Tendon transfer or tendon graft for ruptured finger extensor tendons in rheumatoid hands

We evaluated the clinical outcome of tendon reconstruction using tendon graft or tendon transfer and the parameters related to clinical outcome in 51 wrists of 46 patients with rheumatoid arthritis with finger extensor tendon ruptures. At a mean follow-up of 5.6 years, the mean metacarpophalangeal (...

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Veröffentlicht in:The Journal of hand surgery, European volume European volume, 2010-05, Vol.35 (4), p.279-282
Hauptverfasser: Chung, U. S., Kim, J. H., Seo, W. S., Lee, K. H.
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container_issue 4
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container_title The Journal of hand surgery, European volume
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creator Chung, U. S.
Kim, J. H.
Seo, W. S.
Lee, K. H.
description We evaluated the clinical outcome of tendon reconstruction using tendon graft or tendon transfer and the parameters related to clinical outcome in 51 wrists of 46 patients with rheumatoid arthritis with finger extensor tendon ruptures. At a mean follow-up of 5.6 years, the mean metacarpophalangeal (MP) joint extension lag was 8° (range, 0–45) and the mean visual analogue satisfaction scale was 74 (range, 10–100). Clinical outcome did not differ significantly between tendon grafting and tendon transfer. The MP joint extension lag correlated with the patient’s satisfaction score, but the pulp-to-palm distance did not correlate with patient satisfaction. We conclude that both tendon grafting and tendon transfer are reliable reconstruction methods for ruptured finger extensor tendons in rheumatoid hands.
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subjects Adult
Arthritis, Rheumatoid - complications
Arthritis, Rheumatoid - physiopathology
Arthritis, Rheumatoid - surgery
Biological and medical sciences
Diseases of the osteoarticular system
Female
Fingers
Follow-Up Studies
Humans
Inflammatory joint diseases
Male
Medical sciences
Middle Aged
Patient Satisfaction
Range of Motion, Articular
Recovery of Function
Retrospective Studies
Rupture
Tendon Injuries - etiology
Tendon Injuries - physiopathology
Tendon Injuries - surgery
Tendon Transfer
Tendons - transplantation
Treatment Outcome
Young Adult
title Tendon transfer or tendon graft for ruptured finger extensor tendons in rheumatoid hands
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