Extensor-tendons reconstruction using autogenous palmaris longus tendon grafting for rheumatoid arthritis patients.

Journal of Orthopaedic Surgery and Research
Po-Jung ChuJui-Tien Shih

Abstract

The purpose of the study is to retrospectively review the clinical outcome of our study population of middle-aged RA patients who had suffered extensor-tendon rupture. We reported the outcome of autogenous palmaris tendon grafting of multiple extensor tendons at wrist level in 14 middle-aged rheumatoid patients. Between Feb. 2000 to Feb. 2004, thirty-six ruptured wrist level extensor tendons were reconstructed in fourteen rheumatoid patients (11 women and three men) using autogenous palmaris longus tendon as a free interposition graft. In each case, the evaluation was based on both subjective and objective criteria, including the range of MCP joint flexion after surgery, the extension lag at the metacarpophalangeal joint before and after surgery, and the ability of the patient to work. The average of follow-up was 54.1 months (range, 40 to 72 months). The average range of MCP joint flexion after reconstruction was 66 degrees . The extension lag at the metacarpophalangeal joint significantly improved from a preoperative mean of 38 degrees (range, 25 degrees -60 degrees ) to a postoperative mean of 16 degrees (range, 0 degrees -30 degrees ). Subjectively all patients were satisfied with the clinical results, and achieved a return...Continue Reading

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Citations

Aug 27, 2014·Stem Cell Research & Therapy·Sunny Akogwu AbbahDimitrios I Zeugolis
Sep 25, 2015·Journal of Plastic Surgery and Hand Surgery·Tolga TürkerNicole Capdarest-Arest
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Apr 22, 2020·The Journal of Hand Surgery Asian-Pacific Volume·Santhi Venkatapathy, Rajesh Bhargavan

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