Long-term results of surgical management of proximal interphalangeal joint contracture

The percutaneous release of accessory collateral ligaments was introduced in 1986 as a safe and quick procedure to be attempted before open, more extensive joint release in the treatment of proximal interphalangeal joint flexion contracture. Our study analyzed the long-term results and patient satisfaction following a percutaneous release in 30 joints after a mean follow-up period of 34 months. In one half of cases the preoperative joint flexion deformity was reduced from 78° to 34°. The best results were observed in patients with osteoarthritis and stiff, immobilized joints. In patients with inflammatory arthritides, marked intraoperative correction was maintained rarely, joint contractures recurred early, and patients were unsatisfied. There were no intraoperative complications. Percutaneous release of the accessory collateral ligaments can produce a long lasting correction of the joint contracture, but careful patient selection and strict postoperative rehabilitation are essential for favorable outcome.

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Long-Term Results of Swanson Silicone Arthroplasty for Proximal Interphalangeal Joint Osteoarthritis

The Journal Of Hand Surgery ◽

10.1016/j.jhsa.2013.11.008 ◽

2014 ◽

Vol 39 (3) ◽

pp. 455-461 ◽

Cited By ~ 45

Author(s):

Joshua G. Bales ◽

Lindley B. Wall ◽

Peter J. Stern

Keyword(s):

Proximal Interphalangeal Joint ◽

Interphalangeal Joint ◽

Long Term Results

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Long-term results of single-stage reduction surgery for the treatment of macrodactyly

Journal of Hand Surgery (European Volume) ◽

10.1177/1753193416658777 ◽

2016 ◽

Vol 42 (1) ◽

pp. 45-50 ◽

Cited By ~ 1

Author(s):

H.-J. Lee ◽

P.-T. Kim ◽

S.-J. Lee ◽

H.-J. Kim ◽

I.-H. Jeon ◽

...

Keyword(s):

Corrective Osteotomy ◽

Proximal Interphalangeal Joint ◽

Interphalangeal Joint ◽

Single Stage ◽

Long Term Results ◽

Reduction Procedure ◽

Level Of Evidence ◽

Distal Interphalangeal ◽

The Mean

We report the long-term results of a single-stage reduction procedure for the treatment of macrodactyly. Six patients (eight cases) were included. These patients underwent a single-stage operation that included debulking with resection of the hypertrophied digital nerve and distal interphalangeal joint fusion or corrective osteotomy. Plain radiographs and functional parameters were assessed. Aesthetic improvement was achieved in all patients. The mean ratios of the lengths and circumference differences between the affected digit and the corresponding normal digit on the other hand were 1:1 and 1:1, respectively. The mean range of motion in the proximal interphalangeal joint was 76°. A sensory deficit in the lateral pulp of the distal phalangeal area was observed in three fingers. The Disabilities of the Arm, Shoulder and Hand score ranged from 0 to 9 (mean 4). The long-term results of the single-stage reduction procedure were satisfactory, as demonstrated by the excellent adjustment of the length and acceptable circumference of the affected digits. Level of evidence: IV

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