Postoperative therapy after metacarpophalangeal arthroplasty.
A literature review was conducted to determine the most effective postoperative therapy regimens for metacarpophalangeal (MCP) arthroplasty. The main difference between the regimens was the use of passive MCP extension over active extension and splinting in MCP flexion over splinting in extension. One study did not find continuous passive motion to be significantly beneficial for gaining hand strength or MCP motion. No study evaluated the efficacy or suitability of a particular regimen for specific implants or surgical procedures.
Massy-Westropp
Nicola
N
Flinders Medical Centre, Bedford Park, Australia. mwestropp@picknowl.com.au
Krishnan
Jegan
J
D001172:Arthritis, Rheumatoid / Q000601:surgery; D001178:Arthroplasty / Q000534:rehabilitation*; D002986:Clinical Trials as Topic; D006801:Humans; D008662:Metacarpophalangeal Joint / Q000601:surgery*; D026741:Physical Therapy Modalities / Q000379:methods*