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Journal articles on the topic 'Joints – Surgery'

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Author: Grafiati
Published: 4 June 2021
Last updated: 31 January 2023

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1

Trickett, R. W., R. Savage, and A. J. Logan. "Angular correction related to excision of specific cords in fasciectomy for Dupuytren’s disease." Journal of Hand Surgery (European Volume) 39, no. 5 (September 11, 2013): 472–76. http://dx.doi.org/10.1177/1753193413502161.

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Named cords were excised sequentially at fasciectomy for Dupuytren’s disease and the resultant correction in the joint angle was measured intra-operatively in 99 fingers. Eighty-two metacarpophalangeal and 59 proximal interphalangeal joints were affected. At the metacarpophalangeal joint, excision of the central cord resulted in 82% correction in 69 joints, and spiral/lateral cord excision resulted in an additional 12% correction in 10 joints. At the proximal interphalangeal joint, excision of the central cord resulted in 44% correction in 36 joints, spiral/lateral cord excision resulted in an additional 19% correction in 16 joints, and retrovascular cord excision resulted in a further 23% correction in 27 joints. Subsequent division of the accessory collateral ligament resulted in a further 14% correction in 14 joints. Larger pre-operative angles of the proximal interphalangeal joint were associated with a retrovascular cord, and larger combined angles were associated with an increasing number of pathological structures involved. The data explain the complexity of surgery at the proximal interphalangeal joint, where four structures are implicated in causing flexion deformity.
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2

Thongchuea, Nutchanat, Eakkachai Warinsiriruk, and Yin-Tien Wang. "Laser Welding on Cerclage Wire Joining in Femur Surgery." Applied Sciences 10, no. 7 (April 1, 2020): 2407. http://dx.doi.org/10.3390/app10072407.

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Stainless steel wires with fiber-laser welding on lap joints are first proposed in this study to be used as cerclage wire joints for modern femur surgery, because of their potentially larger joint strength and less loosening failure than traditional joint devices. In this feasibility study, an experiment was set up to determine adequate parameters for the laser welding process in order to ensure that the wire joint of cerclage has good weld appearance, free oxidation, and suitable joint strength. A stainless steel wire 316L with a diameter of 1.6 mm, flare-welded on lap joint was used in the experiment as a specimen cerclage wire joint. Two major effective parameters were chosen for controlling a suitable fusion weld, including charge voltage and multiple frequencies of the laser irradiation. The adequate area of the laser parameters was determined from the experiment, including the ranges of charge voltage, multiple frequencies, and pulse width. The suitable welded lengths of specimens were also studied in the mechanical test to validate the joint strength. Suggested welded length has a better tensile strength than traditional cerclage joints. The paper concludes that the stainless wire joints with a fiber laser weld represents a promising alternative to traditional cerclage joint devices for modern femur surgery.
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3

Gülke, J., D. Gulkin, N. Wachter, M. Knöferl, C. Bartl, and M. Mentzel. "Dynamic aspects during the cylinder grip — flexion sequence of the finger joints analyzed using a sensor glove." Journal of Hand Surgery (European Volume) 38, no. 2 (April 23, 2012): 178–82. http://dx.doi.org/10.1177/1753193412444399.

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The purpose of this study was to assess whether there is a universal pattern of movement of the finger joints while performing a cylinder grip. A sensor glove was used to record the finger joint motion of 48 participants. Our observations showed that when examining the fingers, flexion motion began either at the metacarpophalangeal (MP) or proximal interphalangeal (PIP) joints, with the distal interphalangeal (DIP) joints always last to move ( p = 0.0052). The sequence of the joints at the end of the gripping motion was different than at the beginning. Here, the only statistically significant observation was that the DIP joints fully flexed only once the MP joints had flexed fully. Apart from that, it was completely variable which joint reached its final position first or last. The analysis also revealed that synchronization of four identical joints (i.e. the four PIP joints) was significantly higher than synchronization of the 12 finger joints. Although synchronization was already high at the beginning of the flexion motion, it increased significantly by the time the joints completed their movement.
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4

Gakhramanov, A. G., B. S. Atilla, M. S. Alpaslan, M. N. Tokgez, and D. M. Aksoy. "Long-term results of treatment of patients with hip displasia by Ganz osteotomy." Kazan medical journal 96, no. 6 (December 15, 2015): 990–94. http://dx.doi.org/10.17750/kmj2015-990.

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Aim. To analyze the long-term results of treatment of patients with arthrosis and hip dysplasia treated by Ganz osteotomy. Methods. 71 patients operated by Ganz osteotomy in 1995-2010 were examined. A total of 83 joints were operated. Tonnis, Wiberg, Leguesne angles, joint medialization, head coating index were measured. The arthrosis degree was determined radiologically according to Tonnis classification. Patients included 58 women and 13 men. Hip joint status was evaluated using the Harris Hip Score (HHS) system. Results. Ganz osteotomy resulted in radiological parameters improvement: Tonnis angles improved by 65.6%, Wiberg - by 5 times, Lequesne - by 6.7 times. Medialization improved by 18.2%, the coating index - by 40.3%. Radiological arthrosis degree according to Tonnis classification was 0 in 43 joints, 1 - in 4 joints before surgery. After surgery, during examination arthrosis degree was 0 - in 18 joints, 1 - in 38,2 - in 20,3 - in 7 cases. In 21 joints the transition from the 0 to the 1st arthrosis degree, in 4 joints - from 0 to the 2nd degree was registered. In 16 joints transition from the 1st to the 2nd arthrosis degree was registered, in 7 joints - from the 1st to the 3rd degree. As a result of the treatment hip joint functional parameters improvement was found, the HHS rate before the surgery was 62.6 points, after the surgery - 82.8 points. The minor and major complications rate measured up to 23 and 15% respectively. Conclusion. Patients were examined 7.5 years after the surgery in average; in our series, total prostheses after osteotomy was performed in 3 patients (4 joints), in one case, due to postoperative subluxation Schanz osteotomy was performed; it was managed to preserve biological joint in 95.18% of cases.
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5

Hattori, Tetsuya, Masaya Tsujii, Takeshi Uemura, and Akihiro Sudo. "Arthroscopic resection of a loose body in the inextensible metacarpophalangeal joint of the middle finger complicated with osteoarthritis: A case report." SAGE Open Medical Case Reports 8 (January 2020): 2050313X2094377. http://dx.doi.org/10.1177/2050313x20943773.

