Sep 1, 1977

New concepts in arthroplasty of the hand and wrist

Archives of Surgery
R D Beckenbaugh

Abstract

Clinical trials with cemented polyethyiene and metal total joint arthroplasties were initiated in 1973. Replacements have been developed for the wrist, carpometacarpal joint of the thumb, metacarpophalangeal joints of the thumb and fingers, and the proximal interphalangeal joints of the fingers. Results, evaluated by pain relief and joint stability, were excellent at all sites. Motion, however, averaged only 50% of normal. Significant problems included abnormal posture in the wrist, roentgenographic evidence of loosening in the finger metacarpophalangeals, extensor lag in the metacarpophalangeal of the thumb, and lack of motion in the proximal interphalangeal joint of the finger.

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Mentioned in this Paper

Arthroplasty
Wrist+Hand
Wrist Joint
Interphalangeal Joint Structure
Metacarpophalangeal Joint Structure
Rheumatoid Arthritis
Posture brand of calcium phosphate, tribasic
Proximal Interphalangeal Joint
Pain Relief brand of acetaminophen
Dental Cementum

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