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Perichondrial resurfacing arthroplasty in the hand
The Journal of Hand Surgery
|November 1, 1984
Summary
Perichondrial resurfacing arthroplasty shows promise for traumatic hand joint arthritis in young patients. However, it is contraindicated for patients over 40, those with healed pyarthrosis, or those needing tendon repair.
Area of Science:
- Orthopedic Surgery
- Hand Surgery
- Regenerative Medicine
Background:
- Perichondrial resurfacing arthroplasty is a surgical technique for joint reconstruction.
- Indications and contraindications require further definition for optimal patient selection.
Purpose of the Study:
- To evaluate the outcomes of perichondrial resurfacing arthroplasty for metacarpophalangeal (MP) and proximal interphalangeal (PIP) joints.
- To identify factors influencing the success and failure of this procedure.
Main Methods:
- Retrospective study of 36 perichondrial resurfacing arthroplasties (16 MP, 20 PIP joints).
- Minimum follow-up of 3 years.
- Analysis of patient demographics, underlying conditions, and surgical adjuncts.
Main Results:
- Overall good results: 56% for MP joints, 55% for PIP joints.
- Higher revision rates for PIP joints (30%) compared to MP joints (19%).
- Complete failure in cases of healed pyarthrosis; concomitant tendon repair associated with higher failure rates.
Conclusions:
- Perichondrial resurfacing arthroplasty is indicated for traumatic arthritis of MP and PIP joints in young individuals.
- Contraindications include healed pyarthrosis, systemic joint diseases, concomitant tendon reconstruction, and age over 40.
- Patient age significantly impacts outcomes, with best results in patients under 40.