This Article
Right arrow Full Text (PDF)
Right arrow Letters to the Editor: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when Letters to the Editor are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrowReprints and Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Flatt, A. E.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Flatt, A. E.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Technorati  
What's this?
Journal of Bone and Joint Surgery, 1961;43:753-774.
© 1961 by The Journal of Bone and Joint Surgery, Inc

Restoration of Rheumatoid Finger-Joint Function

Interim Report on Trial of Prosthetic Replacement

Adrian E. Flatt M.D., F.R.C.S.1

1 Department of Orthopaedic Surgery, University Hospitals, Iowa City

Metallic hinged prostheses have been used in an attempt to restore some function to the metacarpophalangeal and proximal interphalangeal joints of fingers involved by rheumatoid arthritis.

Indications for prosthetic replacement at the proximal interphalangeal joint are considered to be: (1) gross joint destruction, (2) persistent swan-neck deformity, and (3) ankylosis of the joint in a non-functional position. At the metacarpophalangeal joint the indications are considered to be: (1) gross joint destruction, (2) palmar dislocation of the joint, and (3) persistent ulnar drift combined with joint destruction or palmar dislocation. It is a prerequisite of prosthetic replacement that there be adequate muscle power to control the joint. Six cases are described and illustrated. Some typical complications, such as boutonnière deformity, fracture of the phalanges, and lack of voluntary control, are discussed.

A total of fifty-seven prostheses have been placed at the present time. A table is presented giving the pertinent information concerning thirty-one prostheses which have been in place for six months or more.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Technorati Technorati    What's this?


This article has been cited by other articles:


Home page
 J Am Acad Orthop SurgHome page
P. M. Murray
New-Generation Implant Arthroplasties of the Finger Joints
J. Am. Acad. Ortho. Surg., September 1, 2003; 11(5): 295 - 301.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
S. D. COOK, R. D. BECKENBAUGH, J. REDONDO, L. S. POPICH, J. J. KLAWITTER, and R. L. LINSCHEID
Long-Term Follow-up of Pyrolytic Carbon Metacarpophalangeal Implants
J. Bone Joint Surg. Am., May 1, 1999; 81(5): 635 - 48.
[Abstract] [Full Text]