Total finger joint arthroplasty with a costal osteochondral autograft: up to 11 years of follow-up

Kazuki Satou, Takuji Iwamoto, Noboru Matsumura, Taku Suzuki, Yuji Nishiwaki, Toshiyasu Nakamura

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1 Citation (Scopus)

Abstract

The purpose of this study was to evaluate the mid- to long-term clinical outcomes of total finger joint arthroplasty using a costal osteochondral autograft for joint ankylosis. Twenty-three joints (three metacarpophalangeal joints, 20 proximal interphalangeal joints) in 23 patients (19 men and four women) were treated with a costal osteochondral autograft and were evaluated after a mean follow-up of 77 months (60–138). Mean age was 33 years (18 to 55). Significant improvement in active finger extension/flexion was seen from a preoperative mean of −24°/26° (arc: 2°) to −13°/75° (arc: 63°) at latest follow-up. Mean preoperative Japanese Society for Surgery of the Hand version of the Disability of the Arm, Shoulder and Hand score was initially 24 and improved significantly to 5 at latest follow-up. Conclusion: total finger arthroplasty using a costal osteochondral autograft gave an anatomical and biological reconstruction and provided stable improvement at a mean follow-up of 77 months. Level of evidence: IV.

Original languageEnglish
Pages (from-to)167-174
Number of pages8
JournalJournal of Hand Surgery: European Volume
Volume44
Issue number2
DOIs
Publication statusPublished - 2019 Feb 1

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Keywords

  • ankylosis
  • arthroplasty
  • costal osteochondral graft
  • Finger joint
  • osteochondral graft
  • total finger

ASJC Scopus subject areas

  • Surgery

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