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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Prothetic Arthroplasty of the proximal interphalangeal joint using a modular surface gliding implant: A retrospective study

Meeting Abstract

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  • presenting/speaker Stefan Meuser - Klinik für Hand- und Plastische Chirurgie, Malteser Krankenhaus Bonn, Bonn, Germany
  • Martin Richter - Klinik für Hand- und Plastische Chirurgie, Malteser Krankenhaus Bonn, Bonn, Germany
  • Thomas Brockamp - Klinik für Hand- und Plastische Chirurgie, Malteser Krankenhaus Bonn, Bonn, Germany
  • Nico Schwalfenberg - Klinik für Hand- und Plastische Chirurgie, Malteser Krankenhaus Bonn, Bonn, 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. DocIFSSH19-271

doi: 10.3205/19ifssh1008, urn:nbn:de:0183-19ifssh10085

Veröffentlicht: 6. Februar 2020

© 2020 Meuser 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: To evaluate the postoperative outcome after prothetic arthroplasty of the proximal interphalangeal (PIP) joint regarding improvement of range of motion, reduction of pain and postoperative function of the hand.

Methods: 20 Patients (16 female, average age 64 years) with primary osteoarthritis of 1 or 2 PIP joints were assessed preoperatively and postoperative after prothetic arthroplasty of the proximal interphalangeal joint using a modular surface gliding implant (CapFlex, Fa. KLS Martin, Tuttlingen).

Considered factors were improvement of range of motion, postoperative pain using the visual analog pain scale (VAS) and clinical outcome of the hand judged by the quick disabilities of the arm, shoulder and hand score (quickDASH).

Results and Conclusions: A total of 25 joints were evaluated after a mean time of 11,3 months postoperative. The mean active range of motion of the joint improved from 56° to 72°. Patients reported a good reduction of pain to VAS 1 (during rest) and VAS 3 (during stress). The average postoperative quickDASH was 18, showing a good condition of the hand. There were no signs of postoperative lateral instability, axial deviation or implant fracture. All implants showed complete osteointegration without radiological evidence of migration.

Prothetic Arthroplasty of the proximal interphalangeal joint using a modular surface gliding implant is a good option for patients with primary osteoarthritis to improve the range of motion with an acceptable pain relief, decent stability and good clinical outcome of the hand.