{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T02:22:56Z","timestamp":1755224576402,"version":"3.43.0"},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,7,25]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>We report a rare case of severe osteolysis following metacarpophalangeal (MP) joint arthroplasty using silicone implants in a patient with rheumatoid arthritis. A 72-year-old woman presented with painless masses on the dorsum of the left hand 6 years after MP joint arthroplasty using Sutter-type silicone implants. Radiographic evaluation revealed implant-associated osteolysis and cortical perforation of the second to fifth metacarpals. Revision arthroplasty was performed using grommet-equipped Swanson-type silicone implants combined with synovectomy and iliac bone grafting for severe palmar bone loss. One year later, similar osteolysis occurred in the right hand, and revision arthroplasty was again performed using Swanson-type implants without the need for bone grafting. The postoperative course was uneventful, and no recurrence of osteolysis or implant-related complications was observed over a 7-year follow-up period. Silicone synovitis is a recognised complication of silicone implant arthroplasty, caused by wear debris triggering chronic inflammation and bone resorption. This case highlights the importance of early detection and intervention for implant-related osteolysis. In cases where bone defects remain manageable, revision with grommet-equipped silicone implants can be a viable and durable treatment option. Surgeons should be aware of this potentially severe complication, as delayed intervention may preclude the use of silicone implants altogether due to extensive bone loss.<\/jats:p>","DOI":"10.1093\/mrcr\/rxaf046","type":"journal-article","created":{"date-parts":[[2025,7,18]],"date-time":"2025-07-18T14:08:58Z","timestamp":1752847738000},"source":"Crossref","is-referenced-by-count":0,"title":["Severe osteolysis following metacarpophalangeal arthroplasty with silicone implants: a case report"],"prefix":"10.1093","volume":"9","author":[{"given":"Keishiro","family":"Kikuchi","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Keio University School of Medicine , Shinjuku-ku, Tokyo ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7605-6727","authenticated-orcid":false,"given":"Takuji","family":"Iwamoto","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Keio University School of Medicine , Shinjuku-ku, Tokyo ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasuhiro","family":"Kiyota","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Keio University School of Medicine , Shinjuku-ku, Tokyo ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akiko","family":"Torii","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Keio University School of Medicine , Shinjuku-ku, Tokyo ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Taku","family":"Suzuki","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Keio University School of Medicine , Shinjuku-ku, Tokyo ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Noboru","family":"Matsumura","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Keio University School of Medicine , Shinjuku-ku, Tokyo ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akihisa","family":"Ueno","sequence":"additional","affiliation":[{"name":"Division of Diagnostic Pathology, Keio University School of Medicine , Shinjuku-ku, Tokyo ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hajime","family":"Okita","sequence":"additional","affiliation":[{"name":"Division of Diagnostic Pathology, Keio University School of Medicine , Shinjuku-ku, Tokyo ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masaya","family":"Nakamura","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Keio University School of Medicine , Shinjuku-ku, Tokyo ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,7,18]]},"reference":[{"key":"2025081215304234900_ref1","doi-asserted-by":"publisher","first-page":"445","DOI":"10.1016\/S0363-5023(05)80104-2","article-title":"Swanson silicone finger joint implants: a review of the literature regarding long-term complications","volume":"20","author":"Foliart","year":"1995","journal-title":"J Hand Surg