A new silicone prosthesis in the modified Thiersch operation

1988 ◽  
Vol 31 (5) ◽  
pp. 380-383 ◽  
Author(s):  
Karamjit S. Khanduja ◽  
Thomas G. Hardy ◽  
Pedro S. Aguilar ◽  
Gustavo Plasencia ◽  
Rene F. Hartmann ◽  
...  
2013 ◽  
Vol 37 (5) ◽  
pp. 415-420 ◽  
Author(s):  
Michael EL Leow ◽  
Alphonsus KS Chong ◽  
Yeong-Pin Peng ◽  
Robert WH Pho

Background and Aim: The fitting of short finger stumps with silicone prosthesis is a challenge because of the suboptimal finger–prosthesis contact due to length and distal tapering of digital stumps. The purpose of this report was to describe and evaluate the Micropore™–polyvinyl chloride tube technique for fitting short finger stumps. Technique: For a total of 10 patients, short finger stumps were fitted using the technique. A short length of polyvinyl chloride tube, trimmed and contoured to fit, was secured on the distal stump tip with Micropore tape. The prosthesis was worn over the polyvinyl chloride tube extension. Three different fitting methods were evaluated: fitting with and without the Micropore–polyvinyl chloride tube technique, and with the use of skin adhesive on the stump. Discussion: All patients achieved a very secure prosthetic fit with the Micropore–polyvinyl chloride tube technique. No incidences of prosthesis slippage were reported at the longest follow-up of 30 months. The Micropore–polyvinyl chloride tube technique is an effective method for fitting short finger stumps. Clinical relevance The Micropore–polyvinyl chloride tube technique presents a nonsurgical method for fitting short finger stumps. It can help avert late outcomes whereby patients, after having undergone surgery to enable fitting, found they no longer need prosthesis.


CHEST Journal ◽  
2002 ◽  
Vol 122 (4) ◽  
pp. 1485-1487 ◽  
Author(s):  
Keisuke Miwa ◽  
Masahiro Mitsuoka ◽  
Kohsuke Tayama ◽  
Naofumi Tomita ◽  
Shinzo Takamori ◽  
...  

2018 ◽  
Vol 3 (3) ◽  
pp. 2473011418S0053
Author(s):  
Ming-Zhu Zhang ◽  
Guang-rong Yu

Category: Lesser Toes Introduction/Purpose: The purpose of this study was to evaluate the clinical outcomes using a double stemmed flexible silicone prosthesis for the treatment of Freiberg disease in its late stages. Methods: The subjects consisted of 13 feet from 13 cases suffering from Freiberg disease in their late stages. They underwent double stemmed flexible silicone prosthesis replacement for metatarsophalangeal joints. The average age was 63.8 (range 30~88) years. The average follow up period was 26 (range 18–42) months. The investigation was carried out using the range of motion (ROM), visual analog scale (VAS), AOFAS and Maryland metatarsophalangeal joints scale before surgery and at the latest follow-up. Results: The average ROM of dorsal flexion improved from 39.3±6.1° before surgery to 75.4±8.6° at latest follow-up (p<0.001). The average ROM of plantar flexion improved from 19.0±11.4° before surgery to 20.2±9.3° at latest follow-up (p=0.14). The average VAS significantly improved from 8.1±0.5 before surgery to 2.6±0.2 at latest follow-up (p<0.001). The average Maryland metatarsophalangeal joints score significantly improved from 65.3±9.3 points before surgery to 90.3±4.1 points at the latest follow-up (p<0.001). The average AOFAS was 89.4±8.5 after surgery compared 56.3±6.4 preoperatively (p<0.005). Conclusion: A flexible silicone prosthesis replacement was carried out to treat Freiberg disease in its late stages. The function was observed in all cases with improved clinical results. The silicone prosthesis was considered to be useful in certain cases.


