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Revision/Failed Proximal Interphalangeal Joint Arthroplasty

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Arthroplasty of the Upper Extremity

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Abstract

Joint arthroplasty and joint fusion are the most popular surgical treatment options for deformed, painful, and nonfunctional finger joints. The complication rate associated with these surgical procedures is significant, and the challenges to treat adverse events are diverse. A thorough analysis should identify the cause of the problem, and an individual treatment plan needs to be established. General complications such as infection and wound healing problems should be treated according to the usual treatment guidelines in hand surgery. For procedure-related complications, the source of dysfunction should be more specifically addressed. Based on our own experience and published studies, a good reason for revision of finger joint arthroplasty is residual pain, while stiffness and especially joint instability lead to more unpredictable postoperative results. In certain situations, changing an implant to another type, with or without soft tissue corrections, is demanding. An overview of the different treatment options is provided in this chapter.

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Authors and Affiliations

  1. Department of Hand Surgery, Schulthess Klinik, Zurich, Switzerland

    Daniel B. Herren & Stephan F. Schindele

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  1. Daniel B. Herren
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  2. Stephan F. Schindele
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Correspondence to Daniel B. Herren .

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Editors and Affiliations

  1. Roth McFarlane Hand & Upper Limb Centre, St Joseph’s Health Care, London, ON, Canada

    Graham J. W. King

  2. Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA

    Marco Rizzo

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Herren, D.B., Schindele, S.F. (2021). Revision/Failed Proximal Interphalangeal Joint Arthroplasty. In: King, G.J.W., Rizzo, M. (eds) Arthroplasty of the Upper Extremity. Springer, Cham. https://doi.org/10.1007/978-3-030-68880-6_21

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  • DOI: https://doi.org/10.1007/978-3-030-68880-6_21

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