TY - JOUR
T1 - Proximal Interphalangeal Joint Arthroplasty in Young Patients
AU - Wagner, Eric R.
AU - Robinson, William A.
AU - Houdek, Matthew T.
AU - Moran, Steven L.
AU - Rizzo, Marco
N1 - Publisher Copyright:
© American Academy of Orthopaedic Surgeons.
PY - 2019/6/15
Y1 - 2019/6/15
N2 - Introduction:This investigation compares the outcomes of proximal interphalangeal (PIP) arthroplasty in patients older than and younger than 60 years.Methods:Overall, 299 consecutive, primary PIP arthroplasties were performed over a 14-year period, including 126 arthroplasties performed in patients younger than 60 years. In younger patients group, a higher rate of posttraumatic and inflammatory arthritis was observed.Results:In patients younger than 60 years, 32 (25%) revision surgeries occurred. Risk of revision surgery was associated with younger age. The 10-year implant survival rate was 72% for the patients younger than 60 years versus 86% for those older than 60 years. Silicone implants decreased the risk of revision surgery, although it was increased in posttraumatic arthritis. The most common complication in young patients was dislocation (n = 21). At a mean follow-up of 6.4 years, pain levels had significantly improved in patients younger than 60 years, and PIP range of motion and pinch strength were maintained. However, older patients had improved PIP motion compared with younger patients.Conclusions:Younger age leads higher revision rates after PIP arthroplasty, particularly in the posttraumatic setting.Level of Evidence:Therapeutic, level III.
AB - Introduction:This investigation compares the outcomes of proximal interphalangeal (PIP) arthroplasty in patients older than and younger than 60 years.Methods:Overall, 299 consecutive, primary PIP arthroplasties were performed over a 14-year period, including 126 arthroplasties performed in patients younger than 60 years. In younger patients group, a higher rate of posttraumatic and inflammatory arthritis was observed.Results:In patients younger than 60 years, 32 (25%) revision surgeries occurred. Risk of revision surgery was associated with younger age. The 10-year implant survival rate was 72% for the patients younger than 60 years versus 86% for those older than 60 years. Silicone implants decreased the risk of revision surgery, although it was increased in posttraumatic arthritis. The most common complication in young patients was dislocation (n = 21). At a mean follow-up of 6.4 years, pain levels had significantly improved in patients younger than 60 years, and PIP range of motion and pinch strength were maintained. However, older patients had improved PIP motion compared with younger patients.Conclusions:Younger age leads higher revision rates after PIP arthroplasty, particularly in the posttraumatic setting.Level of Evidence:Therapeutic, level III.
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U2 - 10.5435/JAAOS-D-17-00109
DO - 10.5435/JAAOS-D-17-00109
M3 - Article
C2 - 31170098
AN - SCOPUS:85067502034
SN - 1067-151X
VL - 27
SP - 444
EP - 450
JO - Journal of the American Academy of Orthopaedic Surgeons
JF - Journal of the American Academy of Orthopaedic Surgeons
IS - 12
ER -