Medwatch report received stated that mcp implant placed right index mp silastic arthroplasty.Patient experienced symptom relief a couple of months after.Later in the year, xrays reviewed arthroplasty well incorporated.Significant arthritis with deviation noted at rip joint.Patient seen with doctor, who reviewed treatment options including pip joint fusion vs working with hand ot to see how much mobility can recovered.Doctor warned that patient may develop increase pain at her pip joint while working on rom but patient is interested in proceeding.Plan for return to clinic in 2 months.Patient returned with increased pain and swelling.Fluoroscopic imaging obtain today shows the implant appears well seated in the proximal phalanx and metacarpal with no evidence of osteolysis.However it looks as though the implant may be broken at hinge.Doi: (b)(6) 2016; dor: (b)(6) 2017 affected side: unknown.
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