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The Journal of Bone and Joint Surgery (American) 86:1832-1833 (2004)
© 2004 The Journal of Bone and Joint Surgery, Inc.

Letter to the Editor

Metacarpophalangeal Joint Arthroplasty in Rheumatoid Arthritis

Catharina Chiari, MD and Klemens Trieb, MD

Corresponding author: Klemens Trieb, MD
Department of Orthopaedics
University of Vienna
Waehringerguertel 18-20
A-1090 Vienna
Austria
catharine.chiariemeduniwien.ac.at

The first 20% of the full text of this article appears below.

To The Editor:

The article "Metacarpophalangeal Joint Arthroplasty in Rheumatoid Arthritis. A Long-Term Assessment" (2003;85:1869-78), by Goldfarb and Stern, represents the long-term results with an average follow-up of fourteen years. In the study, the high rate (63%) of implant fractures, loss of joint motion, and recurrence of ulnar drift and, to the authors, the disappointing subjective outcomes (mean, 55 of a possible 100 points on the Michigan Hand Outcomes Questionnaire) led them to conclude that the indications for metacarpophalangeal arthroplasty need to be examined carefully.

At our clinic, a similar study is being conducted. To date, we have evaluated twenty-two patients with rheumatoid arthritis who have Swanson implants (seventy-six metacarpophalangeal and eighteen proximal interphalangeal joints). After an average follow-up of 8.4 years, we found a . . . [Full Text of this Article]

Charles A. Goldfarb, MD and Peter J. Stern, MD

Corresponding author:
Charles A. Goldfarb, MD
Department of Orthopaedic Surgery
Washington University School of Medicine
660 South Euclid Avenue
Campus Box 8233
St. Louis, MO 63110
goldfarbc@wustl.edu


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Related articles in JBJS:

Metacarpophalangeal Joint Arthroplasty in Rheumatoid Arthritis: A Long-Term Assessment
Charles A. Goldfarb and Peter J. Stern
JBJS 2003 85: 1869-1878. [Abstract] [Full Text]