PROXIMAL INTERPHALANGEAL JOINT SURFACE REPLACEMENT ARTHROPLASTY
A consecutive series of 20 joints in 13 patients underwent arthroplasty with the RMS PIP joint surface replacement implant. Twelve joints were treated for painful osteoarthritis (all females). Two joints were implanted for rheumatoid arthritis, two for post-traumatic pain and stiffness, two for post...
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Published in | Hand surgery Vol. 6; no. 1; pp. 1 - 11 |
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Main Author | |
Format | Journal Article |
Language | English |
Published |
Singapore
World Scientific Publishing Company
01.07.2001
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Subjects | |
Online Access | Get full text |
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Summary: | A consecutive series of 20 joints in 13 patients underwent
arthroplasty with the RMS PIP joint surface replacement implant.
Twelve joints were treated for painful osteoarthritis (all females).
Two joints were implanted for rheumatoid arthritis, two for
post-traumatic pain and stiffness, two for post-traumatic
stiffness and one each for post-traumatic pain and pain-free
post-traumatic instability. Excellent, often total long-term pain
relief was obtained in 18 joints. The other two patients with (compensible
work-related) post-traumatic pain and stiffness reported
"50–70% pain reduction". No patients lost movement and
14 out of 20 joints were pain-free with a 73.1° average arc of motion.
Six joints from the first half of the series had poor motion (average arc of
19.6°), even after open extensor tenolysis or manipulation under anaesthesia.
As experience was gained, reliably better results were achieved with a more
intensive regimen of hand therapy, particularly within the first
post-operative week. |
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Bibliography: | ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3 |
ISSN: | 0218-8104 1793-6535 |
DOI: | 10.1142/S021881040100045X |