Christopher Jump MBChB MRes FRCS (Tr&Orth), Michael J. Hayton BSc(Hons) MBChB FRCS(Tr&Orth) FFSEM(UK)
{"title":"Outcomes of Small Joint Arthroplasty for the Rheumatoid Hand","authors":"Christopher Jump MBChB MRes FRCS (Tr&Orth), Michael J. Hayton BSc(Hons) MBChB FRCS(Tr&Orth) FFSEM(UK)","doi":"10.1016/j.hcl.2024.07.007","DOIUrl":null,"url":null,"abstract":"The number of patients presenting to the hand surgeon with severe rheumatoid disease has decreased with the introduction of more effective medical management. However some rheumatoid patients will undergo disease progression despite this. MCPJ and PIPJ replacement can be effective surgical treatments in these patients but patient selection is crucial. Patients undergo surgery hoping to achieve improvements in pain, hand function and appearance. Multiple types of implant have been introduced over the years; however, silicone remains the most reliable option in terms of survivorship, complications and achieving the aims of rheumatoid patients.","PeriodicalId":55076,"journal":{"name":"Hand Clinics","volume":null,"pages":null},"PeriodicalIF":0.9000,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Hand Clinics","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.hcl.2024.07.007","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
引用次数: 0
Abstract
The number of patients presenting to the hand surgeon with severe rheumatoid disease has decreased with the introduction of more effective medical management. However some rheumatoid patients will undergo disease progression despite this. MCPJ and PIPJ replacement can be effective surgical treatments in these patients but patient selection is crucial. Patients undergo surgery hoping to achieve improvements in pain, hand function and appearance. Multiple types of implant have been introduced over the years; however, silicone remains the most reliable option in terms of survivorship, complications and achieving the aims of rheumatoid patients.
期刊介绍:
Ideal for orthopedists and those in the field of physical medicine and rehabilitation, Hand Clinics presents the latest in patient management trends and updates on the newest advances in the field. Published four times a year—in February, May, August, and November—each issue covers a single topic in hand surgery, including anatomy, distal radium fractures, carpal metacarpal and phalangeal injuries, tendon injuries, overuse syndromes, and more.