Minimum 5-Year Follow-Up Assessment of Volar Plate Interposition Arthroplasty for Post-Traumatic Osteoarthritis in Proximal Interphalangeal Joints

被引:0
作者
Chang, Chung-Chia [1 ]
Lin, Sung-Yen [1 ,2 ,3 ,4 ]
Lu, Chun-Kuan [5 ]
Jupiter, Jesse B. B. [6 ]
Fu, Yin-Chih [1 ,3 ,4 ,7 ,8 ]
Liu, Wen-Chih [1 ,3 ,4 ,6 ,8 ,9 ]
机构
[1] Kaohsiung Med Univ Hosp, Kaohsiung Med Univ, Dept Orthoped Surg, Kaohsiung 80756, Taiwan
[2] Kaohsiung Med Univ, Coll Med, Sch Postbaccalaureate Med, Kaohsiung, Taiwan
[3] Kaohsiung Med Univ, Orthopaed Res Ctr, Kaohsiung, Taiwan
[4] Kaohsiung Med Univ, Regenerat Med & Cell Therapy Res Ctr, Kaohsiung, Taiwan
[5] Pk One Int Hosp, Dept Orthoped, Kaohsiung, Taiwan
[6] Harvard Med Sch, Massachusetts Gen Hosp, Hand & Arm Ctr, Dept Orthoped Surg, Boston, MA 02114 USA
[7] Kaohsiung Municipal Tatung Hosp, Dept Orthoped Surg, Kaohsiung, Taiwan
[8] Kaohsiung Med Univ, Coll Med, PhD Program Biomed Engn, Kaohsiung, Taiwan
[9] Kaohsiung Med Univ, Coll Med, Sch Med, Kaohsiung, Taiwan
关键词
volar plate arthroplasty; volar plate interposition arthroplasty; post-traumatic osteoarthritis; hand injury; joint preservation; proximal interphalangeal joint; SILICONE ARTHROPLASTY; RECONSTRUCTION; ARTHRODESIS; OUTCOMES; COMPLICATIONS; ARTHRITIS; HAND;
D O I
10.3390/jcm12144760
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
This is a retrospective study to evaluate the outcome of volar plate interposition arthroplasty for proximal interphalangeal joint post-traumatic osteoarthritis with a minimum 5-year follow-up. We identified patients receiving volar plate interposition arthroplasty for post-traumatic osteoarthritis in proximal interphalangeal joints. The measurements included the numeric pain scale (on a scale of 0-10), the proximal interphalangeal joint active range of motion, the Michigan Hand Outcomes Questionnaire, the perioperative radiograph of the involved digit, proximal interphalangeal joint stability, and pinch strength. Eight patients with a median age of 44 years old (interquartile range (IQR): 29.3-56.8) were included in this study. The median follow-up period was 6.5 years (range of 5-11 years). The median numeric pain scale improved from 5 (IQR: 4.3-6.0) preoperatively to 0 (IQR 0-0.8) at the follow-up evaluation (p = 0.011). All digits demonstrated stability during manual stress testing compared to their noninjured counterparts. The median active proximal interphalangeal joint arc of motion improved from 25 & DEG; to 55 & DEG; (p = 0.011). The pinch strength of the fingers on the injured hand was weaker than those on the contralateral hand (2.2 Kg vs. 3.7 Kg, p = 0.012). We suggested that volar plate interposition arthroplasty may be an alternative surgical option for post-traumatic osteoarthritis in the proximal interphalangeal joints.
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页数:12
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