Conversion to arthroplasty from proximal interphalangeal joint arthrodesis.
Fifteen patients, interested by the functional results of certain arthroplasties and discouraged by those of their arthrodesis, agreed to undergo disarthrodesis. This operation was performed by arthroplasty with Swanson implant under the following 4 conditions: excellent skin cover, an intact flexor system, articular fusion in good position with preservation of the normal length and axis of the finger, the understanding by the patient that an arthroplasty does not mean normal range of movement but, at best, recovery of a limited but functional, stable and pain-free range of movement. 12 cases operated between 1971 and 1984 have been followed for a mean of 39 postoperative months. The mean gain of active movement from a fused joint was 56.8. The postoperative course was always uneventful in these particularly motivated patients and 11 out of 12 were satisfied with their result.
Iselin
F
F
Pradet
G
G
Gouet
O
O
D000328:Adult; D000368:Aged; D001174:Arthrodesis; D005260:Female; D005384:Finger Joint / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007595:Joint Prosthesis; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D011859:Radiography; D012086:Reoperation