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Synovitis secondary to silicone elastomeric joint implant
D C Patel1, S T Frascone, A DeLuca
1Department of Surgery, St. John Hospital-Macomb Center, Harrison Township, Michigan 48045.
Summary
A case study details synovitis following first metatarsophalangeal joint arthroplasty with a silicone implant, requiring prosthesis removal due to complications. Literature review covers silicone synovitis and related issues after joint implantation.
Area of Science:
- Orthopedic Surgery
- Biomaterials Science
Background:
- First metatarsophalangeal joint arthroplasty is a common procedure for treating arthritis.
- Silicone implants are used in joint arthroplasty for their flexibility and biocompatibility.
Observation:
- A patient developed synovitis one month after first metatarsophalangeal joint arthroplasty with a hemisilicone implant.
- The unusual presentation necessitated early excision of the silicone prosthesis.
Findings:
- Silicone synovitis can occur as a complication following silicone joint implantation.
- Early prosthesis removal may be required in cases of severe silicone-induced inflammation.
Implications:
- This case highlights the potential for delayed complications with silicone implants.
- Further research into long-term outcomes and alternative materials for joint arthroplasty is warranted.