Silicone-rubber implant arthroplasty of the metacarpophalangeal joints for rheumatoid arthritis.

Bieber, Eric J.; Weiland, Andrew J.; S, Volenec-Dowling

doi:10.2106/00004623-198668020-00005

Cited by 109 publications

(40 citation statements)

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“…At the time of implantation, synovectomy and soft-tissue balancing procedures are often performed to increase lateral joint stability or enhance the biomechanical advantage of the tendons around the MCP joint. These procedures include release of the tendons of abductor digiti minimi and flexor digiti minimi, 3 reconstruction of the radial collateral ligaments, 4 centralization of the extensor digitorum tendon, and transfer of the intrinsic insertions so that they provide radial pull. 5 Six comparative studies evaluated the efficacy of various soft-tissue rebalancing procedures.…”

mentioning

confidence: 99%

Postoperative therapy after metacarpophalangeal arthroplasty

Massy‐Westropp

Krishnan

2003

Journal of Hand Therapy

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A literature review was conducted to determine the most effective postoperative therapy regimens for metacarpophalangeal (MCP) arthroplasty. The main difference between the regimens was the use of passive MCP extension over active extension and splinting in MCP flexion over splinting in extension. One study did not find continuous passive motion to be significantly beneficial for gaining hand strength or MCP motion. No study evaluated the efficacy or suitability of a particular regimen for specific implants or surgical procedures. J HAND THER. 2003;16:311-314.

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mentioning

confidence: 99%

Postoperative therapy after metacarpophalangeal arthroplasty

Massy‐Westropp

Krishnan

2003

Journal of Hand Therapy

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“…In 1986, Bieber et al [1] from Baltimore, USA reported the results of 210 joints in 55 hands of patients with rheumatoid arthritis who had undergone Swanson MCP joint arthroplasty. Patients were followed up for between 2 and 8 years with an average of 5 1/4.…”

Section: Resultsmentioning

confidence: 99%

Silastic metacarpophalangeal joint arthroplasty

Trail

2006

International Congress Series

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“…2,3,9,19,25,30,44,46,56,60,65 In general, however, following a dorsal incision of the joint capsule, the collateral ligaments are released from their associated metacarpals. A portion of the metacarpal head is removed, followed by an excision of osteophytes from the articular surfaces of the proximal phalanx.…”

Section: Mcp Joint Replacement Arthroplastymentioning

confidence: 99%

The Unstable Metacarpophalangeal Joint in Rheumatoid Arthritis: Anatomy, Pathomechanics, and Physical Rehabilitation Considerations

Bielefeld

Neumann²

2005

J Orthop Sports Phys Ther

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The metacarpophalangeal (MCP) joints bestow important strength to the longitudinal and transverse arch systems of the hand. In addition, these joints guide active movements of the fingers in 2 degrees of freedom, while allowing sufficient laxity for passive accessory motions. Both stability and mobility functions are attained in the healthy hand by a complex interaction among the muscles and the joints' periarticular connective tissues. Rheumatoid arthritis (RA) often causes destruction of the MCP joints' connective tissues, which leads to weakness of the tissues and an imbalance of active and passive forces, and subsequently, instability, pain, and deformity. The 2 most common deformities of the MCP joints associated with RA and instability are palmar subluxation and ulnar ''drift.'' Therapists and physicians often collaborate to treat these conditions through a combination of surgical and nonsurgical interventions. Two of the more conservative nonsurgical interventions typically involve a combination of splinting and education on joint protection. Additional nonsurgical treatment may include the judicious use of exercise and methods for relieving pain and reducing inflammation. Surgical intervention is often indicated when the more conservative treatments fail to arrest the progression of the pain or deformity. Regardless of the specific approach, effective intervention for instability of the MCP joint requires that the clinician possess a sound knowledge of the anatomy and the pathomechanical influences that predispose or cause the instability. This clinical commentary is intended to provide this information, as well as offer treatment guidelines based on our clinical experience. Whenever possible, research will be cited to support clinical interventions. This paper is especially geared to the therapist who may not currently specialize in the treatment of instability of the MCP joint but may require basic information on this important topic. J Orthop Sports Phys Ther 2005;35:502-520.

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Silicone-rubber implant arthroplasty of the metacarpophalangeal joints for rheumatoid arthritis.

Cited by 109 publications

References 0 publications

Postoperative therapy after metacarpophalangeal arthroplasty

Postoperative therapy after metacarpophalangeal arthroplasty

Silastic metacarpophalangeal joint arthroplasty

The Unstable Metacarpophalangeal Joint in Rheumatoid Arthritis: Anatomy, Pathomechanics, and Physical Rehabilitation Considerations

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