Surgery of the hand in severe systemic sclerosis.

Details

Serval ID
serval:BIB_E33634565DAA
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Surgery of the hand in severe systemic sclerosis.
Journal
Journal of Hand Surgery
Author(s)
Gilbart M.K., Jolles B.M., Lee P., Bogoch E.R.
ISSN
0266-7681
Publication state
Published
Issued date
2004
Peer-reviewed
Oui
Volume
29
Number
6
Pages
599-603
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Abstract
Ten patients with scleroderma and severe hand problems required surgery, and seven were available for follow-up (two died from scleroderma-related complications and one was lost to follow-up). The mean duration of follow-up was 4 (range 1.5-9) years. Thirty-three procedures were carried out, including five metacarpophalangeal joint excisional arthroplasties, 13 proximal interphalangeal joint fusions, ten distal interphalangeal joint fusions, and one thumb interphalangeal joint fusion. The metacarpophalangeal joint excision arthroplasties and proximal interphalangeal joint fusions were performed for the correction of severe fixed "finger-in-palm" deformities. Lesions of cutaneous calcinosis were removed in four patients. Fixation was satisfactory in all cases of interphalangeal joint fusion, with no cases of nonunion. Wound healing was satisfactory in six of seven patients. A second surgical procedure was required in three patients for the removal of tension band wires following interphalangeal fusion. Calcinosis was effectively removed using a high-speed dental burr. The results of hand surgery for systemic sclerosis are reliable, but goals must be limited and patient expectations should be modest.
Keywords
Adult, Arthrodesis, Arthroplasty, Calcinosis/physiopathology, Calcinosis/surgery, Contracture/physiopathology, Contracture/surgery, Female, Finger Joint/physiopathology, Finger Joint/surgery, Hand/physiopathology, Hand/surgery, Humans, Joint Diseases/physiopathology, Joint Diseases/surgery, Male, Prospective Studies, Scleroderma, Systemic/physiopathology, Scleroderma, Systemic/surgery
Pubmed
Web of science
Create date
28/01/2008 13:19
Last modification date
20/08/2019 17:07
Usage data