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Arthroscopic surgery is a standard technique for removal of loose bodies in large joints. By contrast, there were a few reports of arthroscopic surgery for loose bodies in small joints. We herein report a case of a 70-year-old woman with an inextensible metacarpophalangeal joint in the right middle finger due to an intra-articular loose body that developed after osteoarthritis. Surgery proceeded under vertical traction using traction tower. Two portals were developed at dorsal aspect on the metacarpophalangeal joints. The loose body was removed under arthroscopy with a small incision of both skin and sagittal band, thereby resolving clinical symptoms, including pain and limitations to metacarpophalangeal joint motion.
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6

Renfree, K. J. "Percutaneous in situ versus open arthrodesis of the distal interphalangeal joint." Journal of Hand Surgery (European Volume) 40, no. 4 (March 18, 2014): 379–83. http://dx.doi.org/10.1177/1753193414527387.

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We compared the results of percutaneous in situ arthrodesis with open arthrodesis of the distal interphalangeal joint with a headless compression screw. In the percutaneous in situ arthrodesis group (17 joints), the screw was inserted from the fingertip across the unprepared joint. In the open group (12 joints), flat cancellous surfaces were prepared before screw insertion. Solid fusion was found in 10/17 joints (59%) with percutaneous in situ arthrodesis and in 11/12 joints (92%) with open arthrodesis. Among the other seven joints with percutaneous in situ arthrodesis, six had fibrous union and were asymptomatic at a mean of 18 months, and one failed, requiring revision. One joint with open arthrodesis had fibrous union and was asymptomatic 12 months after surgery. We conclude that open arthrodesis is better than the percutaneous method, as a greater percentage achieve bone union. The open approach allows osteophyte removal and slightly better correction of angular deformity in the coronal plane.
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7

FIELD, J. "TWO TO FIVE YEAR FOLLOW-UP OF THE LPM CERAMIC COATED PROXIMAL INTERPHALANGEAL JOINT ARTHROPLASTY." Journal of Hand Surgery (European Volume) 33, no. 1 (February 2008): 38–44. http://dx.doi.org/10.1177/1753193407087864.

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This paper presents a retrospective series of 20 LPM semi-constrained ceramic coated cobalt chrome proximal interphalangeal joint arthroplasties performed consecutively in 12 patients for arthritis of the proximal interphalangeal joint by a single surgeon between 2000 and 2004. Eleven were performed for osteoarthritis, four for post-traumatic arthritis and five for rheumatoid arthritis. Although 12 joints had an improvement in pain and an increased functional arc of movement, six joints required revision surgery for implant failure at an average of 19 months, with clinical signs of increasing pain, deteriorating motion and radiological signs of implant loosening and subsidence. This rate of revision is higher than in published series for other PIP joint implants and, therefore, close surveillance of all patients with this prosthesis currently in situ is recommended. Use of the prosthesis has ceased in this unit.
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8

NAKAGO, K., H. HASHIZUME, M. SENDA, K. NISHIDA, S. MASAOKA, and H. INOUE. "Simultaneous Fracture-Dislocations of the Distal and Proximal Interphalangeal Joints." Journal of Hand Surgery 24, no. 6 (December 1999): 699–702. http://dx.doi.org/10.1054/jhsb.1999.0228.

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Sixteen cases of simultaneous fracture-dislocations of both the distal interphalangeal (DIP) and proximal interphalangeal (PIP) joints in the same finger that were treated during the past 10 years were classified into three types: the swan-neck injury (dorsal fragment of the base of the distal phalanx at the DIP joint and palmar fragment of the base of the middle phalanx at the PIP joint); the double-hyperextension injury (palmar fragments at the DIP and PIP joints); and the straight-finger injury (with dorsal and palmar bone fragments at the DIP joint). The results of treatment were more satisfactory in PIP joints than in DIP joints.
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9

Ueyama, Kazumasa, Akihiro Okada, Naoki Echigoya, Toru Yokoyama, and Seiko Harata. "NEUROTROPHIC ARTHROPATHY CAUSED BY SPINAL DISORDERS." Journal of Musculoskeletal Research 05, no. 01 (March 2001): 65–72. http://dx.doi.org/10.1142/s0218957701000362.

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Neurotrophic arthropathy, also called Charcot joint, is caused by various diseases. We came across five cases associated with spinal disorders: two presented with syringomyelia with Chiari malformation, one presented with syringomyelia with arachnoiditis secondary to tuberculous meningitis, one presented with ossification of the posterior longitudinal ligament (OPLL) of the lumber spine, and one presented with spinal dysraphism. Neutrophic joints included two knees, two shoulders and one elbow. All spinal disorders were treated surgically but the Charcot joints were treated with arthrodesis in two knee cases and one shoulder case. Solid fusions of arthrodeses were completely achieved using intramedullary nailing to the knee joints and vascularized fibula graft to the shoulder joint. Pathological joints of the shoulder and elbow that did not undergo joint surgery could not be controlled by spinal surgery. Early diagnosis was important for prevention of trauma or sprains to the weight-bearing joints. MRI of the Charcot joint proved useful in confirming the pathological changes in the early destructive stage, and in determining the extent of surgical removal of it for arthrodesis.
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10

FAHMY, N. R. M., N. KEHOE, J. G. WARNER, and N. COURTMAN. "The “S” Quattro Turbo in the Management of Neglected Dorsal Interphalangeal Dislocations." Journal of Hand Surgery 23, no. 2 (April 1998): 248–51. http://dx.doi.org/10.1016/s0266-7681(98)80187-3.

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We have used the “S” Quattro Turbo to treat four neglected dorsal interphalangeal joint dislocations. At an average follow up period of 45 months, there was a mean increase in the range of movement of the PIP joints by 74° and of the IP joint of the thumb or DIP joints by 45°. We recommend this technique for treating dorsal dislocations of the interphalangeal joints of more than 3 weeks duration.
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11

LUNDBORG, G., P. I. BRÅNEMARK, and I. CARLSSON. "Metacarpophalangeal Joint Arthroplasty Based on the Osseointegration Concept." Journal of Hand Surgery 18, no. 6 (December 1993): 693–703. http://dx.doi.org/10.1016/0266-7681(93)90224-4.

