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Reconstructive surgery in the rheumatoid hand.

L W Millender, E A Nalebuff

    The Orthopedic Clinics of North America
    |July 1, 1975
    PubMed
    Summary
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    Reconstructive hand surgery effectively corrects deformities and improves function in rheumatoid arthritis patients. Surgical techniques for wrist, thumb, and metacarpophalangeal joints are detailed, with established indications for arthrodesis and arthroplasty.

    Area of Science:

    • Orthopedics
    • Rheumatology
    • Hand Surgery

    Background:

    • Rheumatoid arthritis commonly causes hand deformities, impacting function.
    • Reconstructive hand surgery offers established methods for correction.
    • Evolving experience refines surgical indications and approaches.

    Purpose of the Study:

    • To detail surgical treatments for rheumatoid hand deformities.
    • To clarify indications for arthrodesis and arthroplasty.
    • To provide a comprehensive overview of reconstructive hand surgery.

    Main Methods:

    • Evaluation of surgical treatments for specific hand joints.
    • Review of established indications for arthrodesis and arthroplasty.
    • Discussion focused on wrist, metacarpophalangeal joint, and thumb deformities.

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    Main Results:

    • Reconstructive surgery is proven effective for rheumatoid hand deformities.
    • Clearer indications for arthrodesis and arthroplasty have been established.
    • An improved approach to reconstructive hand surgery has developed.

    Conclusions:

    • Surgical intervention is a key treatment for rheumatoid hand deformities.
    • Specific joint reconstructions address functional deficits.
    • Continued experience enhances surgical outcomes in rheumatoid hand patients.