2002 ◽  
Vol 27 (5) ◽  
pp. 417-423 ◽  
Author(s):  
P. HAUSSMANN

The treatment of scaphoid fracture nonunion with a small proximal fragment with disturbed circulation and radioscaphoid arthrosis is difficult, and the result is often unsatisfactory. For this reason, in 1981 the replacement of the proximal fragment by a silicone lunate prosthesis was recommended for such cases. From 1980 to 1984, 11 patients (all male, average age 42 [range, 25–59] years) with the conditions described above were treated by silicone prosthesis partial replacement of the scaphoid. In one patient, the prosthesis had to be removed due to dislocation, and in another patient an arthrodesis of the wrist had to be carried out after 5 years due to increasing pain. All nine remaining patients were followed up after an average of 14 (range, 12–16) years, and were clinically and radiologically re-examined and assessed using the evaluation scheme proposed by Martini (1999) . The overall results were satisfactory. Specifically, the outcome was good in one case, satisfactory in six cases, and poor in two cases. Concerning the individual criteria, the best scores were observed in “subjective overall assessment” and in “work and sports”, whilst the worst were found in “movement” and “X-ray”. For all patients, X-ray examination revealed both postoperative arthrosis and extensive multiple cystoid osteolysis, presumably due to silicone synovitis. Nevertheless, most patients were free of symptoms. None of the patients felt that further treatment was necessary. Silicone prosthesis partial replacement of the scaphoid leads to long-term reduction in pain and adequate hand function. However, it is not capable of preventing carpal collapse and carpal arthrosis. Furthermore, since in several cases a progressive silicone synovitis developed, the method was rightly abandone d after 1984.


2016 ◽  
Vol 4 (3) ◽  
pp. 56
Author(s):  
RahulS Kulkarni ◽  
RavindraS Pawar ◽  
PravinE Raipure

2012 ◽  
Vol 02 (04) ◽  
pp. 12-15
Author(s):  
Harshitha Alva ◽  
Krishna Prasad D. ◽  
Manoj Shetty

AbstractMan's need for artificial replacements to supply missing or lost body parts has probably existed as long as man himself. Body abnormalities or defects compromise appearance, function and render an individual incapable of leading a relatively normal life. Extraoral defects involving ear, eye, nose, finger and few others are commonly encountered. Prosthetic restoration of these facial defects is an ancient art, in which success has always been limited due to the unavailability of adequate materials or because the available materials do not fulfil the ideal requirements. The most accepted materials today are the silicones because of their better esthetics.This paper presents prosthetic rehabilitation of the distal phalynx of left index finger with custom-made silicone prosthesis.


2019 ◽  
Vol 43 (5) ◽  
pp. 343-347 ◽  
Author(s):  
Pinar Cevik ◽  
Mustafa Kocacikli

Purpose: Patients with maxillofacial deformities always seek for aesthetic prosthesis. Recently, three-dimensional printing technologies have been used for dental treatments on such patients. Case report: A 24-year-old man reported to the Department of Prosthodontics for replacement of his missing right ear induced by a trauma. A magnet-retained auricular prosthesis was planned for the patient. Three-dimensional scanning was performed on the healthy side by using a three-dimensional optical scanner and the data were mirrored. The mirrored image was then imported to a software and a virtual model of the future prosthesis was obtained for the defect side. A three-dimensional printer was used to fabricate a negative mold for the mirrored image by using additive manufacturing. Initially, an impression of the defect side was made; then, the cast model was obtained in a dental flask. Magnets of the prosthesis were inserted to the acrylic resin framework on the cast model. Room temperature vulcanized silicone elastomer was mixed and poured into the three-dimensionally fabricated mold. Then, the flask was placed over the negative mold firmly. After polymerization of the silicone, the auricular prosthesis was delivered to the patient and the patient was instructed to clean the prosthesis daily. Conclusions: Three-dimensional printing technology was used for the fabrication of the patient’s missing ear. This method eliminated the conventional laboratory steps and reduced the number of stages of the fabrication of a silicone prosthesis. The negative mold of the defect side allowed us a direct fabrication of the silicone prosthesis without a need for waxing or flasking procedures.


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