. Metacarpophalangeal joints arthroplasty shows good functional results enabling to eliminate the pain syndrome, improve social adaptation of a patient and cosmetic view of the hands. Special attention is paid to the modification of constructions in 3 generations of the implants. The changes in hinged joints, stem shape and methods of fixation are stipulated. Based on the analysis of complications for the implants of each generation the cause-effect relationships between the constructions, side-effects and the elaborated modifications are determined. The question on the choice of the material is discussed separately. In spite of the difficulties in retaining silicone implants in the bone marrow canals and the risk of ruptures, silicone is the only material that survived all the generation of implants with practically no changes. It can be considered as a starting point for further studies.

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About the authors

V. M Prokhorenko

Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan; Novosibirsk State Medical University

Novosibirsk, Russia

E. N Simonova

Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan

Novosibirsk, Russia

T. I Aleksandrov

Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan

Novosibirsk, Russia


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