title: Three- to six-year results of metacarpophalangeal joints arthroplasty in psoriatic arthritis.
abstract: BACKGROUND
  Patients with psoriatic arthritis often need the replacement of the hand joints owing to the high prevalence of hand joints involvement and their often severe destruction and/or function loss. The long-term results of silicone arthroplasty of metacarpophalangeal joints in psoriatic patients are almost unreported in the scientific literature.
  
  
  METHODS
  We analyzed 3- to 6-year results of 14 metacarpophalangeal joint replacements with silicone implants that we performed in nine psoriatic patients.
  
  
  RESULTS
  The metacarpophalangeal joints arthroplasty in all the patients led to the significant short-term and long-term increase of range of motions and decrease of pain. However, two complications occurred. The choice of the implant, the possibility, causes, and significance of the complications are justified.
  
  
  CONCLUSIONS
  Metacarpophalangeal joints silicone arthroplasty in psoriatic arthritis during skin manifestations remission period is an effective and relatively safe method of finger joints contractures and deformities treatment.
authors.affiliation: National Medical University n.a. Bohomoletz A.A., Department of Orthopedics and Traumatology, 01601, Shevchenko avenue 13, Kiev, Ukraine.
authors.forename: Alexander
authors.initials: A
authors.lastname: Buryanov
authors.affiliation: National Medical University n.a. Bohomoletz A.A., Department of Orthopedics;Kyiv City Clinical Hospital No. 12, City Center of Urgent Specialized Orthopedic and Traumatologic Aid, Department of Traumatology, Pidvisotskogo street 4A, Kiev, Ukraine.
authors.forename: Viktor
authors.initials: V
authors.lastname: Kotiuk
authors.affiliation: National Medical University n.a. Bohomoletz A.A., Department of Orthopedics and Traumatology, 01601, Shevchenko avenue 13, Kiev, Ukraine.
authors.forename: Vladimir
authors.initials: V
authors.lastname: Kvasha
authors.affiliation: Kyiv City Clinical Hospital No. 12, City Center of Urgent Specialized Orthopedic and Traumatologic Aid, Department of Traumatology, Pidvisotskogo street 4A, Kiev, Ukraine.
authors.forename: Anatoliy
authors.initials: A
authors.lastname: Samokhin
mesh_terms: D000328:Adult; D000368:Aged; D015535:Arthritis, Psoriatic / Q000601:surgery*; D050806:Arthroplasty, Replacement, Finger; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007595:Joint Prosthesis; D008297:Male; D008662:Metacarpophalangeal Joint / Q000601:surgery*; D008875:Middle Aged; D011446:Prospective Studies; D016059:Range of Motion, Articular; D012828:Silicones; D064232:Visual Analog Scale
chemical_list: D012828:Silicones