title: Total proximal interphalangeal joint arthroplasty for osteoarthritis versus rheumatoid arthritis--a systematic review.
abstract: Osteoarthritis (OA) and rheumatoid arthritis (RA) of the proximal interphalangeal joints (PIPJ) can be treated with arthroplasty, although the complicated anatomy of the joint makes surgery challenging. Controversy exists regarding outcomes in relation to disease aetiology. This study aims to compare functional outcomes and re-operation rates in these two conditions. The electronic databases MEDLINE, EMBASE, Cochrane database and Google scholar were searched in accordance with PRISMA. The study quality was assessed using the Methodological Index for Non-Randomised Studies (MINOR). A total of 16 studies were reviewed including 506 cases in the OA and 542 in the RA group. Five studies assessed function and patient satisfaction, demonstrating a non-significant improvement in the OA group. Five studies reported re-operation rate; three showing it to be lower in the OA group and two reporting similar rates. This review suggests that those undergoing PIPJ arthroplasty for OA may have a better functional outcome and lower re-operation rate.
authors.affiliation: University College Hospital London, 235 Euston Rd, Fitzrovia, London NW1 2BU, UK.
authors.forename: Mazin Saad
authors.initials: MS
authors.lastname: Ibrahim
authors.forename: Robert W
authors.initials: RW
authors.lastname: Jordan
authors.forename: Rami
authors.initials: R
authors.lastname: Kallala
authors.forename: Jacob
authors.initials: J
authors.lastname: Koris
authors.forename: Indranil
authors.initials: I
authors.lastname: Chakrabarti
mesh_terms: D001172:Arthritis, Rheumatoid / Q000601:surgery*; D019643:Arthroplasty, Replacement / Q000379:methods*; D005384:Finger Joint / Q000601:surgery*; D006801:Humans; D007595:Joint Prosthesis; D010003:Osteoarthritis / Q000601:surgery*; D017060:Patient Satisfaction; D020127:Recovery of Function; D012086:Reoperation
keywords: Arthroplasty; Osteoarthritis; Proximal Interphalangeal Joint; Replacement; Rheumatoid Arthritis