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biomaterials and prosthetic designs for PIP articular reconstruction led to the development of new devices. Metal-on-polyethylene implants, cementless or cemented prostheses, total or hemi-arthroplasties, as well as pyrocarbon PIP joint prostheses were proposed
Upper Limb Unit, Department of Orthopedic Surgery, Amphia Hospital, Breda, The Netherlands
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Department of Orthopedic Surgery, Amsterdam University Medical Centers, Amsterdam, The Netherlands
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minimum age of 18 years who underwent revision surgery of their metallic of pyrocarbon RHA for any reason. Articles written in English and evaluating original clinical data on primary pyrocarbon or metallic RHPs requiring revision surgery were considered
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KLS Martin Tuttlingen). Several material combinations are available, from the classic chrome cobalt/polyethylene to ceramic/ceramic and pyrocarbon/pyrocarbon. Although pyrocarbon has excellent biocompatibility and ideal gliding characteristics
Department of Orthopedic Surgery, St. Antonius Hospital, Utrecht, The Netherlands
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Department of Orthopedic Surgery, Amsterdam UMC, Amsterdam, The Netherlands
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. J Shoulder Elbow Surg 2016 ; 25 : 1829 – 1838 . 55. Ricón FJ Sánchez P Lajara F Galán A Lozano JA Guerado E . Result of a pyrocarbon prosthesis after comminuted and unreconstructable
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), the only alternative is 4CF or perhaps PRC plus resurfacing of the proximal part of the capitate with resurfacing capitate pyrocarbon implant. In older patients, with a low ROM pre-operatively and a round and blunt-shaped capitate, PRC can be