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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="review-article" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">N.N. Priorov Journal of Traumatology and Orthopedics</journal-id><journal-title-group><journal-title xml:lang="en">N.N. Priorov Journal of Traumatology and Orthopedics</journal-title><trans-title-group xml:lang="ru"><trans-title>Вестник травматологии и ортопедии им. Н.Н. Приорова</trans-title></trans-title-group></journal-title-group><issn publication-format="print">0869-8678</issn><issn publication-format="electronic">2658-6738</issn><publisher><publisher-name xml:lang="en">Eco-Vector</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">47251</article-id><article-id pub-id-type="doi">10.17116/vto201803-041104</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>Articles</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>Статьи</subject></subj-group><subj-group subj-group-type="article-type"><subject>Review Article</subject></subj-group></article-categories><title-group><article-title xml:lang="en">Endoprosthesis of metacarpophalangeal joints of the hand</article-title><trans-title-group xml:lang="ru"><trans-title>Эндопротезирование пястно-фаланговых суставов пальцев кисти</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Prokhorenko</surname><given-names>V. M</given-names></name><name xml:lang="ru"><surname>Прохоренко</surname><given-names>В. М</given-names></name></name-alternatives><xref ref-type="aff" rid="aff1"/><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Simonova</surname><given-names>E. N</given-names></name><name xml:lang="ru"><surname>Симонова</surname><given-names>Е. Н</given-names></name></name-alternatives><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Aleksandrov</surname><given-names>T. I</given-names></name><name xml:lang="ru"><surname>Александров</surname><given-names>Т. И</given-names></name></name-alternatives><xref ref-type="aff" rid="aff1"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan</institution></aff><aff><institution xml:lang="ru">ФГБУ «Новосибирский научно-исследовательский институт травматологии и ортопедии им. Я.Л. Цивьяна» Минздрава России</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">Novosibirsk State Medical University</institution></aff><aff><institution xml:lang="ru">ФГБОУ ВО «Новосибирский государственный медицинский университет» Минздрава России</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2018-12-15" publication-format="electronic"><day>15</day><month>12</month><year>2018</year></pub-date><volume>25</volume><issue>3-4</issue><issue-title xml:lang="en">NO3-4 (2018)</issue-title><issue-title xml:lang="ru">№3-4 (2018)</issue-title><fpage>104</fpage><lpage>112</lpage><history><date date-type="received" iso-8601-date="2020-10-19"><day>19</day><month>10</month><year>2020</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2018, Eco-Vector</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2018, ООО "Эко-Вектор"</copyright-statement><copyright-year>2018</copyright-year><copyright-holder xml:lang="en">Eco-Vector</copyright-holder><copyright-holder xml:lang="ru">ООО "Эко-Вектор"</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/" start_date="2021-01-29"/></permissions><self-uri xlink:href="https://journals.eco-vector.com/0869-8678/article/view/47251">https://journals.eco-vector.com/0869-8678/article/view/47251</self-uri><abstract xml:lang="en"><p>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.</p></abstract><trans-abstract xml:lang="ru"><p>В статье представлен обзор литературы, в котором описаны основные типы эндопротезов пястно-фаланговых суставов, разработанные за период с 1950 по 2017 г. Эндопротезирование пястно-фаланговых суставов показывает эффективные функциональные результаты, позволяя избавить пациентов от болевого синдрома, улучшить социальную адаптацию и внешний вид рук. Особое внимание уделено модификации конструкций в трех поколениях эндопротезов. Приведено обоснование изменений шарнирных соединений, форм ножек, способов фиксаций. На основании анализа осложнений использования имплантатов каждого из поколений определены причинно-следственные связи между конструкциями, нежелательными явлениями и разработанными модификациями. Отдельно рассмотрен вопрос о выборе материала. Несмотря на трудности при попытках удержания силиконовых имплантатов в костномозговых каналах, а также риск разрывов, силикон является единственным материалом, который пережил все генерации протезов практически без изменений. Его можно считать отправной точкой для дальнейших исследований.</p></trans-abstract><kwd-group xml:lang="en"><kwd>arthroplasty</kwd><kwd>metacarpophalangeal joints</kwd><kwd>silicone</kwd><kwd>wrist</kwd><kwd>fingers</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>эндопротезирование</kwd><kwd>пястно-фаланговые суставы</kwd><kwd>силикон</kwd><kwd>кисть</kwd><kwd>пальцы</kwd></kwd-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Капанджи А.И. Верхняя конечность. Физиология суставов. М.: Эксмо; 2009: 220-9.</mixed-citation></ref><ref id="B2"><label>2.</label><mixed-citation>Насонов Е.Л., Насонова В.А. Национальное руководство. Ревматология. 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