Fractional flexor tendon lengthening for advanced metacarpophalangeal flexion contracture in rheumatoid hands.
This technical report discusses a subgroup of rheumatoid patients who have minimal ulnar drift but a severe fixed metacarpophalangeal joint flexion contracture for whom conventional metacarpophalangeal joint arthroplasty alone was insufficient to correct the deformity. We describe a surgical technique to deal with this clinical problem that uses fractional flexor tendon lengthening in the forearm to correct the severe flexion deformity at the metacarpophalangeal joint.
Al-Ahaideb
Abdulaziz
A
King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia. ahaideb@gmail.com
Drosdowech
Darren S
DS
Pichora
David R
DR
D000368:Aged; D000369:Aged, 80 and over; D001172:Arthritis, Rheumatoid / Q000503:physiopathology / Q000601:surgery*; D050806:Arthroplasty, Replacement, Finger; D003286:Contracture / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D005542:Forearm / Q000601:surgery; D018737:Hand Strength / Q000502:physiology; D006801:Humans; D008297:Male; D008662:Metacarpophalangeal Joint / Q000503:physiopathology / Q000601:surgery*; D008875:Middle Aged; D016059:Range of Motion, Articular / Q000502:physiology; D012189:Retrospective Studies; D013710:Tendons / Q000503:physiopathology / Q000601:surgery*