
Development and Advances in Joint Replacement of the HandDevelopment and Advances in Joint Replacement of the Hand
Silicone arthroplasty presented some complications during the following years. In 1985, came the first report of the occurrence of synovitis, a reaction to the silicone implants, occurring when the wear debris particles accumulate in the synovial tissue producing a reactive synovitis, called silicone synovitis, which produce lytic lesions in the surrounding bones. Swanson determined that the synovitis was influenced by mechanical factors, implant type and silicone composition. It was noted around overload articulations, when the implant was oversized or misaligned, when there was joint instability, excessive motion or overuse.
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