Comparative study of metacarpophalangeal joint arthroplasty effectiveness in patients with rheumatoid hand
Objective - to determine the optimal implant for metacarpophalangeal joint arthroplasty in patients with rheumatoid hand. Materials and methods. 24 patients with rheumatoid hand were operated in Vreden Russian Research Institute of Traumatology and Orthopedics (St.-Petersburg, Russia). 37 MCPJ arthr...
| Main Authors: | , |
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| Format: | Article |
| Language: | Russian |
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Vreden Russian Research Institute of Traumatology and Orthopedics
2016-09-01
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| Series: | Travmatologiâ i Ortopediâ Rossii |
| Subjects: | |
| Online Access: | https://journal.rniito.org/jour/article/view/113 |
| _version_ | 1819152976064806912 |
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| author | L. A. Rodomanova A. O. Afanas’Yev |
| author_facet | L. A. Rodomanova A. O. Afanas’Yev |
| author_sort | L. A. Rodomanova |
| collection | DOAJ |
| description | Objective - to determine the optimal implant for metacarpophalangeal joint arthroplasty in patients with rheumatoid hand. Materials and methods. 24 patients with rheumatoid hand were operated in Vreden Russian Research Institute of Traumatology and Orthopedics (St.-Petersburg, Russia). 37 MCPJ arthroplasties were performed with 129 implants of 3 types. First group consisted of 11 patients with 43 implanted NeuFlex “DePuy International Ltd.” silicone implants on 12 hands. Second group - 6 patients with 26 implants Daphne “TECRES S.p.A.” on 7 hands. Third group - 16 patients with 60 implants RM Finger “MATHYS AG Bettlach” on 17 hands. Criteria for treatment effectiveness were estimated taking into account hand function, complications and also relapse of deformation. We compared movement amplitude in MCP joins, angle of ulnar drift, strength of hand and also subjective assessment by patients with DASH. Results were fixed before surgery and 3, 6 and 12 months after. Results. Complications were recorded in I and II of patient groupsin 50% of cases:fracturesof components, dislocations of construction, relapse of ulnar drift. Complications in III group of patients were not detected. Range of motion and function improvement were increased in all groups (p>0,05), as well as strength of hand. But the most stable growth of hand strength was fixed only in III group (p |
| first_indexed | 2024-12-22T14:57:50Z |
| format | Article |
| id | doaj.art-82de1543d98d49868a5529e21793bcaf |
| institution | Directory Open Access Journal |
| issn | 2311-2905 2542-0933 |
| language | Russian |
| last_indexed | 2024-12-22T14:57:50Z |
| publishDate | 2016-09-01 |
| publisher | Vreden Russian Research Institute of Traumatology and Orthopedics |
| record_format | Article |
| series | Travmatologiâ i Ortopediâ Rossii |
| spelling | doaj.art-82de1543d98d49868a5529e21793bcaf2022-12-21T18:22:12ZrusVreden Russian Research Institute of Traumatology and OrthopedicsTravmatologiâ i Ortopediâ Rossii2311-29052542-09332016-09-0101425010.21823/2311-2905-2015-0-1-48-51110Comparative study of metacarpophalangeal joint arthroplasty effectiveness in patients with rheumatoid handL. A. Rodomanova0A. O. Afanas’Yev1Vreden Russian Research Institut of Traumatology and Ortopedics; Nort-Western State Medical UniversityVreden Russian Research Institute of Traumatology and OrthopedicsObjective - to determine the optimal implant for metacarpophalangeal joint arthroplasty in patients with rheumatoid hand. Materials and methods. 24 patients with rheumatoid hand were operated in Vreden Russian Research Institute of Traumatology and Orthopedics (St.-Petersburg, Russia). 37 MCPJ arthroplasties were performed with 129 implants of 3 types. First group consisted of 11 patients with 43 implanted NeuFlex “DePuy International Ltd.” silicone implants on 12 hands. Second group - 6 patients with 26 implants Daphne “TECRES S.p.A.” on 7 hands. Third group - 16 patients with 60 implants RM Finger “MATHYS AG Bettlach” on 17 hands. Criteria for treatment effectiveness were estimated taking into account hand function, complications and also relapse of deformation. We compared movement amplitude in MCP joins, angle of ulnar drift, strength of hand and also subjective assessment by patients with DASH. Results were fixed before surgery and 3, 6 and 12 months after. Results. Complications were recorded in I and II of patient groupsin 50% of cases:fracturesof components, dislocations of construction, relapse of ulnar drift. Complications in III group of patients were not detected. Range of motion and function improvement were increased in all groups (p>0,05), as well as strength of hand. But the most stable growth of hand strength was fixed only in III group (phttps://journal.rniito.org/jour/article/view/113ревматоидные поражения кистиэндопротезирование пястно-фаланговых суставовmetacarpophalangeal joint arthroplastyrheumatoid hand |
| spellingShingle | L. A. Rodomanova A. O. Afanas’Yev Comparative study of metacarpophalangeal joint arthroplasty effectiveness in patients with rheumatoid hand Travmatologiâ i Ortopediâ Rossii ревматоидные поражения кисти эндопротезирование пястно-фаланговых суставов metacarpophalangeal joint arthroplasty rheumatoid hand |
| title | Comparative study of metacarpophalangeal joint arthroplasty effectiveness in patients with rheumatoid hand |
| title_full | Comparative study of metacarpophalangeal joint arthroplasty effectiveness in patients with rheumatoid hand |
| title_fullStr | Comparative study of metacarpophalangeal joint arthroplasty effectiveness in patients with rheumatoid hand |
| title_full_unstemmed | Comparative study of metacarpophalangeal joint arthroplasty effectiveness in patients with rheumatoid hand |
| title_short | Comparative study of metacarpophalangeal joint arthroplasty effectiveness in patients with rheumatoid hand |
| title_sort | comparative study of metacarpophalangeal joint arthroplasty effectiveness in patients with rheumatoid hand |
| topic | ревматоидные поражения кисти эндопротезирование пястно-фаланговых суставов metacarpophalangeal joint arthroplasty rheumatoid hand |
| url | https://journal.rniito.org/jour/article/view/113 |
| work_keys_str_mv | AT larodomanova comparativestudyofmetacarpophalangealjointarthroplastyeffectivenessinpatientswithrheumatoidhand AT aoafanasyev comparativestudyofmetacarpophalangealjointarthroplastyeffectivenessinpatientswithrheumatoidhand |