Related Experiment Video
Updated: Jan 31, 2026

10:10
Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
43.9K
[Proximal Interphalangeal Joint Arthroplasty: Surface Replacement vs. Silicone Spacer]
Stefan Meuser1, Johanna Ueberberg1, Martin Richter1
1Klinik für Hand- und Plastische Chirurgie, Helios Klinik Bonn/ Rhein-Sieg, Bonn, Germany.
Summary
Proximal interphalangeal joint (PIP J) arthroplasty has evolved significantly over 50 years, expanding indications beyond osteoarthritis. Modern implants and techniques improve outcomes for various hand conditions.
Area of Science:
- Orthopedic surgery
- Hand surgery
- Biomedical engineering
Background:
- The first proximal interphalangeal joint (PIP J) arthroplasty was introduced 50 years ago.
- Indications for PIP J arthroplasty have expanded significantly due to advancements in implant design and surgical techniques.
Purpose of the Study:
- To provide a comprehensive overview of the history and current status of PIP J arthroplasty.
- To review and compare the outcomes of currently available PIP J implants, considering clinical function, revision rates, and economic factors.
Main Methods:
- Historical review of PIP J arthroplasty development.
- Comparative analysis of existing PIP J implants based on clinical outcomes and economic data.
- Discussion of surgical techniques, including approach selection and postoperative management.
Main Results:
- Continuous advancements in implant design and surgical techniques have broadened the applications of PIP J arthroplasty.
- Modern surface replacement implants are gaining popularity alongside traditional silicone implants.
- A detailed comparison of various implants highlights differences in clinical function, revision rates, and cost-effectiveness.
Conclusions:
- PIP J arthroplasty has evolved into a versatile treatment for primary osteoarthritis, posttraumatic, and inflammatory conditions.
- Current implants offer varied outcomes, necessitating careful consideration of clinical function, revision rates, and economic factors in selection.
- Addressing technical aspects and potential complications is crucial for optimizing patient results in PIP J arthroplasty.
Related Concept Videos
Structural Joints: Synovial Joints
6.8K
Synovial joints are the most common type of joint in the body. A key structural characteristic for a synovial joint is the presence of a joint cavity. This fluid-filled space is where the articulating surfaces of the bones contact each other. Also, unlike fibrous or cartilaginous joints, the articulating bone surfaces at a synovial joint are not directly connected to each other with fibrous connective tissue or cartilage. This gives the bones of a synovial joint the ability to move smoothly...
6.8K
Structural Joints: Fibrous Joints
3.7K
Fibrous joints are a type of joint where the bones are connected by fibrous connective tissue. These joints provide stability and minimal to no movement between the articulating bones. There are three types of fibrous joints.
Suture
All the bones of the skull, except for the mandible, are joined to each other by a fibrous joint called a suture. The fibrous connective tissue found at a suture strongly unites the adjacent skull bones and thus helps to protect the brain and form the face. In...
Suture
All the bones of the skull, except for the mandible, are joined to each other by a fibrous joint called a suture. The fibrous connective tissue found at a suture strongly unites the adjacent skull bones and thus helps to protect the brain and form the face. In...
3.7K
Structural Joints: Cartilaginous Joints
4.0K
As the name indicates, at a cartilaginous joint, the adjacent bones are united by cartilage, a tough but flexible type of connective tissue. Unlike synovial joints, these types of joints lack a joint cavity and involve bones joined together by either hyaline cartilage or fibrocartilage.
There are two types of cartilaginous joints:
Synchondrosis
A synchondrosis ("joined by cartilage") is a cartilaginous joint where bones are connected by hyaline cartilage. Synchondrosis may be temporary...
There are two types of cartilaginous joints:
Synchondrosis
A synchondrosis ("joined by cartilage") is a cartilaginous joint where bones are connected by hyaline cartilage. Synchondrosis may be temporary...
4.0K
Joints
35.7K
Joints, also called articulations or articular surfaces, are points at which ligaments or other tissues connect adjacent bones. Joints permit movement and stability, and can be classified based on their structure or function.
Structural joint classifications are based on the material that makes up the joint as well as whether or not the joint contains a space between the bones. Joints are structurally classified as fibrous, cartilaginous, or synovial.
Fibrous Joints Are Immovable
The bones of a...
Structural joint classifications are based on the material that makes up the joint as well as whether or not the joint contains a space between the bones. Joints are structurally classified as fibrous, cartilaginous, or synovial.
Fibrous Joints Are Immovable
The bones of a...
35.7K
Method of Joints
1.3K
The method of joints is a commonly used technique to analyze the forces in structural trusses. The method is based on the principle of equilibrium, which assumes that the truss members are connected by frictionless pins. The forces at each joint can be determined by considering the equilibrium of the forces acting on that joint.
Since plane truss members are in the same plane, each joint is subjected to a coplanar and concurrent force system. To apply the method of joints, the first step is to...
Since plane truss members are in the same plane, each joint is subjected to a coplanar and concurrent force system. To apply the method of joints, the first step is to...
1.3K
Introduction to Joints
4.8K
The adult human body usually has 206 bones, and except for the hyoid bone in the neck, each bone is connected to at least one other bone. Joints are the location where bones come together. Many joints allow for movement between the bones. At these joints, the articulating surfaces of the adjacent bones can move smoothly against each other. However, the bones of other joints may be joined by connective tissue or cartilage. These joints are designed for stability and provide little or no...
4.8K

