Abstract
Filler materials are organic or synthetic materials that fill volume defects when introduced into living tissues. The ideal filler material must be clinically and histologically biocompatible and non-reabsorbable and should not migrate within the tissues and should be aesthetically acceptable. Silastic implants have been used since the 1960s as a synthetic filler material for volume defects in living tissues. Over the years, the silicone material has undergone various updates. Silastic implants have been employed to treat hallux rigidus, hallux limitus, rheumatoid arthritis, trauma, and toe valgus deformities. The implant acts as a dynamic spacer for the joint, maintaining joint alignment and supporting the new capsuloligamentous system. Complication rates are generally low and include synovitis, lymphadenopathy, implant fracture, loosening, and infection. In this chapter, we will explore the use of Silastic implants and address their role in orthopedic trauma surgeries.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Eppley BL, Summerlin DJ, Sadove AM. A potential biomaterial composite for dermal and subcutaneous augmentation. Ann Plast Surg. 1994;32(5):463–8.
Ersek RA, Beisang AA. Bioplastique: a new textured copolymer microparticle promises permanence in soft-tissue augmentation. Plast Reconstr Surg. 1991;87:693–702.
Jansen JA, Dhert WJ, Van der Waerden JP, Von Recum AF. Semi- quantitative and qualitative histologic analysis method for the evaluation of implant biocompatibility. JNL Inv Surg. 1994;7:123.
Butler K, Benghuzzi H, Tucci M, Cason Z. A comparison of fibrous tissue formation surrounding intraperitoneal and subcutaneous implantation of ALCAP, HA, and TCP ceramics. Biomed Sci Instrum. 1997;34:18–23.
Jeyanthi R, Panduranga K. In vivo biocompatibility of collagen-poly (hydroxyethyl methacrylate) hydrogels. Biomaterials. 1990;11:238.
Elson ML. Soft tissue augmentation. A review. Dermato Surg. 1995;21(6):491–500.
Alster TS, West TB. Human-derived and new synthetic injectable materials for soft-tissue augmentation: current status and role in cosmetic surgery. Plast Reconstr Surg. 2000;105:2515.
Brown BL, Neel HB, Kern EB. Implants of Supramid, Proplast, Plasti Pore, and Silastic. Arch Otolaryngol. 1979;105:605–9.
Anderson JM, Miller KM. Biomaterial biocompatibility and the macrophage. Biomaterials. 1984;5:5–10.
Needleman L. The microscopic interaction between silicone and the surrounding tissues. Clin Podiatr Med Surg. 1995;12:415–23.
Cambras RÁ. Tratado de cirugía ortopédica y traumatología. Ortopedia, vol. t2. La Habana: Editorial Pueblo y Educación; 1986. p. 92–109.
Swanson AA. Reconstructive surgery in the Orthoetec and foot. Clin Symp. 1979;31(6):301–3.
Freed JB. The increasing recognition of medullary lysis, cortical osteophytic proliferation, and fragmentation of implanted silicone polymer implants. J Foot Ankle Surg. 1993;32:171–9.
Martinelli B. Silastic protheses for the head of the radius. J Bone Joint Surg. 1996;78B(1):7.
Ceruso M, Beyaleni C. Silastic replacement of the trapezium. J Bone Joint Surg. 1996;78B(1):8.
Jeffery AK, Moocraft R, Sanger LR. Metacarpo-phalangeal. Joint replacements using Swanson’s Silicone reeffer implants. J Bone Joint Surg. 1995;77B(3):332–3.
Coenstow AH. Campbell: cirugía ortopédica, vol. t1. 8th ed. Buenos Aires: Editora Médica Panamericana; 1993. p. 624–5.
Aviña Valencia J, Olivera Barajas J. Conceptos actuales de la cirugía de muñeca y mano en el paciente con artritis reumatoide: revisión y presentación de resultados. Rev Mex Ortop Traumatol. 1986;1(1):26–7.
Alnaimat FA, Owida HA, Al Sharah A, Alhaj M, Hassan M. Silicone and Pyrocarbon artificial finger joints. Appl Bionics Biomech. 2021;3(2021):5534796. https://doi.org/10.1155/2021/5534796. PMID: 34188692; PMCID: PMC8195645
Egloff DV, Varadi G, Narakas A, Simonetta C, Cantero C. Silastic implants of the scaphoid and lunate. A long-term clinical study with a mean follow-up of 13 years. J Hand Surg Br. 1993;18(6):687–92. https://doi.org/10.1016/0266-7681(93)90223-3.
Ring D. Displaced, unstable fractures of the radial head: fixation vs replacement – what is the evidence? Injury. 2008;39:1329–37.
Meyer HL, Polan C, Bernstein A, Abel B, Burggraf M, Dudda M, Kauther MD. Acute joint blockage due to abrasion-related dislocation of a silastic radial head prosthesis: a histological examination after 14 years of durability. Case Rep Orthop. 2020 Aug;10:2020.
Maghen Y, Leo AJ, Hsu JW, Hausman MR. Is a silastic radial head still a reasonable option? Clin Orthop Relat Res. 2011 Apr;469(4):1061–70.
Schned AR, Taylor TH, Groff GD. Complications of silicone implants [letter]. JAMA. 1985;253:635.
Ferlic DC, Clayton ML, Halloway M. Complications of Silicone: implant surgery in the metacarpophalangeal joint. J Bone Joint Surg. 1975;57(A7):991.
May DA, Manaster BJ, Disler DG. Introduction to arthritis. In: May DA, Manaster BJ, Disler DG, editors. Musculoskeletal imaging. New York: Elsevier/Saunders; 2013.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Section Editor information
Rights and permissions
Copyright information
© 2023 Springer Nature Singapore Pte Ltd.
About this entry
Cite this entry
Lozano, C.M., Samundeeswari, S., Shanmugasundaram, S. (2023). Silicone Implants in Orthopaedic Traumatology. In: Banerjee, A., Biberthaler, P., Shanmugasundaram, S. (eds) Handbook of Orthopaedic Trauma Implantology. Springer, Singapore. https://doi.org/10.1007/978-981-19-7540-0_27
Download citation
DOI: https://doi.org/10.1007/978-981-19-7540-0_27
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-19-7539-4
Online ISBN: 978-981-19-7540-0
eBook Packages: MedicineReference Module Medicine