Brisbane Hand & Upper Limb


Pyrocarbon small joint arthroplasty of the extremities

Ross M, James C, Klawitter J, Couzens G.
Chapter 19 in “Joint Replacement Technology – 2nd Edition”. Edited by Peter Revell. Woodhead Publishing Series in Biomaterials: Number 80. Elsevier Publishing 2014; 628-673.
ISBN: 978-0-85709-841-2

The primary goal in performing prosthetic arthroplasty in the small joints of the extremities remains pain relief; however, there is increasing interest in maximizing return of motion at the same time. During the past four decades, pyrolytic carbon (PyC) has been used successfully as a material for fabricating small joint implants for arthroplasty with purported benefits compared to other materials. In addition to total joint arthroplasty using PyC, successful hemi-arthroplasty has also been achieved in a variety of anatomic applications, including the metacarpal phalangeal (MCP) joint, proximal interphalangeal joint, carpometacarpal (CMC) joint, radio-capitellar joint, and gleno-humeral joint. It has also been used in non-anatomic interpositional arthroplasties in the upper limb in CMC joint, wrist, and in the first metatarsal phalangeal joint of the foot.

The Institute enables collaboration between Researchers and Upper Limb Orthopaedic Surgeons.

The Brisbane Hand and Upper Limb Research Institute was established in 2010 to facilitate and coordinate upper limb clinical and basic science research across the private and public sector in Brisbane, Queensland Australia.