title: [Synthetic ligament reconstruction of the thumb metacarpophalangeal joint. 21 cases].
abstract: Since 1984, the authors have performed ligamentoplasties of the metacarpophalangeal (MP) joint of the thumb with Dacron mesh. A series of 21 cases is reviewed and tested clinically with a mean follow-up of 34 months. The MP joint remained stable. Loss of flexion of the MP joint was 30% of the healthy side. The mobility of the interphalangeal joint remained normal. Opposition ranged between 8 and 10/10 for 20 of the 21 patients. The mean overall reduction in strength was 30% on the dominant side and 20% of the non-dominant side. Apart from two failures by arthrodesis, all patients were very satisfied with their operation.
authors.affiliation: Unité de Chirurgie Réparatrice de la Main et des Brûlés, SOS Main Grenoble, Hôpital A. Michallon.
authors.forename: F
authors.initials: F
authors.lastname: Moutet
authors.forename: P
authors.initials: P
authors.lastname: Bellon-Champel
authors.forename: D
authors.initials: D
authors.lastname: Guinard
authors.forename: P
authors.initials: P
authors.lastname: Gérard
mesh_terms: D000293:Adolescent; D000328:Adult; D001174:Arthrodesis; D002908:Chronic Disease; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007593:Joint Instability / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D008023:Ligaments, Articular / Q000293:injuries*; D008297:Male; D008662:Metacarpophalangeal Joint / Q000293:injuries*; D008875:Middle Aged; D011093:Polyethylene Terephthalates; D016059:Range of Motion, Articular; D013526:Surgical Mesh; D013933:Thumb
chemical_list: D011093:Polyethylene Terephthalates