Affiliation:
1. From the Department of Plastic Surgery, The Queen Victoria Hospital, East Grinstead, West Sussex, UK
Abstract
Forty-three hands in 36 adults undergoing Silastic interposition arthroplasty of the index, middle, ring and little finger metacarpophalangeal joints for rheumatoid arthritis were randomly allocated to undergo replacement with or without crossed intrinsic transfer. The patients were reviewed at a median of 17 (range, 7–50) months after surgery. The demographic characteristics and pre-operative clinical measurements of the two groups were indistinguishable. Both groups showed improvement in ulnar drift and an altered arc, but no change in total range of motion at the metacarpophalangeal joints. Grip strength and pulp to pulp pinch were significantly and comparably improved in both groups. There was no difference in pain scores or perceived function between the treatment groups. It is concluded that crossed intrinsic transfer does not significantly affect the outcome of Silastic interposition arthroplasty of the metacarpophalangeal joints in rheumatoid patients.
Cited by
21 articles.
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1. Cross Intrinsic Tendon Transfer, Extensor Tendon Centralization, and Metacarpophalangeal Joint Synovectomy;Operative Techniques: Hand and Wrist Surgery;2018
2. Concepts in Ulnar Drift Deformity;Clinical Management of the Rheumatoid Hand, Wrist, and Elbow;2016
3. Treatment of MCP Joints in the Rheumatoid Hand;Clinical Management of the Rheumatoid Hand, Wrist, and Elbow;2016
4. Intrinsic Contracture of the Hand: Diagnosis and Management;Journal of the American Academy of Orthopaedic Surgeons;2013-10
5. Crossed Intrinsic Tendon Transfer;Operative Techniques: Hand and Wrist Surgery;2012