[Primary Swanson metacarpophalangeal joint arthroplasty in major hand traumas. A report of two cases at 14 years follow-up].
In major hand injuries, destroyed joints may be treated by joint transfer, arthroplasty or fusion with or without temporary external fixation. Four immediate digital metacarpophalangeal joint Swanson implants in two patients with amputation or devascularizated near-amputation were reviewed with a 14 years follow-up. No infection was noted. Prostheses were stable with a 31 degrees active range of motion and grip strength was 42% of the opposite side. Functional results were "useful" with patients satisfaction. In one patient, heavy manual worker, implants were replaced fourteen years after trauma because of recent pain on one joint and implants fragmentation. The other patient was painless. Immediate Swanson arthroplasty in major hand injuries may be an alternative in metacarpophalangeal joints destruction.
Erhard
L
L
Service de chirurgie orthopedique, main, membre supérieur, pavillon M, hôpital Edouard-Herriot, place d'Arsonval, 69437 Lyon 03, France.
Herzberg
G
G
Guigal
V
V
D000328:Adult; D000368:Aged; D000673:Amputation, Traumatic / Q000601:surgery; D001178:Arthroplasty / Q000295:instrumentation*; D005500:Follow-Up Studies; D018737:Hand Strength; D006801:Humans; D007595:Joint Prosthesis; D008297:Male; D008662:Metacarpophalangeal Joint / Q000293:injuries* / Q000601:surgery*; D008875:Middle Aged; D017060:Patient Satisfaction; D016059:Range of Motion, Articular