Survivorship of the Neuflex Silicone Implant in MCP Joint Replacement
The Neuflex silicone metacarpophalangeal (MCP) joint replacement has previously been shown to provide improved movement, particularly flexion, when compared with the Swanson implant. In this study, we reviewed the outcome of 237 Neuflex implants in 66 patients with a follow-up of up to 7 years. Kapl...
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| Veröffentlicht in: | Journal of Hand Surgery 2009-02, Vol.34 (1), p.25-28 |
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| creator | KIMANI, B. MWAURA TRAIL, I. A. HEARNDEN, A. DELANEY, R. NUTTALL, D. |
| description | The Neuflex silicone metacarpophalangeal (MCP) joint replacement has previously been shown to provide improved movement, particularly flexion, when compared with the Swanson implant. In this study, we reviewed the outcome of 237 Neuflex implants in 66 patients with a follow-up of up to 7 years. Kaplan–Meier analysis using revision as the end stage revealed survival at 7 years to be 88%. If however an implant fracture, as seen radiographically, is taken as the end point, the survivorship drops to 68% at 7 years. These figures are comparable with a similar analysis for the Swanson implant. We conclude that the improved range of motion of the Neuflex implant demonstrated previously does not result in either a higher or a lower revision or implant fracture rate when compared with the Swanson implant. |
| doi_str_mv | 10.1177/1753193408094437 |
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MWAURA ; TRAIL, I. A. ; HEARNDEN, A. ; DELANEY, R. ; NUTTALL, D.</creator><creatorcontrib>KIMANI, B. MWAURA ; TRAIL, I. A. ; HEARNDEN, A. ; DELANEY, R. ; NUTTALL, D.</creatorcontrib><description>The Neuflex silicone metacarpophalangeal (MCP) joint replacement has previously been shown to provide improved movement, particularly flexion, when compared with the Swanson implant. In this study, we reviewed the outcome of 237 Neuflex implants in 66 patients with a follow-up of up to 7 years. Kaplan–Meier analysis using revision as the end stage revealed survival at 7 years to be 88%. If however an implant fracture, as seen radiographically, is taken as the end point, the survivorship drops to 68% at 7 years. These figures are comparable with a similar analysis for the Swanson implant. We conclude that the improved range of motion of the Neuflex implant demonstrated previously does not result in either a higher or a lower revision or implant fracture rate when compared with the Swanson implant.</description><identifier>ISSN: 1753-1934</identifier><identifier>EISSN: 2043-6289</identifier><identifier>EISSN: 1532-2211</identifier><identifier>DOI: 10.1177/1753193408094437</identifier><identifier>PMID: 19270002</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Diseases of the osteoarticular system ; Equipment Failure Analysis - statistics & numerical data ; Female ; Follow-Up Studies ; Humans ; Injuries of the limb. Injuries of the spine ; Joint Prosthesis - statistics & numerical data ; Kaplan-Meier Estimate ; Male ; Medical sciences ; Metacarpophalangeal Joint - surgery ; Middle Aged ; Orthopedic surgery ; Postoperative Complications - diagnostic imaging ; Postoperative Complications - surgery ; Prosthesis Design ; Radiography ; Reoperation - statistics & numerical data ; Silicones ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Traumas. Diseases due to physical agents ; United Kingdom</subject><ispartof>Journal of Hand Surgery, 2009-02, Vol.34 (1), p.25-28</ispartof><rights>2009 The British Society for Surgery of the Hand. Published by SAGE. 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MWAURA</creatorcontrib><creatorcontrib>TRAIL, I. A.</creatorcontrib><creatorcontrib>HEARNDEN, A.</creatorcontrib><creatorcontrib>DELANEY, R.</creatorcontrib><creatorcontrib>NUTTALL, D.</creatorcontrib><title>Survivorship of the Neuflex Silicone Implant in MCP Joint Replacement</title><title>Journal of Hand Surgery</title><addtitle>J Hand Surg Eur Vol</addtitle><description>The Neuflex silicone metacarpophalangeal (MCP) joint replacement has previously been shown to provide improved movement, particularly flexion, when compared with the Swanson implant. In this study, we reviewed the outcome of 237 Neuflex implants in 66 patients with a follow-up of up to 7 years. Kaplan–Meier analysis using revision as the end stage revealed survival at 7 years to be 88%. If however an implant fracture, as seen radiographically, is taken as the end point, the survivorship drops to 68% at 7 years. These figures are comparable with a similar analysis for the Swanson implant. We conclude that the improved range of motion of the Neuflex implant demonstrated previously does not result in either a higher or a lower revision or implant fracture rate when compared with the Swanson implant.