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Conversion to arthroplasty from proximal interphalangeal joint arthrodesis.

F Iselin, G Pradet, O Gouet

    Annales De Chirurgie De La Main : Organe Officiel Des Societes De Chirurgie De La Main
    |January 1, 1988
    PubMed
    Summary

    Patients seeking improved function after joint fusion underwent disarthrodesis with Swanson implants. This procedure successfully restored a functional, stable, and pain-free range of motion in most cases, leading to high patient satisfaction.

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    Area of Science:

    • Orthopedic surgery
    • Hand surgery
    • Reconstructive surgery

    Background:

    • Arthrodesis (joint fusion) can result in functional limitations.
    • Patients may seek alternatives to improve joint mobility and function.
    • Swanson implant arthroplasty offers a potential solution for selected cases.

    Purpose of the Study:

    • To evaluate the efficacy of disarthrodesis using Swanson implants in patients with fused finger joints.
    • To assess the functional outcomes and patient satisfaction following this reconstructive procedure.

    Main Methods:

    • Retrospective analysis of 12 patients who underwent disarthrodesis with Swanson implants.
    • Procedure performed under specific conditions: adequate skin cover, intact flexor system, and proper joint alignment.

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  • Patients understood the realistic goals of limited, functional, stable, and pain-free movement.

    • Main Results:

    • A mean gain of 56.8 degrees in active movement was observed in fused joints.
    • The postoperative course was uneventful in all highly motivated patients.
    • 11 out of 12 patients reported satisfaction with the surgical outcome.

    Conclusions:

    • Disarthrodesis with Swanson implants can effectively restore functional, stable, and pain-free movement in selected patients with fused finger joints.
    • The procedure demonstrates a high rate of patient satisfaction and a low complication rate when performed under appropriate conditions.