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A randomized clinical study was performed to compare a stemless poly-L\/D-lactide copolymer 96: 4 (PLDLA) implant with the Swanson silicone implant. Results in 52 patients (53 hands and 175 joints) at a mean follow-up of 2 years (minimum 1 year) showed that the improvement in clinical assessments was comparable in both groups, except for better maintenance of palmar alignment in the Swanson group. The lack of implant fractures and intramedullary osteolysis were advantages of the PLDLA implant. The bioresorbable PLDLA interposition implant may offer an alternative tool for tailored reconstruction of rheumatoid metacarpophalangeal joints.<\/jats:p>","DOI":"10.1177\/1753193410375777","type":"journal-article","created":{"date-parts":[[2010,7,13]],"date-time":"2010-07-13T20:26:58Z","timestamp":1279052818000},"page":"746-753","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":14,"title":["Bioreconstructive Poly-L\/D-Lactide Implant Compared With Swanson Prosthesis in Metacarpophalangeal Joint Arthroplasty in Rheumatoid Patients: a Randomized Clinical Trial"],"prefix":"10.1177","volume":"35","author":[{"given":"P.B.","family":"Honkanen","sequence":"first","affiliation":[{"name":"Rheumaorthopaedic Unit, Center of Rheumatic Diseases,\rDepartment of Internal Medicine, Tampere University Hospital Tampere, Finland,\rpirjo.honkanen@fimnet.fi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Thonen","sequence":"additional","affiliation":[{"name":"Medical School University of Tampere, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.T.","family":"Skytt\u00e4","sequence":"additional","affiliation":[{"name":"Rheumatism Foundation Hospital, Heinola, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Ik\u00e4valko","sequence":"additional","affiliation":[{"name":"Central Hospital, P\u00e4ijat-H\u00e4me Social and Health\rCare, Lahti, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.U.K.","family":"Lehto","sequence":"additional","affiliation":[{"name":"COXA Hospital for Joint Replacement, Tampere, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y.T.","family":"Konttinen","sequence":"additional","affiliation":[{"name":"Institute of Clinical Medicine, Department of Medicine,\rHelsinki University Central Hospital, HUS, Helsinki, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2017,1,13]]},"reference":[{"key":"atypb1","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200305000-00005"},{"key":"atypb2","doi-asserted-by":"publisher","DOI":"10.1016\/S0266-7681(96)80199-9"},{"key":"atypb3","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198466030-00008"},{"key":"atypb4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2007.07.026"},{"key":"atypb5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2004.03.004"},{"key":"atypb6","first-page":"1395","volume":"27","year":"2000","journal-title":"J Rheumatol"},{"key":"atypb7","doi-asserted-by":"publisher","DOI":"10.1016\/0003-9993(94)90130-9"},{"key":"atypb8","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2006.02.001"},{"key":"atypb9","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200310000-00001"},{"key":"atypb10","doi-asserted-by":"publisher","DOI":"10.1177\/1753193408099833"},{"key":"atypb11","doi-asserted-by":"publisher","DOI":"10.1089\/107632703322495600"},{"key":"atypb12","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhse.2007.03.006"},{"key":"atypb13","doi-asserted-by":"crossref","unstructured":"Kellom\u00e4ki M., Puumanen K., Waris T., T\u00f6rm\u00e4la P.In vivo degradation of composite membrane of P(e-CL\/LLA) 50\/50 film and P(L\/D)LA 96\/4 mesh. 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