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 language | English |
|---|---|
| Pages (from-to) | 167-174 |
| Number of pages | 8 |
| Journal | Journal of Hand Surgery: European Volume |
| Volume | 44 |
| Issue number | 2 |
| DOIs | |
| Publication status | Published - 2019 Feb 1 |
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Keywords
- ankylosis
- arthroplasty
- costal osteochondral graft
- Finger joint
- osteochondral graft
- total finger
ASJC Scopus subject areas
- Surgery
Cite this
Total finger joint arthroplasty with a costal osteochondral autograft : up to 11 years of follow-up. / Satou, Kazuki; Iwamoto, Takuji; Matsumura, Noboru; Suzuki, Taku; Nishiwaki, Yuji; Nakamura, Toshiyasu.
In: Journal of Hand Surgery: European Volume, Vol. 44, No. 2, 01.02.2019, p. 167-174.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Total finger joint arthroplasty with a costal osteochondral autograft
T2 - up to 11 years of follow-up
AU - Satou, Kazuki
AU - Iwamoto, Takuji
AU - Matsumura, Noboru
AU - Suzuki, Taku
AU - Nishiwaki, Yuji
AU - Nakamura, Toshiyasu
PY - 2019/2/1
Y1 - 2019/2/1
N2 - 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.
AB - 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.
KW - ankylosis
KW - arthroplasty
KW - costal osteochondral graft
KW - Finger joint
KW - osteochondral graft
KW - total finger
UR - http://www.scopus.com/inward/record.url?scp=85060175146&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85060175146&partnerID=8YFLogxK
U2 - 10.1177/1753193418806195
DO - 10.1177/1753193418806195
M3 - Article
C2 - 30348043
AN - SCOPUS:85060175146
VL - 44
SP - 167
EP - 174
JO - Journal of Hand Surgery
JF - Journal of Hand Surgery
SN - 0266-7681
IS - 2
ER -