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

Taku Suzuki, Takuji Iwamoto, Hiroyasu Ikegami, Yu Sakuma, Katsunori Ikari, Noboru Matsumura, Kensuke Ochi, Kazuki Sato, Masaya Nakamura, Morio Matsumoto, Shigeki Momohara

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)206-210
Number of pages5
JournalModern rheumatology
Volume26
Issue number2
DOIs
Publication statusPublished - 2016 Mar 3

Keywords

  • Rheumatoid arthritis
  • Tendon reconstruction
  • Tension-reduced early mobilization
  • Triple fi ngers extension loss

ASJC Scopus subject areas

  • Rheumatology

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