Abstract:
:Arthrodesis of the thumb metacarpophalangeal (MP) joint exhibits good results in rheumatoid patients but is controversial in post-traumatic conditions. This study evaluated the subjective outcome after thumb MP joint arthrodesis in chronic injuries and non-rheumatoid degenerative disorders. Forty-six patients were evaluated retrospectively with a mean follow-up of 4.1 years (range 1.5-6.5). Both the Quick DASH score (mean 18.6; range 0-72.7) and Visual Analogue Scales (satisfaction, pain, stiffness, and impairment of ADL; mean 3.2, 3.0, 3.0, and 2.5; range 0-9.6, 0-9.1, 0-9.8, and 0-9.6, respectively) showed wide variations. Twelve patients regretted the operation and 37 experienced difficulties with one or more specific activities. Multiple regression analyses indicated that elderly patients with painless instability are the best candidates for thumb MP joint arthrodesis. In young patients with excessively painful thumb MP joints and involvement in Workers' Compensation Board claims, but without advanced degenerative changes, this study recommends avoiding arthrodesis and considering alternative treatment modalities. The importance of adequate preoperative information about the realistic expectations after arthrodesis of the thumb MP joint is emphasised.
journal_name
J Plast Surg Hand Surgjournal_title
Journal of plastic surgery and hand surgeryauthors
Rigó IZ,Røkkum Mdoi
10.3109/2000656X.2012.742020subject
Has Abstractpub_date
2013-04-01 00:00:00pages
144-6issue
2eissn
2000-656Xissn
2000-6764journal_volume
47pub_type
杂志文章abstract::The timing of repair of a cleft lip continues to be debated. One of the reasons for delaying operation has been the belief that there is an increased risk of anaesthesia during the neonatal period. As a contribution to this debate we have analysed the anaesthetic and surgical complications of neonatal cleft lip repair...
journal_title:Journal of plastic surgery and hand surgery
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doi:10.1080/2000656X.2018.1520123
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journal_title:Journal of plastic surgery and hand surgery
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doi:10.1080/2000656X.2018.1444618
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pub_type: 临床试验,杂志文章
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journal_title:Journal of plastic surgery and hand surgery
pub_type: 杂志文章
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更新日期:2013-02-01 00:00:00
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pub_type: 杂志文章
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journal_title:Journal of plastic surgery and hand surgery
pub_type: 杂志文章
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更新日期:2013-12-01 00:00:00
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journal_title:Journal of plastic surgery and hand surgery
pub_type: 杂志文章
doi:10.3109/2000656X.2015.1020314
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更新日期:2018-12-01 00:00:00
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journal_title:Journal of plastic surgery and hand surgery
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journal_title:Journal of plastic surgery and hand surgery
pub_type: 杂志文章,meta分析,评审
doi:10.3109/2000656X.2013.788508
更新日期:2013-12-01 00:00:00
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journal_title:Journal of plastic surgery and hand surgery
pub_type: 杂志文章
doi:10.3109/2000656X.2011.569198
更新日期:2011-06-01 00:00:00
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journal_title:Journal of plastic surgery and hand surgery
pub_type: 杂志文章
doi:10.3109/2000656X.2011.631284
更新日期:2011-12-01 00:00:00
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pub_type: 杂志文章
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journal_title:Journal of plastic surgery and hand surgery
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journal_title:Journal of plastic surgery and hand surgery
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pub_type: 杂志文章,多中心研究
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更新日期:2013-10-01 00:00:00
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