Soft tissue metacarpophalangeal reconstruction for treatment of rheumatoid hand deformity.
The long-term results of soft tissue metacarpophalangeal reconstruction without articular resection were reviewed in 16 hands of 12 patients with painful ulnar deviation-subluxation deformity. No splinting was used beyond 3 weeks. Patients had either lupus or rheumatoid arthritis. The mean age at operation was 66 years, with mean disease duration of 15.9 years before operation. At follow-up (mean, 81 months), complete pain relief occurred in 88% of patients and 56 degrees and 64 degrees mean active metacarpophalangeal and proximal interphalangeal range of motion was present, respectively. Ulnar drift was corrected to 6 degrees on the average. The first semiobjective grading scale for metacarpophalangeal reconstruction was introduced. There were 82% good or excellent results.
Wood
V E
VE
Department of Orthopaedics, Loma Linda University Medical Center, Calif. 92350.
Ichtertz
D R
DR
Yahiku
H
H
D000328:Adult; D000368:Aged; D001172:Arthritis, Rheumatoid / Q000150:complications*; D001178:Arthroplasty / Q000379:methods*; D005260:Female; D005384:Finger Joint / Q000601:surgery*; D005500:Follow-Up Studies; D006227:Hand Deformities, Acquired / Q000209:etiology / Q000601:surgery*; D006801:Humans; D004204:Joint Dislocations / Q000601:surgery; D008297:Male; D008662:Metacarpophalangeal Joint / Q000601:surgery*; D008875:Middle Aged; D012828:Silicones / Q000627:therapeutic use; D014955:Wrist Joint / Q000473:pathology / Q000601:surgery
D012828:Silicones