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Thirty-Three-Year Follow-up Following Silicone Scaphoid Arthroplasty: A Case Report
James C Rex1, Zachary Crawford, John Stout
1Department of Orthopedics, University of Cincinnati Medical Center, Cincinnati, Ohio.
Case:
A 64-year-old man presented with a 3-year history of right wrist pain and swelling 33 years after a silicone scaphoid arthroplasty for chronic scaphoid nonunion. Radiographs demonstrated a deformed scaphoid implant, carpal and distal radius cysts, and mild carpal collapse. He elected to undergo a wrist arthrodesis with a dorsal fusion plate after failing conservative management.
Conclusion:
Although carpal bone silicone implant arthroplasties of the wrist have long been abandoned, our patient was pain free and fully functional for 3 decades. He was pleased to undergo serial examinations with radiographs for 30 years without any therapeutic intervention.