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Diseases of the osteoarticular system</subject><subject>Equipment Failure Analysis - statistics & numerical data</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Injuries of the limb. Injuries of the spine</subject><subject>Joint Prosthesis - statistics & numerical data</subject><subject>Kaplan-Meier Estimate</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Metacarpophalangeal Joint - surgery</subject><subject>Middle Aged</subject><subject>Orthopedic surgery</subject><subject>Postoperative Complications - diagnostic imaging</subject><subject>Postoperative Complications - surgery</subject><subject>Prosthesis Design</subject><subject>Radiography</subject><subject>Reoperation - statistics & numerical data</subject><subject>Silicones</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Traumas. Diseases due to physical agents</subject><subject>United Kingdom</subject><issn>1753-1934</issn><issn>2043-6289</issn><issn>1532-2211</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkMtPwzAMxiMEgvG4c0K9wK3gJG0eRzQNGBoP8ThXaeZCpj5G0iL472m1CSQkxMmy_fNn-yPkkMIppVKeUZlyqnkCCnSScLlBRgwSHgum9CYZDe146O-Q3RAWAKnSVGyTHaqZBAA2IpPHzr-798aHV7eMmiJqXzG6xa4o8SN6dKWzTY3RtFqWpm4jV0c34_vounF98oB90WKFdbtPtgpTBjxYxz3yfDF5Gl_Fs7vL6fh8FluuRRtLK_I0L4Az1IahggJpolHOtUiEslSjULnAZM4RUOWGA1LDrUxZbqhVgu-Rk5Xu0jdvHYY2q1ywWPbHYdOFTPRfCZWm_4IMhADNBkVYgdY3IXgssqV3lfGfGYVs8Dj77XE_crTW7vIK5z8Da1N74HgNmGBNWXhTWxe-OUZpQpkcdscrLpgXzBZN5-vevL8XfwE_rY9g</recordid><startdate>20090201</startdate><enddate>20090201</enddate><creator>KIMANI, B. MWAURA</creator><creator>TRAIL, I. A.</creator><creator>HEARNDEN, A.</creator><creator>DELANEY, R.</creator><creator>NUTTALL, D.</creator><general>SAGE Publications</general><general>Sage Publications</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>20090201</creationdate><title>Survivorship of the Neuflex Silicone Implant in MCP Joint Replacement</title><author>KIMANI, B. MWAURA ; TRAIL, I. A. ; HEARNDEN, A. ; DELANEY, R. ; NUTTALL, D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c396t-7c6b5bf032e9a2e80fe149e7d96468c19e68b6e4d3e0e8ba30e1a3c752ba1c863</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Diseases of the osteoarticular system</topic><topic>Equipment Failure Analysis - statistics & numerical data</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Injuries of the limb. Injuries of the spine</topic><topic>Joint Prosthesis - statistics & numerical data</topic><topic>Kaplan-Meier Estimate</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Metacarpophalangeal Joint - surgery</topic><topic>Middle Aged</topic><topic>Orthopedic surgery</topic><topic>Postoperative Complications - diagnostic imaging</topic><topic>Postoperative Complications - surgery</topic><topic>Prosthesis Design</topic><topic>Radiography</topic><topic>Reoperation - statistics & numerical data</topic><topic>Silicones</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Traumas. Diseases due to physical agents</topic><topic>United Kingdom</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>KIMANI, B. MWAURA</creatorcontrib><creatorcontrib>TRAIL, I. A.</creatorcontrib><creatorcontrib>HEARNDEN, A.</creatorcontrib><creatorcontrib>DELANEY, R.</creatorcontrib><creatorcontrib>NUTTALL, D.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of Hand Surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>KIMANI, B. MWAURA</au><au>TRAIL, I. A.</au><au>HEARNDEN, A.</au><au>DELANEY, R.</au><au>NUTTALL, D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Survivorship of the Neuflex Silicone Implant in MCP Joint Replacement</atitle><jtitle>Journal of Hand Surgery</jtitle><addtitle>J Hand Surg Eur Vol</addtitle><date>2009-02-01</date><risdate>2009</risdate><volume>34</volume><issue>1</issue><spage>25</spage><epage>28</epage><pages>25-28</pages><issn>1753-1934</issn><eissn>2043-6289</eissn><eissn>1532-2211</eissn><abstract>The Neuflex silicone metacarpophalangeal (MCP) joint replacement has previously been shown to provide improved movement, particularly flexion, when compared with the Swanson implant. In this study, we reviewed the outcome of 237 Neuflex implants in 66 patients with a follow-up of up to 7 years. Kaplan–Meier analysis using revision as the end stage revealed survival at 7 years to be 88%. If however an implant fracture, as seen radiographically, is taken as the end point, the survivorship drops to 68% at 7 years. These figures are comparable with a similar analysis for the Swanson implant. We conclude that the improved range of motion of the Neuflex implant demonstrated previously does not result in either a higher or a lower revision or implant fracture rate when compared with the Swanson implant.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>19270002</pmid><doi>10.1177/1753193408094437</doi><tpages>4</tpages></addata></record> |
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| subjects | Adult Aged Aged, 80 and over Biological and medical sciences Diseases of the osteoarticular system Equipment Failure Analysis - statistics & numerical data Female Follow-Up Studies Humans Injuries of the limb. Injuries of the spine Joint Prosthesis - statistics & numerical data Kaplan-Meier Estimate Male Medical sciences Metacarpophalangeal Joint - surgery Middle Aged Orthopedic surgery Postoperative Complications - diagnostic imaging Postoperative Complications - surgery Prosthesis Design Radiography Reoperation - statistics & numerical data Silicones Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Traumas. Diseases due to physical agents United Kingdom |
| title | Survivorship of the Neuflex Silicone Implant in MCP Joint Replacement |
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