High implant fracture incidence with sutter silicone metacarpophalangeal joint arthroplasty

R. L. Bass, P. J. Stern, J. G. Nairus

Research output: Contribution to journalArticlepeer-review

75 Scopus citations


We performed a retrospective review of Sutter silicone metacarpophalangeal (MP) joint arthroplasties in 34 patients (42 hands, 168 implants) with rheumatoid arthritis. Patients were evaluated at an average of 27 months (minimum follow-up period, 12 months). Twenty percent of the implants were shown to be definitely fractured on final follow-up examination, and 45% followed for more than 3 years were definitely fractured. At the final follow-up examination, the average ulnar drift in intact implants was 11° and in the fractured implants, 23°. However, there was no correlation between implant fracture and patient satisfaction. Eighty percent of patients said they would undergo the procedure again. Because of a significantly higher implant fracture incidence at a relatively shorter follow up period than that of most studies of silicone MP implants of the Swanson design, we have abandoned the use of the Sutter implant.

Original languageEnglish (US)
Pages (from-to)813-818
Number of pages6
JournalJournal of Hand Surgery
Issue number5
StatePublished - Jan 1 1996

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine


Dive into the research topics of 'High implant fracture incidence with sutter silicone metacarpophalangeal joint arthroplasty'. Together they form a unique fingerprint.

Cite this