Resection arthroplasty of the metacarpophalangeal joint a.m. Tupper using interposition of the volar plate

Tupper's resection arthroplasty with interposition of the volar plate was performed 75 severely destroyed metacarpophalangeal joints in 22 patients during the period 1970--74. The average passive mobility obtained was 63 degrees. The operative technique and complications are described, and the obvious advantages of the method are emphasized. This procedure is one part of a more comprehensive reconstruction whose functional result is influenced by the overall condition and balance of the hand.