Humanitarian Use of AVANTA Orthopaedics Proximal Interphalangeal Joint

The purpose of this IRB approved study is to allow patients to undergo surgery with the SR™
PIP (Proximal Interphalangeal) Implants. This is NOT a research study, but rather, a
requirement by the FDA for humanitarian use of device. Use of the SR™ PIP is approved for
humanitarian use by the FDA when either the patient is in need of a revision of failed PIP
prothesis(es) or the patient expects to place his/her hand under loading situation which
preclude the use of an alternative implant in the painful osteo-arthritic and post traumatic
arthritic PIP joint.

Inclusion Criteria:

- patient is in need of a revision of failed PIP prosthesis(es)

- patient expects to place his/her hands under loading situations which preclude the use
of an alternative implant in the painful osteo-arthritic and post traumatic arthritic
PIP joint

Exclusion Criteria:

- patient is not in need of a revision of a failed PIP prothesis(es)

- patient is eligible to use an alternative implant