Metacarpophalangeal Arthroplasty for Osteoarthritis

Martin, Adam S.; Awan, Hisham M.

doi:10.1016/j.jhsa.2015.05.019

Cited by 5 publications

(6 citation statements)

References 10 publications

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“…For many, the pain is relieved with conservative treatments, such as nonsteroidal anti-inflammatory medications, disease-modifying antirheumatic drugs, orthosis fabrication, and corticosteroid injections. 1 , 2 Those who do not receive relief from their symptoms may elect to proceed with MCP joint arthroplasty. Most often, patients are satisfied with their results.…”

Section: Discussionmentioning

confidence: 99%

“…Metacarpophalangeal (MCP) joint arthritis may be idiopathic, posttraumatic, or secondary related to inflammatory disease, crystalline arthropathy, or hemochromatosis, usually involving the index and middle fingers. 1 , 2 , 3 The most common causes are rheumatoid and inflammatory arthritis. Although these are the most common causes, it is important to recognize hemochromatosis as another underlying cause, as 20% to 55% of these patients present with MCP arthritis.…”

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confidence: 99%

“…Patients may present with pain, swelling, and limited motion of the affected MCP joint. 1 Nonsurgical management includes nonsteroidal anti-inflammatory medications, disease-modifying antirheumatic drugs with inflammatory causes, static and dynamic orthosis fabrication, and corticosteroid injections. 1 , 3 Many patients receive relief from their symptoms with these treatments.…”

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confidence: 99%

“… 1 Nonsurgical management includes nonsteroidal anti-inflammatory medications, disease-modifying antirheumatic drugs with inflammatory causes, static and dynamic orthosis fabrication, and corticosteroid injections. 1 , 3 Many patients receive relief from their symptoms with these treatments. However, for those with refractory symptoms, arthroplasty may be a suitable option.…”

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confidence: 99%

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A Painful, Squeaking Pyrolytic Carbon Metacarpophalangeal Joint Replacement

Rashid

Meade²,

Meyers³

et al. 2023

Journal of Hand Surgery Global Online

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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confidence: 99%

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A Painful, Squeaking Pyrolytic Carbon Metacarpophalangeal Joint Replacement

Rashid

Meade²,

Meyers³

et al. 2023

Journal of Hand Surgery Global Online

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“…The metacarpophalangeal joint plays a crucial role in the functional activities of the hand. Patients with metacarpal and phalangeal bone injury and joint stiffness due to various reasons can be treated by joint fusion, free metatarsophalangeal joint transplantation and artificial metacarpophalangeal joint replacement [ 1 – 4 ]. Burman [ 5 ] first reported the replacement of metacarpophalangeal joint, which has gradually been performed for metacarpophalangeal joint stiffness and pain.…”

Section: Introductionmentioning

confidence: 99%

Mechanical properties evaluation of metacarpophalangeal joint prosthesis with new titanium-nickel memory alloy: a cadaver study

Guo,

Qi,

et al. 2023

BMC Musculoskelet Disord

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Objective Ni-Ti memory alloys are unusual materials for hard-tissue replacement because of their unique superelasticity, good biocompatibility, high strength, low specific gravity, low magnetism, wear resistance, corrosion resistance and fatigue resistance. The current study aims to evaluate its mechanical properties and provide biomechanical basis for the clinical application of the prosthesis. Methods Ten adult metacarpophalangeal joint specimens were randomly divided into a prosthesis group (n = 5, underwent metacarpophalangeal joint prosthesis) and a control group (n = 5, underwent sham operation). Firstly, the axial compression strength was tested with BOSE material testing machine to evaluate its biomechanical strength. Secondly, these specimens were tested for strain changes using BOSE material testing machine and GOM non-contact optical strain measurement system to evaluate the stress changes. Thirdly, fatigue test was performed between groups. Lastly, the mechanical wear of the metacarpophalangeal joint prosthesis was tested with ETK5510 material testing machine to study its mechanical properties. Results Axial compression stiffness in the prosthesis group was greater than that in the control group in terms of 30 ° and 60 ° flexion positions (P < 0.05). There was no statistically significant difference between two groups with regards to axial compression stiffness and stress change test (P > 0.05). In the fatigue wear test, the mean mass loss in the prosthesis group’s prosthesis was 17.2 mg and 17.619 mm3, respectively. The mean volume wear rate was 0.12%. There was no statistically significant difference in the maximum pull-out force of the metacarpal, phalangeal, and polymer polyethylene pads between the prosthesis group and the control group specimens. Conclusions Ni-Ti memory alloy metacarpophalangeal joint prosthesis conforms to the biomechanical characteristics of metacarpophalangeal joints without implants, and the fatigue strength can fully meet the needs of metacarpophalangeal joint activities after joint replacement.

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Osteoarthritis and Prosthetic Joints in the Hand

Forte¹,

Murray²

2022

Plastic Surgery - Principles and Practice

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Metacarpophalangeal Arthroplasty for Osteoarthritis

Cited by 5 publications

References 10 publications

A Painful, Squeaking Pyrolytic Carbon Metacarpophalangeal Joint Replacement

A Painful, Squeaking Pyrolytic Carbon Metacarpophalangeal Joint Replacement

Mechanical properties evaluation of metacarpophalangeal joint prosthesis with new titanium-nickel memory alloy: a cadaver study

Osteoarthritis and Prosthetic Joints in the Hand

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