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The osseointegration concept has been used for fixation of 68 MP joint endoprostheses in 31 patients operated on at the Department of Hand Surgery, Malmö General Hospital during the period 1988–1992. The indications were rheumatoid arthritis (50 joints), primary osteoarthrosis (three joints), post-traumatic osteoarthrosis (three joints), post-traumatic osteoarthrosis (five joints), post-infectious osteoarthrosis (seven joints) and joint deformities secondary to spastic conditions (three joints). The average follow-up time was 2.5 years (6–54 months). The surgical procedure included resection of the joint followed by introduction of screw-shaped titanium fixtures into the bone marrow cavities of the metacarpal and the phalangeal base. Rheumatoid cases usually required grafting of cancellous bone and marrow from the iliac crest. At the same time a flexible constrained silicone spacer was connected to the titanium fixtures in such a way as to allow later replacement of the spacer if accessory. The average active range of motion (ROM) was 57° in the rheumatoid cases and 50° in all cases. Radiological and clinical osseointegration occurred in every case, and there were no clinical signs of loosening. In four cases (6%) there was a fracture of the joint mechanism. Patient satisfaction was high, with pain relief, increased range of motion, improved hand function and good cosmetic appearance.
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12

KIMORI, K., Y. IKUTA, O. ISHIDA, M. ICHIKAWA, and O. SUZUKI. "Free Vascularized Toe Joint Transfer to the Hand. A Technique for Simultaneous Reconstruction of the Soft Tissue." Journal of Hand Surgery 26, no. 4 (August 2001): 314–20. http://dx.doi.org/10.1054/jhsb.2000.0566.

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Twelve patients underwent reconstruction of injured finger joints using our technique of a vascularized transfer of the second toe proximal interphalangeal joint. The age of the patients at operation ranged from 7 to 47 years and the postoperative follow-up was 9 to 48 months. All the joint transfers survived and united with resolution of the preoperative joint pain, deformity and instability. The average range of motion of the reconstructed joints was 59° in the proximal interphalangeal and 54° in the metacarpophalangeal joints. No patient complained of pain or functional deficits in the donor foot.
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13

ISLAM, S., H. WATANABE, and S. FUJITA. "Contrast Arthrography in Thumb Polydactyly with Variable Morphological Patterns." Journal of Hand Surgery 17, no. 2 (April 1992): 178–84. http://dx.doi.org/10.1016/0266-7681(92)90084-f.

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Contrast arthrography was performed in 20 patients with duplicated thumbs where the interphalangeal, metacarpophalangeal, and carpometacarpal joints were involved. Three groups were apparent, those with no joint alteration, those with joint involvement and separate articular impressions, and those with abnormal duplex joints.
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14

DAUTEL, G., and M. MERLE. "Results of Vascularized Joint Transfers from the Foot." Journal of Hand Surgery 22, no. 4 (August 1997): 492–98. http://dx.doi.org/10.1016/s0266-7681(97)80275-6.

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We report our results in ten cases of vascularized joint transfer to reconstruct the proximal interphalangeal joint (five cases) or metacarpophalangeal joints (five cases). Donor sites were the proximal interphalangeal or the metatarsophalangeal joints of the second toe. Indications for surgery were the need to reconstruct both the growth plate and joint space in children or the impossibility of a conventional prosthetic implant. The average range of motion was 44° for the PIP joint and 53° for the MP joint at a mean follow-up of 22.7 months.
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15

Cheah, A., A. Harris, W. Le, Y. Huang, and J. Yao. "Relative ratios of collagen composition of periarticular tissue of joints of the upper limb." Journal of Hand Surgery (European Volume) 42, no. 6 (October 20, 2016): 616–20. http://dx.doi.org/10.1177/1753193416674324.

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We investigated the relative ratios of collagen composition of periarticular tissue of the elbow, wrist, metacarpophalangeal, proximal and distal interphalangeal joints. Periarticulat tissue, which we defined as the ligaments, palmar plate and capsule, was harvested from ten fresh-frozen cadaveric upper limbs, yielding 50 samples. The mean paired differences (95% confidence interval) of the relative ratios of collagen between the five different joints were estimated using mRNA expression of collagen in the periarticular tissue. We found that the relative collagen composition of the elbow was not significantly different to that of the proximal interphalangeal joint, nor between the proximal interphalangeal joint and distal interphalangeal joint, whereas the differences in collagen composition between all the other paired comparisons of the joints had confidence intervals that did not include zero.
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16

DECLERCQ, G., G. SCHMITGEN, and J. VERSTREKEN. "Arthroscopic Treatment of Metacarpophalangeal Arthropathy in Haemochromatosis." Journal of Hand Surgery 19, no. 2 (April 1994): 212–14. http://dx.doi.org/10.1016/0266-7681(94)90169-4.

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A 37-year-old sports teacher suffering from idiopathic haemochromatosis with arthropathy of the MP joints has been treated and followed-up by us for 4 years. Three out of four affected MP joints were treated with arthroscopic operations; one of these had been treated elsewhere previously by arthrotomy. This article presents a brief review of the condition and its treatment by arthroscopic surgery with detailed technique. We believe that MP joint arthroscopy in certain cases is an alternative to open surgery and gives excellent results. No specific instruments are needed apart from a standard small joint arthroscopy set.
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17

Boeckstyns, Michel E. H. "My personal experience with arthroplasties in the hand and wrist over the past four decades." Journal of Hand Surgery (European Volume) 44, no. 2 (December 4, 2018): 129–37. http://dx.doi.org/10.1177/1753193418817172.

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I summarize my changing views and practices of arthroplasty in hand surgery over the past four decades. I recommend simple resection of the trapeziectomy for advanced arthritis of the first carpometacarpal joint, silicone implants for the metacarpophalangeal joints and the proximal interphalangeal joints, and the total wrist arthroplasty for advanced wrist arthritis and collapse. I also outline technical tips of these procedures.
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18

Gehrmann, S. V., R. A. Kaufmann, J. P. Grassmann, T. Lögters, M. Schädel-Höpfner, M. Hakimi, and J. Windolf. "Fracture-dislocations of the carpometacarpal joints of the ring and little finger." Journal of Hand Surgery (European Volume) 40, no. 1 (December 23, 2014): 84–87. http://dx.doi.org/10.1177/1753193414562706.

