Silicone Implant Arthroplasty in Patients With Idiopathic Osteoarthritis of the Metacarpophalangeal Joint

Rettig, Lance A.; Luca, Linda De; Murphy, Michael S.

doi:10.1016/j.jhsa.2005.02.011

Cited by 34 publications

(17 citation statements)

References 8 publications

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“…Nearly half of these papers have been published in the last three years, signaling the increasing application of this test. These papers include conditions such as stroke, spinal cord injury, cerebral palsy, multiple sclerosis, hand and wrist fractures, carpal tunnel syndrome, osteoarthritis, and rheumatoid arthritis (3-11). …”

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confidence: 99%

Validity and Responsiveness of the Jebsen–Taylor Hand Function Test

Sears

Chung

2010

The Journal of Hand Surgery

145

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Purpose The aim of this study is to demonstrate the validity and responsiveness of the Jebsen-Taylor Hand Function Test (JTT) in measuring hand function in patients undergoing hand surgery. Methods A prospective cohort of patients with the following conditions: (1) rheumatoid arthritis (n=37), (2) osteoarthritis (n=10), (3) carpal tunnel syndrome (n=18), and (4) distal radius fracture (n=46), were evaluated preoperatively and at 9 – 12 months follow-up. The JTT and Michigan Hand Outcomes Questionnaire (MHQ) were administered. Correlation and receiver operating characteristic (ROC) analysis were performed to evaluate the validity of the JTT as a measure of disability. Effect size and standardized response means (SRM) were calculated to determine responsiveness. Results Correlation studies revealed poor correlation of the JTT to MHQ total scores and subsets that relate to hand function. Patients with high MHQ scores generally perform well on the JTT; however, patients with good JTT scores do not necessarily have high MHQ scores. ROC curves for each condition show that the change in JTT total score had poor ability to discriminate between high and low MHQ score subjects, with area under the curve (AUC) of 0.52 – 0.66 for each of the conditions. Effect size and SRM for all states showed greater responsiveness with the MHQ for each condition when compared to JTT. Conclusions We found poor correlation between the change in JTT and absolute JTT scores after surgery when compared to change in MHQ and absolute MHQ scores. In addition, the JTT has poor discriminant validity based on the MHQ as a reference. This study showed that the time to complete activities does not correlate well with patient reported outcomes. We conclude that the JTT should not be used as a measure of disability or clinical change after surgical intervention. Type of Study Prospective cohort Level of Evidence Level III

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confidence: 99%

Validity and Responsiveness of the Jebsen–Taylor Hand Function Test

Sears

Chung

2010

The Journal of Hand Surgery

145

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“…The Swanson implant and other silicone implants with a straight-stemmed design have had only limited reporting in the treatment of osteoarthritis. To our knowledge, only 1 case report 13 and 1 study 14 have used these implants as successful alternatives to arthrodesis for pain relief and preservation of motion at an osteoarthritic MCP joint. Neither of these studies used the NeuFlex implant in treatment.…”

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confidence: 99%

Anatomically Neutral Silicone Small Joint Arthroplasty for Osteoarthritis

Namdari

Weiss

2009

The Journal of Hand Surgery

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“…In addition, other complications of implant arthroplasty including instability, implant fracture, implant loosening, endosteal bone resorption, lymphadenopathy, and periarticular synovitis also limit use of silicone implant arthroplasty. 7,9 Initially, the indication of volar plate arthroplasty was considered as acute fracture-dislocation of PIP joints in which accurate joint congruity was not possible. 10 Since 1967, the indications were expanded to long-term persistent fracture-dislocation, osteoarthritis of PIP joints, 11 and rheumatoid arthritis of MCP joints.…”

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confidence: 99%