An alternative splinting and rehabilitation protocol for metacarpophalangeal joint arthroplasty in patients with rheumatoid arthritis

2002 ◽  
Vol 15 (1) ◽  
pp. 41-47
Author(s):  
N. Burr ◽  
A. L. Pratt ◽  
P. J. Smith
Hand Surgery ◽  
2013 ◽  
Vol 18 (03) ◽  
pp. 429-430
Author(s):  
H. D. Measuria ◽  
T. J. McBride ◽  
S. C. Talwalkar

Metallosis is a well-documented phenomenon in hip and knee arthroplasty from metal on metal bearing joint replacements. However, few cases of metallosis of metacarpophalangeal joint replacements have been reported. We present the case of a 49-year-old lady with rheumatoid arthritis who had previously undergone MCP joint replacements over 20 years ago. The decision was taken to revise her middle MCP joint after she developed pain and ulnar drift. At revision, the joint exhibited severe metallosis presumably arising from the grommet component of the replacement. This required considerable debridement and removal of the components and revision to a new upsized implant without grommets. It is of note that there were no external signs of metallosis with full flexion of the finger and a good roll up.


1997 ◽  
Vol 342 ◽  
pp. 11???15 ◽  
Author(s):  
Kenneth K. Hansraj ◽  
Charles R. Ashworth ◽  
Edward Ebramzadeh ◽  
Andrew O. Todd ◽  
Marcia D. Griffin ◽  
...  

Hand Surgery ◽  
2009 ◽  
Vol 14 (01) ◽  
pp. 25-29 ◽  
Author(s):  
Katsumitsu Arai ◽  
Hajime Ishikawa ◽  
Takehiro Murai ◽  
Junichi Fujisawa ◽  
Naoto Endo

We report a case of a patient with rheumatoid arthritis undergoing revision surgery 30 years after primary metacarpophalangeal joint arthroplasty using a Swanson implant. Removal and replacement of the implant were successfully performed, and the patient was satisfied with the revision surgery.


2003 ◽  
Vol 11 (3) ◽  
pp. 184-191 ◽  
Author(s):  
Joseph A. Abboud ◽  
Pedro K. Beredjiklian ◽  
David J. Bozentka

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