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We report the functional and radiographic results of 16 patients with fracture-dislocations of the ring and little finger carpometacarpal joints and 23 cases with fracture-dislocations of only the little finger carpometacarpal joint treated between 2006 and 2012. The above two cohort populations of patients were treated with either open reduction and pin fixation or closed reduction and pin fixation. These patients were followed for a mean of 13 months (range 9 to 48). The DASH scores for patients with fracture-dislocations of the ring and little finger carpometacarpal joints were 6.0 and of the little finger carpometacarpal joint 7.2. We found no functional differences in term of DASH scores after treatment between patients with fracture-dislocations of only the little finger carpometacarpal joint and both the ring and little finger carpometacarpal joints. Level of evidence: IV
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19

HAHN, P., H. KRIMMER, A. HRADETZKY, and U. LANZ. "Quantitative Analysis of the Linkage between the interphalangeal Joints of the Index Finger." Journal of Hand Surgery 20, no. 5 (October 1995): 696–99. http://dx.doi.org/10.1016/s0266-7681(05)80139-1.

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We have established a simple method of measuring joint motion under physiological conditions. For this purpose we use an ultrasound measuring system employing marker points consisting of miniaturized ultrasound transmitters. This device was tested on a simple biomeehanical model, the linkage of the proximal and distal interphalangeal joints. The angles of these joints were recorded during opening and closing of the fist in 34 index fingers of 17 healthy persons. The results of the measurements were plotted on a rectangular coordinate system. Analysis showed an approximately linear linkage between the IP joints of the index linger. The curve for extension was the same as that for flexion. The linkage varies greatly. On average 1° of PIP joint flexion is equivalent to 0.76° of DIP joint flexion. Our study showed no significant difference between the dominant and non-dominant hand. The results showed that there is a linear linkage between the proximal and distal interphalangeal joints, which is equal for flexion and extension.
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20

Tay, Terence Khai Wei, Huey Tien, and Elizabeth Yenn Lynn Lim. "Comparison between Collagenase Injection and Partial Fasciectomy in the Treatment of Dupuytren’s Contracture." Hand Surgery 20, no. 03 (September 21, 2015): 386–90. http://dx.doi.org/10.1142/s0218810415500288.

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Background: A comparative study between two treatment methods (collagenase injection and open partial fasciectomy) for Dupuytren’s contracture. This study will determine differences in clinical outcome, complication rate and patient satisfaction. Methods: 37 patients with 62 metacarpophalangeal joints (MCP) and 44 proximal interphalangeal joints (PIP) treated. There were 21 MCP joints (34%) and 8 PIP joints (18%) treated with injection. The remaining 66% of MCP joints and 82% of PIP joints were treated by open partial fasciectomy. Results: Overall, both treatment methods were successful in correcting the passive extension deficit in the MCP and PIP joints. Minor complications were reported in 45% of patients in the injection group versus 42% in the surgery group. Patient satisfaction was nearly equal for both groups. Conclusions: Both treatment options have proven their effectiveness in treating Dupuytren’s contracture. Open surgery is able to address additional joint contracture problems commonly associated with Dupuytren’s disease. Collagenase injection has the advantage of early return of hand function and avoidance of surgical complications.
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21

Protsenko, Volodymyr, Olexandr Burianov, Obada Bishtawi, and Yevgen Solonitsyn. "ENDOPROSTHETIC REPLACEMENTIN PATIENTS WITH TUMORS OF BONES AND JOINTS: REVISION SURGERY." Archiv Euromedica 11, no. 1 (March 27, 2021): 66–72. http://dx.doi.org/10.35630/2199-885x/2021/11/1.14.

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The article analyzes complications after individual oncological endoprosthesis replacement in tumor lesions of bones and joints, which led to repeated endoprosthesis replacement. After operations of endoprosthesis replacement of bones and joints with tumor lesions, the following complications were observed: periprosthetic infection — 7.4%, aseptic instability of the stem of endoprosthesis —13.1%, destruction of the endoprosthesis structure - 2.3%, wear of polyethylene inserts — 1.7%. Revision endoprosthesis replacement due to complications after endoprosthesis replacement of bones and joints for tumors was performed in 38 (21.7%) cases. Repeated endoprosthesis replacement of knee joint was performed in 22 cases, repeated endoprosthesis replacement of hip joint was performed in 6 cases, repeated endoprosthesis replacement of elbow joint was performed in 4 cases, repeated endoprosthesis replacement of shoulder joint was performed in 3 cases, repeated endoprosthesis replacement of tibial shaft was performed in 2 cases, repeated endoprosthesis replacement of ankle joint was performed in 1 case. The factors that led to complications and repeated endoprosthesis replacement were presented. In case of an infectious complication, it was recommended to install a metal-on-cement spacer, followed by repeated endoprosthesis replacement; in case of aseptic instability of the stem of endoprosthesis, repeated endoprosthesis replacement was performed with replacement of only one (loose) component of the endoprosthesis using a long intramedullary nail or replacement of the entire endoprosthesis; in case of the destruction of endoprosthesis structure, the repeated endoprosthesis replacement of the joint was effected with replacement of the entire endoprosthesis structure; when the polyethylene inserts were worn out, the repeated endoprosthesis replacement was performed with the replacement of the polyethylene inserts. After repeated endoprosthesis replacement, repeated revision operations were performed in 10 (26.3%) cases.
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22

Werlinrud, Jens C., Karina L. Hansen, Søren Larsen, and Jens Lauritsen. "Five-year results after collagenase treatment of Dupuytren disease." Journal of Hand Surgery (European Volume) 43, no. 8 (August 2, 2018): 841–47. http://dx.doi.org/10.1177/1753193418790157.

