Use of volar plate for reconstructing the radial collateral ligament after metacarpophalangeal arthroplasty of fingers in rheumatoid arthritis: Surgical technique

Kleinert, Harold E.; Sunil, T.M.

doi:10.1016/j.jhsa.2004.08.013

Cited by 8 publications

(7 citation statements)

References 8 publications

(2 reference statements)

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“…Length and width of PP principally determines length and size of the flaps which would be harvested in reconstructive procedures. As the grafts or flaps have been used to replace attenuated ligaments which are insufficient for repair (Kleinert and Sunil, 2005) thickness of donor site is also extremely important.…”

Section: Discussionmentioning

confidence: 99%

“…In these stages of the disease, radial collateral ligament is attenuated grossly and affords inadequate substance for reconstruction. Kleinert and Sunil (2005) described as PP of MCP joint as a suitable donor site for harvesting a new collateral ligament in these instances. In operative technique only PP is totally harvested except one-third or one-fourth of the width of its distal radial side.…”

Section: Discussionmentioning

confidence: 99%

“…PP has a major role in joint stability by maintaining static resistance against hyperextension forces (Kaplan, 1957;Bowers, 1981). Also it provides stability against lateral displacement and torsional forces supported laterally by collateral ligaments (Bowers et al, 1980; fibrocartilaginous material in reconstruction of joints in palmar plate arthroplasty (PPA) (Tupper, 1989;Deitch et al, 1999;Dionysian and Eaton, 2000;Gotze and Jensen, 2000), in belt loop technique of pulley reconstruction (Karev et al, 1987;Lin et al, 1990), and in radial collateral ligament reconstruction (Kleinert and Sunil, 2005).…”

Section: Introductionmentioning

confidence: 99%

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Morphometric analysis of metacarpophalangeal and proximal interphalangeal palmar plates

et al. 2008

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Palmar plates are being used as a source of graft in radial or ulnar collateral ligament reconstruction, pulley reconstruction, and volar plate arthroplasty. The purpose of this study is to determine morphometric and major histological differences of palmar plates in metacarpophalangeal (MCP) and proximal interphalangeal (PIP) joints among fingers, and supply sufficient data which would be useful in reconstruction procedures. Ninety-six MCP and 96 PIP palmar plates of 12 well-preserved formalin-fixed cadavers were measured focusing on their length, width, central thickness, and lateral thickness and statistically analyzed using ANOVA. Randomized three male and three female cadavers' specimens were examined histologically after staining with Masson's trichrome. For central thickness of the PIP joint level, there was significant difference among fingers, caused by the middle and little fingers. For lateral thickness of the PIP joint level, there was significant difference which was originated from little fingers. MCP palmar plates were significantly thicker than PIP joint levels for most of the fingers. There were thicker and denser collagen bands in MCP than PIP palmar plates. The relation of size-related parameters was not close with the thickness parameters. The predicted sizes and thicknesses of palmar plates vary according to fingers. The data collected for each finger in this study should be used as a guide in reconstructive procedures that use palmar plates as source of graft.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Morphometric analysis of metacarpophalangeal and proximal interphalangeal palmar plates

et al. 2008

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“…Use of the volar plate for reconstructing the radial collateral ligament after MCP joint tenosynovectomy may also be recommended either for soft tissue reconstruction alone or after arthroplasty [8]. Actually the volar plate is often intact and may be used for several purposes; reconstructing the RCL or as an interposition arthroplasty as described by Tupper.…”

Section: Soft Tissue Reconstructionmentioning

confidence: 99%

Surgery of the MCP joints in rheumatoid arthritis

Moutet¹,

Corcella²,

Pradel³

et al. 2006

International Congress Series

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“…Other methods described used the volar plate 8 or the abductor pollicis, 9 but the latter is indicated for the thumb.…”

Section: Introductionmentioning

confidence: 99%

Anatomical Study of the First Dorsal Interosseous Tendon for its Use as a Plasty of the Radial Collateral Ligament of the Index Metacarpophalangeal Joint

Ferreres

Valle

Rodríguez

2017

Rev Iberoam Cir Mano

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Keywords► index metacarpophalangeal joint ► radial collateral ligament ► ligamentous plasty AbstractPurpose The authors present an anatomical study to justify the use of the distal portion of the tendon of the first dorsal interosseous muscle (FDIM) for the repair of the chronic rupture of the radial collateral ligament (RCL) of the metacarpophalangeal joint of the index finger. Methods Ten hands of cryopreserved specimens were used and thawed at room temperature for dissection with optical magnification. Five were hands of women, and their ages ranged from 46-96 years (mean: 72.8), and 8 corresponded to the right hand. Results The length of the tendon of the FDIM ranged from 20 to 40 mm (mean: 25mm). The length of the RCL ranged from 14 to 24 mm (mean: 18.2 mm). The difference between both structures of the same specimen averaged 6.8 mm (2-16 mm). Therefore, the dorsal portion of the tendon of the FIDM is always at least 2 mm longer than the length of the RCL. Conclusions In conclusion, this is a simple technique that allows the surgeon to perform a plasty of the RCL without sacrificing another tendon in the absence of the palmaris longus, which is more commonly used for this purpose. The maintenance of its distal insertion may also help in the revascularization of the repaired area. ResumenObjetivo presentamos un estudio anatómico que sugiere el uso del tendón distal del músculo primer interóseo dorsal (MPID) en la reparación de la lesión crónica del ligamento colateral radial (LCR) de la articulación metacarpofalángica del índice.

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Use of volar plate for reconstructing the radial collateral ligament after metacarpophalangeal arthroplasty of fingers in rheumatoid arthritis: Surgical technique

Cited by 8 publications

References 8 publications

Morphometric analysis of metacarpophalangeal and proximal interphalangeal palmar plates

Morphometric analysis of metacarpophalangeal and proximal interphalangeal palmar plates

Surgery of the MCP joints in rheumatoid arthritis

Anatomical Study of the First Dorsal Interosseous Tendon for its Use as a Plasty of the Radial Collateral Ligament of the Index Metacarpophalangeal Joint

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