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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Treatment protocol Swanson PIP Athroplastic

Meeting Abstract

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  • presenting/speaker Joanna Jourdan - HLO Handtherapie Berlin, Berlin, 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. DocIFSHT19-1319

doi: 10.3205/19ifssh1483, urn:nbn:de:0183-19ifssh14833

Veröffentlicht: 6. Februar 2020

© 2020 Jourdan.
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

Clinical issue/s: Rheumatoid Arthritis of the proximal interphalangeal joint often lead to deformity, severe pain, instability and malfunction of the joints. Those malfunctions and malpositions can cause daily activity difficulties.

Clinical reasoning: Occupational therapist can prevent any further malpositions with the mobilisation of the joints, joint protection, muscle training, informing patients, and correcting malpositions with help of splinting material and much more.

Often is a surgical treatment necessary. There are different types of proximal interphalangeal joint arthroplasties and methods of implantations were developed to regain painfree motion. The postoperative rehabilitation is an essential part of the treatment.

Innovative, analytical or new approach: 125 Patients had good up to very good results after an arthroplastic of the proximal interphalangeal joint. In all cases, we chose the Swanson implant, and used our own modified post surgery treatment protocol.

Contribution to advancing HT practice: Our treatment protocol includes intensiv care during hospital stay, low thermoplastic dynamic splint, exercises and prognostic.