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This study assesses the joint-specific sustained effect of collagenase clostridium histolyticum treatment of Dupuytren disease over a 5-year follow-up period. The study includes 107 consecutive treatments in patients with extension deficits greater than 20° affecting the metacarpophalangeal or proximal interphalangeal joints. Success was defined as no follow-up treatment due to relapse or maintained extension deficit less than 20°. The 5-year estimate of no follow-up treatment was 79% (95% CI: 64–88) for metacarpophalangeal and 49% (95% CI: 26–69) for proximal interphalangeal joints, which was a significant difference (log-rank test, p = 0.0044). For those who did not undergo re-treatment, a non-significant relapse was found for metacarpophalangeal joints and a 65% (34°, 95% CI: 24–46) relapse for proximal interphalangeal joints. We conclude that treating metacarpophalangeal joints with collagenase clostridium histolyticum is effective with acceptable recurrence rates. However, when treating proximal interphalangeal joints with collagenase clostridium histolyticum, patients should be informed of the high risk of recurrence and the greater chance of need for further treatment. Level of evidence: II
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23

PENDSE, A., A. NISAR, S. Z. SHAH, A. BHOSALE, J. V. FREEMAN, and I. CHAKRABARTI. "Surface replacement trapeziometacarpal joint arthroplasty – early results." Journal of Hand Surgery (European Volume) 34, no. 6 (September 28, 2009): 748–57. http://dx.doi.org/10.1177/1753193409343750.

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This study reviews the results of Surface Replacement Trapeziometacarpal (SR TMC, Avanta®, San Diego, CA) total joint arthroplasty. Fifty patients (62 joints) were included in the study. Forty-three patients (54 joints) were seen at final follow up. Seven patients (eight joints) were interviewed over the phone. Seven patients were revised to trapeziectomy and ligament reconstruction with tendon interposition, five for aseptic loosening and two for dislocation. At final follow up, the mean Quick DASH score was 30.4 and the Sollerman Score was 77.3. Radiological review of the surviving 55 joints showed subsidence of four trapezial components in asymptomatic patients. Cumulative survival rate was 91% at 3 years. Eighty-five percent of the patients were satisfied with the outcome of their treatment.
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24

Tan, W., J. Chen, R. Ran, W. Zheng, and N. Oshmianska. "Experience of arthroscopic surgery in tophaceous gout: indications, results and complications." Genij Ortopedii 27, no. 1 (February 2021): 55–58. http://dx.doi.org/10.18019/1028-4427-2021-27-1-55-58.

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Background Gout, lasting 5 years or more, and high uncontrollable levels of uric acid in blood lead to the formation of tophi – gouty stones containing the UA crystals surrounded with connective tissue. As the result of tophi formation in the joint area patients felt extreme discomfort and quite often completely lose ability to work. Objectives To define indications for tophaceous gout surgery in the Chengdu Rheumatism Hospital, evaluate surgical results and complications, as well as the effectiveness of a new surgery equipment. Materials and methods The indications and results of tophaceous gout surgery were investigated in 63 male gout patients of Chengdu Rheumatism hospital in 2019-2020. A retrospective analysis was carried out on the basis of medical records for all patients who were prescribed with urate lowering therapy and underwent arthroscopic intervention or complex surgical intervention combining arthroscopic shaving with open tophectomy procedure. Results The most common lesion site was foot joints: toes (49.41 %), ankle (39.68 %) and knee (34.92 %), with restricted mobility in the mentioned joints. Among common complaints were inability to perform daily routines due to enlarged joints (inability to wear shoes), joints’ dysfunction and pain. Younger patients (aged 20–44) had significantly higher levels of uric acid in serum before treatment. In most cases, indications for surgery for this group of patients were pain and discomfort in joints, inability to perform daily work. After accessing pain levels, 38.46 % of younger patients reported pain leveled 6 or higher on VAS score, which was more often, compared to patients aged 45–55 (26.92 %) and older than 55 (10.0 %). After surgery and following urate lowering therapy all patients noted functional improvement and reduction of pain. Decrease in serum urate levels were reported in 96.83 % of patients. Conclusion The results of surgical treatment for functional impairment of the joint (inability to perform daily work due to restricted range of motions) and massive joint transformation (inability to wear shoes/clothes) in gout patients are positive, with all patients reporting functional improvement and reduction of pain, and the risk of complications is low. In addition to urate lowering therapy we cautiously recommend performing arthroscopic shaving even in younger gout patients consistent with aforementioned indications.
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COSTELLO, C. H., D. G. K. LAM, and H. P. GIELE. "Locking of the Proximal Interphalangeal Joint of the Little Finger." Journal of Hand Surgery 26, no. 4 (August 2001): 389–90. http://dx.doi.org/10.1054/jhsb.2001.0573.

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Locking of the metacarpophalangeal joints is well documented, but locking of other joints in the finger has not been described. We present a case of locking of the little finger proximal interphalangeal joint due to an osteophyte impinging on the extensor tendon.
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Carmont, Michael R., James E. Tomlinson, Chris Blundell, Mark B. Davies, and David J. Moore. "Variability of Joint Communications in the Foot and Ankle Demonstrated by Contrast-Enhanced Diagnostic Injections." Foot & Ankle International 30, no. 5 (May 2009): 439–42. http://dx.doi.org/10.3113/fai-2009-0439.

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Background: The history and physical examination will usually direct a surgeon to the correct site of joint pathology. Imaging with plain radiographs and diagnostic injections help localize joint pathology more precisely. The presence of accessory communications between adjacent joints may reduce the sensitivity of these investigations. Material and Methods: We report on the findings of 389 arthrograms of the midfoot, hindfoot and ankle that were performed by a single radiologist over a 7-year period. Fluoroscopic guidance with radioopaque dye was used to confirm needle position before local anesthetic was injected. Images were closely studied to identify any communication between adjacent joints. Results: The passage of contrast into adjacent joints confirmed the presence of an additional communication. In 13.9% of cases there was a communication between the ankle and subtalar joint. A communication between the talonavicular and the calcaneocuboid joint was observed in 42.3% of local injections. We identified previously unreported communications between the anterior subtalar and the naviculocunieform joints (8%), the anterior subtalar and the calcaneocuboid joints (9%) and the naviculocunieform and tarsometatarsal joints (1.1%). Conclusion: This study reinforces the typical incidence of known joint communications, describes previously unreported communications and highlights the importance of these communications particularly with the small joints of the midfoot. The possible presence of accessory communications must always be considered when performing isolated midfoot fusions relying upon diagnostic local anesthetic injections.
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KRISHNAN, J., and L. CHIPCHASE. "Passive Axial Rotation of the Metacarpophalangeal Joint." Journal of Hand Surgery 22, no. 2 (April 1997): 270–73. http://dx.doi.org/10.1016/s0266-7681(97)80080-0.

