Abstract
SUMMARY Metacarpophalangeal joint arthroplasty using flexible silicone rubber prostheses is a reliable and effective method for the treatment of various painful and deforming conditions affecting the metacarpophalangeal joint. Although it is used primarily for the treatment of rheumatoid hand deformities, the prosthesis has been found helpful in the treatment of various traumatic conditions affecting the metacarpophalangeal joints. This paper discusses the principles of arthroplasty and describes the surgical technique and postoperative management used at the Robert Breck Brigham Hospital. We have attempted to state our indications for metacarpophalangeal joint arthroplasty and to define its place in the over-all management of the severely crippled rheumatoid patient. In addition, a simple classification has been devised that has been helpful in the preoperative evaluation of the rheumatoid patient and in predicting a realistic postoperative result from metacarpophalangeal joint arthroplasty.
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