Emergency metacarpophalangeal arthroplasty with bone grafting for traumatic joint destruction

Pomarès, Germain; Calafat, V.; Montoya-Faivre, D.; Dap, F.; Dautel, G.

doi:10.1016/j.otsr.2017.07.007

Cited by 3 publications

(1 citation statement)

References 9 publications

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“…[2][3][4][5] Previous studies have shown that the key to emergency MCP joint replacement is to prevent infection, and second-stage surgery is often performed when the infection is severe. 6,7 With the development of drug research and the advancements of antibiotics, arthroplasty can relieve the problems of stiffness and capsular contractures when it is performed early. However, there are still some complications, such as early fractures of the implant, progressive stiffness of the hand and silicone synovitis.…”

Section: Introductionmentioning

confidence: 99%

Arthroplasty for Treating Traumatic Metacarpophalangeal Joint Defects: A Retrospective Study Over Three Years

Xie¹,

Lan²,

Lin³

2021

JPR

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Background: Bone loss at the metacarpophalangeal joint (MCP) after trauma is difficult to treat. Objective: We aimed to investigate the effectiveness of Swanson's arthroplasty and the reason for implant fracture. Methods: We retrospectively analyzed the data of 175 patients who underwent emergency MCP arthroplasty between 2013 and 2016. Some patients used a orthosis to limit the radioulnar movement of the metacarpal joint for eight weeks after surgery (Group A), while the other patients underwent only hand rehabilitation after surgery (Group B). The basic information and perioperative data of the patients were compared. The patients were followed up clinically for an average of 65±19 months. Postoperative and follow-up complications and functional parameters were recorded and compared. Stress model of implant fracture had been analyzed in order to mark the frequent area. Results: A total of 162 patients were followed up, 4 of whom were lost to follow-up completely and 9 of whom were followed up by telephone only. There were 11 and 26 implant fractures in groups A and B, respectively (P=0.019), and the degrees of radioulnar movement were 2±1° and 7±4°, respectively (P<0.01). The disabilities of the arm, shoulder, and hand (DASH) score and MCP joint range of motion (ROM) did not significantly differ. Conclusion:The effect of Swanson's arthroplasty for bone loss at MCP joint is useful. The radioulnar stress may be the reason for implant fracture. Joint orthosis can reduce the incidence of implant fractures.

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