Skeletal surgery in the treatment of the rheumatoid hand.
Surgery of the rheumatoid hand is complex. It is important to understand the pathophysiology of deformity at the several linkaged joints of convexity of the wrist, metacarpophalangeal and interphalangeal joints. Pegging offers one of the best and reliable techniques of stabilising the joints. However, arthroplasty and soft tissue reconstruction play equally important roles in restoring hand function.
D000293:Adolescent; D000328:Adult; D001171:Arthritis, Juvenile / Q000150:complications / Q000601:surgery; D001172:Arthritis, Rheumatoid / Q000150:complications / Q000601:surgery*; D001174:Arthrodesis / Q000379:methods; D001178:Arthroplasty / Q000379:methods; D002648:Child; D005260:Female; D005384:Finger Joint / Q000601:surgery; D006225:Hand / Q000601:surgery*; D006227:Hand Deformities, Acquired / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007595:Joint Prosthesis; D008297:Male; D008662:Metacarpophalangeal Joint / Q000601:surgery; D008875:Middle Aged; D010146:Pain / Q000209:etiology; D013933:Thumb / Q000601:surgery; D014955:Wrist Joint / Q000601:surgery