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We measured passive axial rotation at the metacarpophalangeal (MCP) joints of the index, long, ring and small fingers of both hands in 100 healthy subjects using a magnetic position and orientation system called an Isotrak. Large degrees of passive rotation were found, with the ring and small finger MCP joints displaying significantly greater ranges of supination than the other two joints. Supination ranges were also found to be significantly greater than the pronation values in each joint. These results support present anatomical understanding that, during prehensile activities, axial rotation of the MCP joints occurs to allow the hand to adapt to an object being held.
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Caravelli, Silvio, Giulia Puccetti, Emanuele Vocale, Marco Di Ponte, Camilla Pungetti, Annalisa Baiardi, Alberto Grassi, and Massimiliano Mosca. "Reconstructive Surgery and Joint-Sparing Surgery in Valgus and Varus Ankle Deformities: A Comprehensive Review." Journal of Clinical Medicine 11, no. 18 (September 8, 2022): 5288. http://dx.doi.org/10.3390/jcm11185288.

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Osteoarthritis (OA) of the ankle affects about 1% of the world’s adult population, causing an important impact on patient lives and health systems. Most patients with ankle OA can show an asymmetrical wear pattern with a predominant degeneration of the medial or the lateral portion of the joint. To avoid more invasive ankle joint sacrificing procedures, joint realignment surgery has been developed to restore the anatomy of the joints with asymmetric early OA and to improve the joint biomechanics and symptoms of the patients. This narrative, comprehensive, all-embracing review of the literature has the aim to describe the current concepts of joint preserving and reconstructive surgery in the treatment of the valgus and varus ankle early OA, through an original iconography and clear indications and technical notes.
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Phair, I. C., and D. N. Quinton. "Clenched Fist Human Bite Injuries." Journal of Hand Surgery 14, no. 1 (February 1989): 86–87. http://dx.doi.org/10.1016/0266-7681(89)90023-5.

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A prospective study has been made of 29 human bite injuries caused by the clenched fist, 27 over M.P. joints and two over P.I.P. joints. All were treated by surgical exploration, within 24 hours in 84% of cases. In 62% the wound had entered the underlying joint and in 58% the bone was injured. Significantly less morbidity was noted in those cases where there was no joint injury (P < 0.001). Early surgical exploration to identify and to treat the joint injury is recommended.
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30

Hio, Naohiro, Atsushi Hasegawa, Satoshi Monden, Masanori Taki, Kazuhiko Tsunoda, and Hiroaki Omae. "Risk Factors of Arthropathy Change of the Lateral Side of Subtalar Joint After Calcaneal Fracture Surgery." Foot & Ankle Orthopaedics 4, no. 4 (October 1, 2019): 2473011419S0021. http://dx.doi.org/10.1177/2473011419s00217.

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Category: Hindfoot, Trauma Introduction/Purpose: As a result of arthropathy change on the lateral side of subtalar joint after intra-articular calcaneal fracture, the secondary disorders such as pain or restricted range of motion occasionally occur. The purpose of this study is to examine factors that cause such arthropathy change. Methods: We divided 23 joints into two groups according to arthropathy change of the lateral side of subtalar joint: the existence of such arthropathy (O) group included 8 joints, the absence of arthropathy (N) group included 15 joints. The patients’ mean age at the time of surgery were 49.1 years and 54.9 years respectively, and the mean follow-up period were 16.1 months and 12.4 months respectively. The anterolateral approach or the sinus tarsi approach was used for both groups, and the medial approach was combined as needed. The fixing materials were a plate or screws, and in some cases, staples and Kirschner wires were used in combination. We assessed Sanders classification, postoperative clinical evaluation using Creighton-Nebraska scale, and the width, height and dislocation of subtalar joint surface of calcaneus. Results: The breakdown of the Sanders classification is as follows: N group consists of 3 joints of type 2A, 7 of type 2B, 3 of type 2C, 1 of type 3BC, 1 of type 4. O group consists of 5 joints of type 2A, 2 of type 2B, 1 of type 2C. The proportion occupied by Sanders classification type 2A in O group was larger than in N group. The average of the postoperative clinical evaluation was 94.9points in N group, 86.9points in O group. In postoperative image evaluation, the mean width in the was 106.2% in N group, 117.1% in O group, the mean dislocation of the subtalar joint surface was 0.4 mm in N group and 1.1 mm in O group. Conclusion: It was suggested that Sanders type 2A and the residual dislocation of the subtalar joint surface may be a cause of arthropathy change on the lateral side of subtalar joint.
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Long, Zhongjie, and Kouki Nagamune. "Underwater 3D Imaging Using a Fiber-Based Endoscopic System for Arthroscopic Surgery." Journal of Advanced Computational Intelligence and Intelligent Informatics 20, no. 3 (May 19, 2016): 448–54. http://dx.doi.org/10.20965/jaciii.2016.p0448.

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Arthroscopic surgery is a minimally invasive surgical procedure that is widely used on joints. However, conventional endoscope-based arthroscopic surgery does not provide stereoscopic information to the surgeon. To overcome this limitation, we have developed a modified endoscopic system that uses an optical fiber (1 mm diameter) for three-dimensional imaging of knee joints. Our endoscopic system is able to operate underwater in real time. It consists of a laser beam that is projected on the surface of the object to be imaged via an optical fiber. A prism is used to decrease the length and diameter of baseline and endoscope tube, respectively. The small diameter (8 mm) of our endoscope makes it extremely convenient for application in arthroscopic surgery. The feasibility of the proposed system has been demonstrated via experiments on synthetic knee joints.
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Singh, Sarvesh, and Sukhjeet Singh. "Sepsis in Post Cardiac Surgery Patient – A Rare Cause." Journal of Cardiac Critical Care TSS 02, no. 01 (August 2018): 039–40. http://dx.doi.org/10.1055/s-0038-1671680.

