, Volume 6, Issue 1, pp 93–97 | Cite as

Prosthetic hemi-arthroplasty for post-traumatic articular cartilage loss in the proximal interphalangeal joint

  • Mark HenryEmail author
Case Reports


This article discusses the indications, contra-indications, and technique for proximal interphalangeal joint prosthetic hemi-arthroplasty in the setting of sub-acute or chronic post-traumatic articular cartilage loss. Two case examples are provided: one for replacement of the head of the proximal phalanx, the other for replacement of the base of the middle phalanx.This procedure serves as a recently available alternative to fusion, silicone total joint replacement, total joint arthroplasty with unlinked surface replacements, volar plate arthroplasty, hemi-condylar osteochondral autograft reconstruction, or free vascularized joint transfer.


Phalanx Arthroplasty 


Declaration of conflict of interest statement

The author declares that he has no confict of interest.


  1. 1.
    Branam BR, Tuttle HG, Stern PJ, et al. Resurfacing arthroplasty versus silicone arthroplasty for proximal interphalangeal joint osteoarthritis. J Hand Surg. 2007;32A:775–88.Google Scholar
  2. 2.
    Bravo CJ, Rizzo M, Hormel K, et al. Pyrolytic carbon proximal interphalangeal joint arthroplasty: results with minimum two-year follow-up evaluation. J Hand Surg. 2007;32A:1–11.Google Scholar
  3. 3.
    Calfee RP, Kiefhaber TR, Sommerkamp TG, et al. Hemi-hamate arthroplasty provides functional reconstruction of acute and chronic proximal interphalangeal fracture-dislocations. J Hand Surg. 2009;34A:1232–41.Google Scholar
  4. 4.
    Capo JT, Hastings H, Choung E, et al. Hemicondylar hamate replacement arthroplasty for proximal interphalangeal joint fracture dislocations: an assessment of graft suitability. J Hand Surg. 2008;33A:733–9.Google Scholar
  5. 5.
    Chen SH, Wei FC, Chen HC, et al. Vascularized toe joint transfer to the hand. Plast Reconstr Surg. 1996;98:1275–84.CrossRefPubMedGoogle Scholar
  6. 6.
    Chung KC, Ram AN, Shauver MJ. Outcomes of pyrolytic carbon arthroplasty for the proximal interphalangeal joint. Plast Reconstr Surg. 2009;123:1521–32.CrossRefPubMedGoogle Scholar
  7. 7.
    Herren DB, Schindele S, Goldhahn J, et al. Problematic bone fixation with pyrocarbon implants in proximal interphalangeal joint replacement: short-term results. J Hand Surg. 2006;31B:643–51.Google Scholar
  8. 8.
    Hierner R, Berger AK. Long-term results after vascularized joint transfer for finger joint reconstruction. J Plast Reconstr Aesthet Surg. 2008;61:1338–46.CrossRefPubMedGoogle Scholar
  9. 9.
    McAuliffe JA. Dorsal fracture dislocation of the proximal interphalangeal joint. J Hand Surg. 2008;33A:1885–8.Google Scholar
  10. 10.
    McAuliffe JA. Hemi-hamate autograft for the treatment of unstable dorsal fracture dislocation of the proximal interphalangeal joint. J Hand Surg. 2009;34A:1890–4.Google Scholar
  11. 11.
    Meier R, Schulz M, Krimmer H, et al. Proximal interphalangeal joint replacement with pyrolytic carbon prostheses. Oper Orthop Traumatol. 2007;19:1–15.CrossRefPubMedGoogle Scholar
  12. 12.
    Nunley RM, Boyer MI, Goldfarb CA. Pyrolytic carbon arthroplasty for posttraumatic arthritis of proximal interphalangeal joint. J Hand Surg. 2006;31A:1468–74.Google Scholar
  13. 13.
    Squitieri L, Chung KC. A systematic review of outcomes and complications of vascularized toe joint transfer, silicone arthroplasty, and pyrocarbon arthroplasty for posttraumatic joint reconstruction of the finger. Plast Reconstr Surg. 2008;121:1697–707.CrossRefPubMedGoogle Scholar
  14. 14.
    Tsubokawa N, Yoshizu T, Maki Y. Long-term results of free vascularized second toe joint transfers to finger proximal interphalangeal joints. J Hand Surg. 2003;28A:443–7.Google Scholar
  15. 15.
    Tuttle HG, Stern PJ. Pyrolytic carbon proximal interphalangeal joint resurfacing arthroplasty. J Hand Surg. 2006;31A:930–9.Google Scholar
  16. 16.
    Wijk U, Wollmark M, Kopylov P, et al. Outcomes of proximal interphalangeal joint pyrocarbon implants. J Hand Surg Am. 2010;35:38–43.CrossRefPubMedGoogle Scholar
  17. 17.
    Williams RM, Kiefhaber TR, Sommerkamp TG, et al. Treatment of unstable dorsal proximal interphalangeal fracture/dislocations using a hemi-hamate autograft. J Hand Surg. 2003;28A:856–65.Google Scholar

Copyright information

© American Association for Hand Surgery 2010

Authors and Affiliations

  1. 1.Hand and Wrist Center of HoustonHoustonUSA

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