Endoprothetik der Fingermittelgelenke

Der Gelenkersatz der Fingermittelgelenke wurde erstmals 1959 erfolgreich durchgeführt. Seitdem wurde eine Vielzahl von Implantaten vorgestellt, die mehrheitlich wieder vom Markt verschwunden sind. Bewährt hat sich insbesondere der Silikongelenkersatz. Zunehmend zeigt aber auch der moderne Gelenkersatz mit anatomischen Prothesen erfreuliche Resultate. Dieser Beitrag gibt einen Überblick über die verschiedenen Implantate, Indikationen und operativen Behandlungsschritte.

Schlüsselwörter

Gelenkersatz - Fingermittelgelenk - proximales Interphalangealgelenk - Silikonprothese - modulare Prothese

• Literatur

• 1 Herren D, Simmen B. Proximal interphalangeal arthroplasty with special reference to Swanson silastic implants. In: Simmen B, Allieu Y, Lluch A. et al., eds. Hand Arthroplasties. London: Martin Dunitz; 2000
• 2 Walker P. Laxity, flexibility and stability. In: Walker P. ed. Human Joints and their Artificial Replacement. Springfield, IL: Charles C Thomas; 1977: 167-210
• 3 Kalichman L, Hernandez-Molina G. Hand osteoarthritis: an epidemiological perspective. Semin Arthritis Rheum 2010; 39: 465-476
• 4 Brannon EW, Klein G. Experiences with a finger-joint prosthesis. J Bone Joint Surg 1959; 41: 87-102
• 5 Stellbrink G, Zippel J, Englert M. Fingergelenksprothese Modell “St. Georg”. Handchirurgie 1971; 3: 83
• 6 Swanson AB. Flexible implant arthroplasty for arthritic finger joints: rationale, technique, and results of treatment. J Bone Joint Surg Am 1972; 54: 435-455
• 7 Pugliese D, Bush D, Harrington T. Silicone synovitis: longer term outcome data and review of the literature. J Clin Rheumatol 2009; 15: 8-11
• 8 Linscheid R, Murray P, Vidal M. et al. Development of a surface replacement arthroplasty for proximal interphalangeal joints. J Hand Surg Am 1997; 22: 286-298
• 9 Linscheid RL. Implant arthroplasty of the hand: retrospective and prospective considerations. J Hand Surg 2000; 25: 796-816
• 10 Daecke W, Veyel K, Wieloch P. et al. Osseointegration and mechanical stability of pyrocarbon and titanium hand implants in a load-bearing in vivo model for small joint arthroplasty. J Hand Surg Am 2006; 31: 90-97
• 11 Reissner L, Schindele S, Hensler S. et al. Ten year follow-up of pyrocarbon implants for proximal interphalangeal joint replacement. J Hand Surg Eur Vol 2014; 39: 582-586
• 12 Wagner ER, Weston JT, Houdek MT. et al. Medium-Term Outcomes With Pyrocarbon Proximal Interphalangeal Arthroplasty: A Study of 170 Consecutive Arthroplasties. J Hand Surg Am 2018; 43: 797-805
• 13 Zhu AF, Rahgozar P, Chung KC. Advances in Proximal Interphalangeal Joint Arthroplasty: Biomechanics and Biomaterials. Hand Clin 2018; 34: 185-194
• 14 Murray PM. Prosthetic replacement of the proximal interphalangeal joint. Hand Clin 2006; 22: 201-206
• 15 Forster N, Schindele S, Audige L. et al. Complications, reoperations and revisions after proximal interphalangeal joint arthroplasty: a systematic review and meta-analysis. J Hand Surg Eur Vol 2018; 43: 1066-1075
• 16 Chan K, Ayeni O, McKnight L. et al. Pyrocarbon versus silicone proximal interphalangeal joint arthroplasty: a systematic review. Plast Reconstr Surg 2013; 131: 114-124
• 17 Flannery O, Harley O, Badge R. et al. MatOrtho proximal interphalangeal joint arthroplasty: minimum 2-year follow-up. J Hand Surg Eur Vol 2016; 41: 910-916
• 18 Athlani L, Gaisne E, Bellemere P. Arthroplasty of the proximal interphalangeal joint with the TACTYS(R) prosthesis: Preliminary results after a minimum follow-up of 2 years. Hand Surg Rehabil 2016; 35: 168-178
• 19 DeGeorge B, Athlani L, Dap F. et al. Proximal interphalangeal joint arthroplasty with Tactys((R)): Clinical and radiographic results with a minimum follow-up of 12 months. Hand Surg Rehabil 2018; May 31
• 20 Schindele SF, Altwegg A, Hensler S. [Surface replacement of proximal interphalangeal joints using CapFlex-PIP]. Oper Orthop Traumatol 2017; 29: 86-96
• 21 Schindele SF, Hensler S, Audigé L. et al. A modular surface gliding implant (CapFlex-PIP) for proximal interphalangeal joint osteoarthritis: a prospective case series. J Hand Surg Am 2015; 40: 334-340
• 22 Schindele SF, Sprecher CM, Milz S. et al. Osteointegration of a modular metal-polyethylene surface gliding finger implant: a case report. Arch Orthop Trauma Surg 2016; 136: 1331-1335
• 23 Bodmer ES, Marks M, Hensler S. et al. Comparison of outcomes of three surgical approaches for proximal interphalangeal joint arthroplasty using a surface replacing implant. J Hand Surg Eur 2020; 45: 608-614