[Long-term results of proximal interphalangeal resection-arthroplasty using the Swanson silastic implant]

238 PIP joint arthroplasties with "Silastic" implant were performed between 1969 and 1990. Their results were evaluated after 12 to 24 months. We reviewed 25 patients operated between 1971 and 1988 with a follow-up of 4 to 23 years. The results are evaluated in terms of joint mobility, pain, stability, strength, radiological appearance and patient satisfaction. These results are identical to those observed at short follow-up indicating the absence of any significant deterioration. The result obtained at 12 months postoperatively will therefore be maintained at 12 years. Our conclusion is that unless an ideal arthroplasty with joint prosthesis can be shown to be effective, joint resection-arthroplasty remains a valuable and durable solution for the treatment of PIP joint stiffness.