Comparison of surgical treatments for triple extensor tendon ruptures in rheumatoid hands: A retrospective study of 48 cases.

Abstract:

OBJECTIVE:This retrospective study was designed to evaluate the outcomes of four different surgical reconstructions for extensor tendon ruptures in ulnar three fingers in 48 patients with rheumatoid arthritis. METHODS:The following four techniques were performed; palmaris longus tendon grafting (PL group; n = 9), extensor indicis proprius (EIP) tendon transfers (EIP group; n = 8), end-to-side transfers with tension-reduced early mobilization (End-to-side group; n = 16), and a combination of end-to-side and EIP transfers (Combination group; n = 15). Loss of extension was evaluated to determine the mean postoperative range of motion of the metacarpophalangeal (MP) joint and clinical outcomes were categorized using modified Geldmacher criteria. RESULTS:Combination group demonstrated the best mean MP joint extension (-3°), followed by End-to-side group (-12°), EIP group (-16°), and PL group (-21°). Combination group yielded the best clinical outcomes with all cases showing good results. CONCLUSIONS:The combination of end-to-side and EIP transfer was an effective surgical reconstruction procedure for triple fingers extension loss.

journal_name

Mod Rheumatol

journal_title

Modern rheumatology

authors

Suzuki T,Iwamoto T,Ikegami H,Sakuma Y,Ikari K,Matsumura N,Ochi K,Sato K,Nakamura M,Matsumoto M,Momohara S

doi

10.3109/14397595.2015.1070446

subject

Has Abstract

pub_date

2016-01-01 00:00:00

pages

206-10

issue

2

eissn

1439-7595

issn

1439-7609

journal_volume

26

pub_type

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