Osteochondral grafting of the metacarpophalangeal joint in rheumatoid arthritis.
We report two cases of isolated metacarpophalangeal joint subluxation in rheumatoid patients with dorsal osteochondral defects on the base of the proximal phalanx. These were treated by open reduction, autologous osteochondral grafting and synovectomy. Stable reduction was maintained and appeared to delay the deterioration of the joint.
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Department of Orthopaedics & Traumatology, Queen Elizabeth Hospital, Hong Kong. cheyuenlo@ctimail3.com
Chang
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D000328:Adult; D001172:Arthritis, Rheumatoid / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D008662:Metacarpophalangeal Joint / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography; D011884:Radius / Q000637:transplantation*; D016059:Range of Motion, Articular; D000074402:Synovectomy