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AbstractA 32-year-old patient who underwent cardiac surgery and developed sepsis in the postoperative period is described. Septic arthritis of knee joint as a rare cause of sepsis in the post cardiac surgery patient is discussed. The role of routine examination of joints in patients under evaluation for sepsis is emphasized.
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33

Lydiatt, Daniel, Phoebe Kaplan, Harold Tu, and Pauline Sleder. "Morbidity associated with temporomandibular joint arthrography in clinically normal joints." Journal of Oral and Maxillofacial Surgery 44, no. 1 (January 1986): 8–10. http://dx.doi.org/10.1016/0278-2391(86)90007-8.

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34

Diekman, Brian O., John A. Collins, and Richard F. Loeser. "Does Joint Injury Make Young Joints Old?" Journal of the American Academy of Orthopaedic Surgeons 26, no. 21 (November 2018): e455-e456. http://dx.doi.org/10.5435/jaaos-d-18-00394.

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35

He, Chuan, Wu He, Fuke Wang, Lu Tong, Zhengguang Zhang, Di Jia, Guoliang Wang, Jiali Zheng, Guangchao Chen, and Yanlin Li. "Biomechanics of Knee Joints after Anterior Cruciate Ligament Reconstruction." Journal of Knee Surgery 31, no. 04 (June 30, 2017): 352–58. http://dx.doi.org/10.1055/s-0037-1603799.

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AbstractThis study aimed to investigate the biomechanical properties of anterior cruciate ligament (ACL); tibial, femoral articular cartilage; and meniscus in knee joints receiving computer-aided or conventional ACL reconstruction. Three-dimensional (3D) knee joint finite element models were established for healthy volunteers (normal group) and patients receiving computer-aided surgery (CAS) or conventional (traditional surgery [TS]) ACL reconstruction. The stress and stress distribution on the ACL, tibial, femoral articular cartilage, and meniscus were examined after force was applied on the 3D knee joint finite element models. No significant differences were observed in the stress on ACL among normal group, CAS group, and TS group when a femoral backward force was loaded. However, when a vertical force of 350 N was loaded on the knee joints, TS group had significant higher stress on the articular cartilage and meniscus than the other two groups at any flexion angle of 0, 30, 60, and 90 degrees. However, no significant differences were observed between CAS group and normal group. In conclusion, computer-aided ACL reconstruction has advantages over conventional surgery approach in restoring the biomechanical properties of knee joints, thus reducing the risk of damage to the knee joint cartilage and meniscus after ACL reconstruction.
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36

WRIGHT, C. STEWART. "Compound Dislocations of Four Metacarpophalangeal Joints." Journal of Hand Surgery 10, no. 2 (April 1985): 233–35. http://dx.doi.org/10.1016/0266-7681_85_90025-7.

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A case of compound dorsal dislocation of four metacarpophalangeal joints is presented. The use of early joint motion and extension block splinting resulted in an excellent range of motion in this uncommon injury.
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37

Sato, Kazuki, Takuji Iwamoto, Noboru Matsumura, Taku Suzuki, Yuji Nishiwaki, and Toshiyasu Nakamura. "Total finger joint arthroplasty with a costal osteochondral autograft: up to 11 years of follow-up." Journal of Hand Surgery (European Volume) 44, no. 2 (October 22, 2018): 167–74. http://dx.doi.org/10.1177/1753193418806195.

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The purpose of this study was to evaluate the mid- to long-term clinical outcomes of total finger joint arthroplasty using a costal osteochondral autograft for joint ankylosis. Twenty-three joints (three metacarpophalangeal joints, 20 proximal interphalangeal joints) in 23 patients (19 men and four women) were treated with a costal osteochondral autograft and were evaluated after a mean follow-up of 77 months (60–138). Mean age was 33 years (18 to 55). Significant improvement in active finger extension/flexion was seen from a preoperative mean of −24°/26° (arc: 2°) to −13°/75° (arc: 63°) at latest follow-up. Mean preoperative Japanese Society for Surgery of the Hand version of the Disability of the Arm, Shoulder and Hand score was initially 24 and improved significantly to 5 at latest follow-up. Conclusion: total finger arthroplasty using a costal osteochondral autograft gave an anatomical and biological reconstruction and provided stable improvement at a mean follow-up of 77 months. Level of evidence: IV
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38

Athlani, Lionel, Romain Detammaecker, Amélie Touillet, Gilles Dautel, and Anne Foisneau. "Effect of different positions of splinting on flexor tendon relaxation: a cadaver study." Journal of Hand Surgery (European Volume) 44, no. 8 (August 1, 2019): 833–37. http://dx.doi.org/10.1177/1753193419865123.

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We performed a cadaver study to evaluate how six different static heat-moulded splints affect flexor tendon relaxation. Each splint positioned the wrist and metacarpophalangeal (MCP) joints in different positions. We evaluated the tendon relaxation in 12 fresh adult cadaver forearms by measuring the flexor tendon displacement between two solid markers for each splint. The wrist position ranged from 30° flexion to 45° extension and the MCP joints from 30° to 60° flexion. For each splint, tendon relaxation was achieved relative to the neutral reference position. Tendon relaxation was greatest when the MCP joints were positioned in 60° flexion. We also noted the persistence of tendon relaxation when the wrist was positioned in extension (30° or 45°) as long as MCP joint flexion was maintained (30° or 60°). We conclude that the wrist extension with the MCP joints flexion may optimize tendon relaxation during immobilization after flexor tendon repairs.
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39

Bumbasirevic, Marko, Slavisa Zagorac, and Aleksandar Lesic. "Emil Theodor Kocher (1841-1917): Orthopaedic surgeon and the first surgeon Nobel Prize winner." Acta chirurgica Iugoslavica 60, no. 3 (2013): 7–11. http://dx.doi.org/10.2298/aci1303007b.

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Theodor Emil Kocher (1841-1917) was born in Bern and educated in several universities in Europe. Like many surgeons of that time, Kocher performed orthopaedic surgery, general surgery, neurosurgery and endocrine surgery and became famous in many fields. He is remembered for his description of a new approach to the hip joint and elbow joint, as well as a maneuver for reduction of dislocated shoulder joints. He introduced many instruments and some of them, such as the Kocher clamp are still in use. His most important contribution was thyroid gland surgery, and he received the Nobel Prize for Medicine in 1909, for this advancement. He was a scientific, hard working meticulous surgeon, dedicated to his patients and students, which found him a place in the history of medicine.
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40

ELLIOT, D., and D. A. McGROUTHER. "The Excursions of the Long Extensor Tendons of the Hand." Journal of Hand Surgery 11, no. 1 (February 1986): 77–80. http://dx.doi.org/10.1016/0266-7681_86_90019-7.

