ABSTRACT
We retrospectively reviewed a consecutive single surgeon series of 57 Ascension pyrocarbon proximal interphalangeal joint arthroplasties, with a mean follow-up of 7.1 years (range 2 years to 11 years 6 months). We assessed the ranges of motion, deformity, stability and pain of the operated joints, grip strength of the hand and patient satisfaction. Of the cases, 44 were for osteoarthritis, five for rheumatoid arthritis and eight for post-traumatic arthritis. The median post-operative active arc of motion was from 0° to 60°. The median post-operative visual analogue pain score was 0.3 out of ten. Thirty six of the joints had no complications; 14 had minor complications (squeak, slight swan neck); three required early reoperation (joint release, flexor tenodesis); and five required implant removal. A total of 69% of our patients would have the same operation if they had to make the decision again. The Kaplan-Meier survival method estimates the mean implant survival to be 10.7 years (95% confidence intervals 9.96-11.37 years). All five failures occurred during the first 2 years.Level of evidence 4 (Case-series).
Subject(s)
Arthroplasty, Replacement, Finger , Finger Joint/surgery , Joint Prosthesis , Amputation, Surgical/statistics & numerical data , Arthritis/surgery , Biocompatible Materials , Carbon , Device Removal/statistics & numerical data , Female , Follow-Up Studies , Humans , Male , Middle Aged , Range of Motion, Articular , Reoperation/statistics & numerical data , Retrospective Studies , Visual Analog ScaleABSTRACT
Skin ulceration in carpal tunnel syndrome is rare. A case report of a non-healing ulcer due to carpal tunnel with severe sensorimotor denervation is presented and discussed.
Subject(s)
Carpal Tunnel Syndrome/complications , Skin Ulcer/etiology , Carpal Tunnel Syndrome/surgery , Humans , Male , Middle Aged , Wound HealingABSTRACT
Giant cell tumours of tendon sheath are common in the hand but multiple lesions are relatively rare. A case report of bilateral symmetrical involvement is presented and discussed.