Am"},{"key":"2025081215304234900_ref2","doi-asserted-by":"publisher","first-page":"495","DOI":"10.1142\/S2424835520720157","article-title":"Nontraumatic perforation of the metacarpal by the stem of a flexible silicone implant in a patient with rheumatoid arthritis","volume":"25","author":"Sakuma","year":"2020","journal-title":"J Hand Surg Asian Pac Vol"},{"key":"2025081215304234900_ref3","doi-asserted-by":"publisher","first-page":"679","DOI":"10.1016\/0266-7681(93)90222-2","article-title":"Silicone synovitis. The current role of silicone elastomer implants in joint reconstruction","volume":"18","author":"Khoo","year":"1993","journal-title":"J Hand Surg Br"},{"key":"2025081215304234900_ref4","doi-asserted-by":"publisher","first-page":"835","DOI":"10.1016\/S0363-5023(10)80146-7","article-title":"Pathologic fractures: a complication of microparticulate synovitis","volume":"16","author":"Peimer","year":"1991","journal-title":"J Hand Surg Am"},{"key":"2025081215304234900_ref5","doi-asserted-by":"publisher","first-page":"819","DOI":"10.1016\/S0363-5023(96)80198-5","article-title":"Isolation and quantitation of debris particles around failed silicone orthopedic implants","volume":"21","author":"Hirakawa","year":"1996","journal-title":"J Hand Surg Am"},{"key":"2025081215304234900_ref6","doi-asserted-by":"publisher","first-page":"382","DOI":"10.1016\/J.JHSB.2004.03.019","article-title":"Grading of radiographic osteolytic changes after silastic metacarpophalangeal arthroplasty and a prospective trial of osteolysis following use of Swanson and Sutter prostheses","volume":"30","author":"Parkkila","year":"2005","journal-title":"J Hand Surg Br"},{"key":"2025081215304234900_ref7","doi-asserted-by":"publisher","first-page":"743","DOI":"10.1177\/1753193409346793","article-title":"Correlation between range of motion and implant fracture: a 5 year follow-up of 72 joints in 18 patients in a randomized study comparing Swanson and Avanta\/Sutter MCP silicone prosthesis","volume":"34","author":"T\u00e4gil","year":"2009","journal-title":"J Hand Surg Eur Vol"},{"key":"2025081215304234900_ref8","doi-asserted-by":"publisher","first-page":"42","DOI":"10.1177\/230949901402200112","article-title":"Flexible hinge silicone implant with or without titanium grommets for arthroplasty of the first metatarsophalangeal joint","volume":"22","author":"Kanzaki","year":"2014","journal-title":"J Orthop Surg (Hong Kong)"},{"key":"2025081215304234900_ref9","doi-asserted-by":"publisher","first-page":"561","DOI":"10.1054\/JHSB.1999.0240","article-title":"The effect of the additional use of grommets in silicone implant arthroplasty of the metacarpophalangeal joints","volume":"24","author":"Schmidt","year":"1999","journal-title":"J Hand Surg Br"},{"key":"2025081215304234900_ref10","doi-asserted-by":"publisher","first-page":"173","DOI":"10.1097\/00003086-199507000-00023","article-title":"The use of grommets for flexible hinge toe implants. A case report","volume":"316","author":"Ishikawa","year":"1995","journal-title":"Clin Orthop Relat Res"},{"key":"2025081215304234900_ref11","doi-asserted-by":"publisher","first-page":"707","DOI":"10.1016\/S0266-7681(05)80141-X","article-title":"Resection arthroplasty of the metacarpophalangeal joints in rheumatoid arthritis. Results after more than 15 years","volume":"20","author":"R\u00fcther","year":"1995","journal-title":"J Hand Surg Br"}],"container-title":["Modern Rheumatology Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/mrcr\/advance-article-pdf\/doi\/10.1093\/mrcr\/rxaf046\/63794533\/rxaf046.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/mrcr\/article-pdf\/9\/2\/rxaf046\/63794533\/rxaf046.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/mrcr\/article-pdf\/9\/2\/rxaf046\/63794533\/rxaf046.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,12]],"date-time":"2025-08-12T19:30:48Z","timestamp":1755027048000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/mrcr\/article\/doi\/10.1093\/mrcr\/rxaf046\/8206123"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":11,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,7,25]]}},"URL":"https:\/\/doi.org\/10.1093\/mrcr\/rxaf046","relation":{},"ISSN":["2472-5625"],"issn-type":[{"type":"electronic","value":"2472-5625"}],"subject":[],"published-other":{"date-parts":[[2025]]},"published":{"date-parts":[[2025]]},"article-number":"rxaf046"}}