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In a cadaveric study in seven hands, the mathematical relationship between extensor tendon excursion and joint motion (wrist, m.p., p.i.p. and d.i.p.) has been investigated. This has been found to be linear at all joints, allowing the mean tendon excursions corresponding to ten degrees of joint motion to be calculated for each of the above joints for all five rays of the hand. A table of these excursion values is presented as a reference for calculation of clinical problems.
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41

Thomson, L. A., J. E. F. Houlton, N. Rushton, and M. J. Allen. "Will the Cranial Cruciate Ligament-Deficient Caprine Stifle Joint Develop Degenerative Joint Disease?" Veterinary and Comparative Orthopaedics and Traumatology 07, no. 01 (1994): 14–17. http://dx.doi.org/10.1055/s-0038-1633037.

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SummaryUnilateral cranial cruciate ligament (CCL) resection was performed in six goats. Controls for this procedure included the contralateral (non-operated) joints and six normal joints. All CCL-deficient joints had a positive cranial drawer movement throughout the study, whereas all other joints were stable.None of the joints showed gross evidence of degenerative joint disease at necropsy 52 weeks after the operation. In addition, there were no statistically significant differences between either the frequency or severity of radiographic abnormalities in the two groups of joints.Despite long-term joint instability, degenerative joint disease did not develop in the CCL-deficient caprine stifle joint. When the goat is used as a model for anterior cruciate ligament-deficiency in man, the significance of any results should be assessed in the light of these findings.The long-term effects of experi-mentally induced cranial cruciate ligament (CCL) deficiency were studied in goats. All CCL-deficient joints had a positive cranial drawer movement, both immediately after surgery and at the end of the 52 week study. However, there was no evidence of cartilage or meniscal damage at postmortem examination, and stifle radiographs did not reveal evidence of degenerative joint disease.
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42

Younger, Alastair S. E., Andrea Veljkovic, Kevin Wing, Murray J. Penner, Hong Qian, and Hubert Wong. "Rates of Nonunion for Different Joints after Foot And Ankle Surgery: A Review of 2301 Fusions." Foot & Ankle Orthopaedics 4, no. 4 (October 1, 2019): 2473011419S0045. http://dx.doi.org/10.1177/2473011419s00452.

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Category: Ankle, Ankle Arthritis, Hindfoot, Midfoot/Forefoot Introduction/Purpose: Nonunion after fusion results in ongoing pain and a request for repeat surgery in many patients. Nonunion is therefore a failure of the primary surgery. Patients undergoing fusion surgery need to understand the risk for nonunion and the risk for repeat surgery. This is a review of fusions performed at a single institution by 4 foot and ankle surgeons to outline the nonunion rate after foot and ankle fusion for different joints. Methods: Data on fusions performed between January 1, 2010 to July 31, 2006 were retrospectively extracted from database. The records were reviewed to determine the union status of each fusion. Demographic and clinic risk factors of nonunion were recorded. The nonunion rate for each joint (ankle, subtalar, talonavicular, calcaneocuboid, navicular cuneiform, tarsometatarsal and metatssophalengeal joints) was estimated. Due to multiple surgeries performed on individual patient and fusions in the same surgery, random effects logistic regression models were conducted to assess the impact of risk factor on nonunion. The study include 2301 fusions preformed on 1320 patients. The minimum follow up was two years. The majority of patients were female (70%), with mean age of 57 years old and mean body mass index (BMI) of 28. There were 9% of patients with diabetes, 11% being smokers, 18% having lung disease, 8% with renal disease, and 29% with high blood pressure. Results: The risk of nonunion by joint is outlined in figure 1. The ankle showed the highest nonunion rate at 8%, and the calcaneocuboid joint had the lowest rate at 2%. Comparing to ankle, the nonunion rate was significantly lower at Talocalcaneal (Subtalar) joint (Odd ratio [OR]=0.05, p-value= 0.02) and Tarsometatarsal (OR=0.03, p-value=0.01). Across all joints the nonunion rate was higher in males, smokers, having a higher BMI and diabetes Age had a minimal effect. Conclusion: Union rate varied among fusion sites. Patient’s demographic and clinic characteristics might be potential risk factors for nonunion. This paper assists surgeons in determining the risk factors for nonunion after foot and ankle fusions. The ankle joint is at highest risk for nonunion, and the tarsometatarsal joint and the subtalar joints the lowest risk.
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43

Block, M. S. "Bones and Joints." Plastic and Reconstructive Surgery 75, no. 4 (April 1985): 611. http://dx.doi.org/10.1097/00006534-198504000-00049.

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44

Bell, W. H. "Bones and Joints." Plastic and Reconstructive Surgery 76, no. 1 (July 1985): 164. http://dx.doi.org/10.1097/00006534-198507000-00044.

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45

Garty, B. Z. "Bones and Joints." Plastic and Reconstructive Surgery 78, no. 5 (November 1986): 700. http://dx.doi.org/10.1097/00006534-198611000-00050.

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46

Krupp, Serge. "Bones and Joints." Plastic and Reconstructive Surgery 79, no. 2 (February 1987): 319. http://dx.doi.org/10.1097/00006534-198702000-00074.

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47

Manstein, George. "Bones and Joints." Plastic and Reconstructive Surgery 79, no. 3 (March 1987): 508. http://dx.doi.org/10.1097/00006534-198703000-00079.

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48

S. Pap, George. "BONES AND JOINTS." Plastic & Reconstructive Surgery 105, no. 4 (April 2000): 1583. http://dx.doi.org/10.1097/00006534-200004040-00080.

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49

m, Dahlstro, Kahnber g, Lindah l, and Ezatollah Hazrati. "Bones and Joints." Plastic and Reconstructive Surgery 85, no. 4 (April 1990): 656. http://dx.doi.org/10.1097/00006534-199004000-00059.

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NA;. "Bones and Joints." Plastic and Reconstructive Surgery 85, no. 4 (April 1990): 656. http://dx.doi.org/10.1097/00006534-199004000-00060.

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