A Painful, Squeaking Pyrolytic Carbon Metacarpophalangeal Joint Replacement

Metacarpophalangeal (MCP) joint arthroplasty with pyrolytic carbon implants is a common procedure that is performed to alleviate pain from arthritis. The material properties of pyrolytic carbon are discussed with regard to their efficacy in MCP joint arthroplasty. We report a case of a painful, sque...

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Detalles Bibliográficos
Autores principales: Rashid, Katherine M., Meade, Matt, Meyers, Amy, Barnes, Curtis, Dass, A. George
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10039291/
https://www.ncbi.nlm.nih.gov/pubmed/36974298
http://dx.doi.org/10.1016/j.jhsg.2022.10.002
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author Rashid, Katherine M.
Meade, Matt
Meyers, Amy
Barnes, Curtis
Dass, A. George
author_facet Rashid, Katherine M.
Meade, Matt
Meyers, Amy
Barnes, Curtis
Dass, A. George
author_sort Rashid, Katherine M.
collection PubMed
description Metacarpophalangeal (MCP) joint arthroplasty with pyrolytic carbon implants is a common procedure that is performed to alleviate pain from arthritis. The material properties of pyrolytic carbon are discussed with regard to their efficacy in MCP joint arthroplasty. We report a case of a painful, squeaking MCP joint arthroplasty treated with revision arthroplasty. Squeaking is a rare complication of MCP joint arthroplasty and is usually asymptomatic with spontaneous resolution. However, in this case, the squeaking was persistent and likely related to intraoperative findings of implant subsidence, debris, wear, and an incongruent joint. We also see in this case that the revision pyrolytic carbon MCP arthroplasty underwent subsidence within 2 years of revision surgery and ultimately was revised to a silicone MCP arthroplasty.
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spelling pubmed-100392912023-03-26 A Painful, Squeaking Pyrolytic Carbon Metacarpophalangeal Joint Replacement Rashid, Katherine M. Meade, Matt Meyers, Amy Barnes, Curtis Dass, A. George J Hand Surg Glob Online Case Report Metacarpophalangeal (MCP) joint arthroplasty with pyrolytic carbon implants is a common procedure that is performed to alleviate pain from arthritis. The material properties of pyrolytic carbon are discussed with regard to their efficacy in MCP joint arthroplasty. We report a case of a painful, squeaking MCP joint arthroplasty treated with revision arthroplasty. Squeaking is a rare complication of MCP joint arthroplasty and is usually asymptomatic with spontaneous resolution. However, in this case, the squeaking was persistent and likely related to intraoperative findings of implant subsidence, debris, wear, and an incongruent joint. We also see in this case that the revision pyrolytic carbon MCP arthroplasty underwent subsidence within 2 years of revision surgery and ultimately was revised to a silicone MCP arthroplasty. Elsevier 2022-11-13 /pmc/articles/PMC10039291/ /pubmed/36974298 http://dx.doi.org/10.1016/j.jhsg.2022.10.002 Text en © 2022 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Rashid, Katherine M.
Meade, Matt
Meyers, Amy
Barnes, Curtis
Dass, A. George
A Painful, Squeaking Pyrolytic Carbon Metacarpophalangeal Joint Replacement
title A Painful, Squeaking Pyrolytic Carbon Metacarpophalangeal Joint Replacement
title_full A Painful, Squeaking Pyrolytic Carbon Metacarpophalangeal Joint Replacement
title_fullStr A Painful, Squeaking Pyrolytic Carbon Metacarpophalangeal Joint Replacement
title_full_unstemmed A Painful, Squeaking Pyrolytic Carbon Metacarpophalangeal Joint Replacement
title_short A Painful, Squeaking Pyrolytic Carbon Metacarpophalangeal Joint Replacement
title_sort painful, squeaking pyrolytic carbon metacarpophalangeal joint replacement
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10039291/
https://www.ncbi.nlm.nih.gov/pubmed/36974298
http://dx.doi.org/10.1016/j.jhsg.2022.10.002
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