gms | German Medical Science

14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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Denervation of the MCP and the PIP joint – An effective treatment of osteoarthritis in the hand

Meeting Abstract

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  • presenting/speaker Rebekka Rath - Orthopädische Klinik Markgröningen, Klinik für Handchirurgie und Plastische Chirurgie, Markgröningen, Germany
  • Christina Ampofo - Orthopädische Klinik Markgröningen, Klinik für Handchirurgie und Plastische Chirurgie, Markgröningen, Germany
  • Wan Konur - Zahnärztliche Oralchirurgische Praxis Dr. R. Gehl, Esslingen, Germany
  • Tobias Del Gaudio - Schwarzwald-Baar Klinikum, Klinik für Plastische-, Hand- und Ästhetische Chirurgie, Donaueschingen, Germany
  • Max Haerle - Orthopädische Klinik Markgröningen, Klinik für Handchirurgie und Plastische Chirurgie, Markgröningen, Germany

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-213

doi: 10.3205/19ifssh1005, urn:nbn:de:0183-19ifssh10050

Veröffentlicht: 6. Februar 2020

© 2020 Rath et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.

Gliederung

Text

Objectives/Interrogation: In many cases, patient see us with relatively moderate pain in finger osteoarthritis (OA). Arthrodesis or joint replacement are often refused by these patients as too invasive. We have investigated on the effectiveness of selective denervation of these joints as a cost-effective, simple soft tissue procedure which preserves mobility.

Methods: Between 2005 and 2018, 23 metacarpophalangeal and 129 proximal interphalangeal joints were treated by denervation at our hospital. We investigated on pain, mobility, patient satisfaction, subsequent operations and complications.

Results and Conclusions: Preliminary results show full pain relief in 68.4 % of denervations of MCP or PIP joints. If we consider that a pain reduction of more than 50 % pain relief is a relevant reduction, then 87.5 % success rate could be found. Mobility has been unchanged or improved in 77.9 % of cases compared to preoperative range of motion. We observed for 14.8% of cases sensory disturbances. 4.6 % of joints needed subsequent operations such as arthrodesis or joint replacement. Finally, 82.3 % of patients are satisfied with the results of the operation.

Denervation of the metacarpophalangeal and proximal interphalangeal joint of the hand is an effective and low risk alternative for treatment of osteoarthritis. It preserves mobility and reduces pain. Furthermore, a denervation operation does not limit further treatment options.