Skip to main content

Advertisement

Log in

The correction of rheumatoid ulnar drift by silicone prostheses with tendon transfer

  • Published:
International Orthopaedics Aims and scope Submit manuscript

Summary

Fifty hands with rheumatoid ulnar drift treated by resection of the metacarpal heads and replacement with silicone prostheses were studied. The procedure is outlined which consists of an arthroplasty using a silicone prosthesis with tendon transfer. The complications are also studied and the results evaluated. Of the cases studied 20% were excellent, 40% were good, and 40% fair.

Résumé

Cinquante mains rhumatoïdes avec coup de vent cubital ont été traitées par résection des têtes métacarpiennes et remplacement par prothèses. La technique est décrite, qui consiste en une prothése de silicone et un transfert tendineux. Les complications sont également étudiées et les résultats évalués avec un recul d'1 à 8 ans. Les résultats sont les suivants: 20% excellents, 40% bons et 40% moyens.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Backdahl, M., Myrin, S. O.: Ulnar deviation of the fingers in rheumatoid arthritis and its surgical correction: A new operative method. Acta Chir. Scand. 122, 158 (1961)

    Google Scholar 

  2. Brewerton, D. A.: Hand deformities in rheumatoid disease. Ann. Rheum. Dis. 16, 183 (1957)

    Google Scholar 

  3. Brower, T. D.: Rheumatoid arthritis of the hands. Surg. Clin. North Am. 40, 541 (1960)

    Google Scholar 

  4. Bunnell, S.: Surgery of the rheumatic hand. J. Bone Joint Surg. [Am.] 37, 759 (1955)

    Google Scholar 

  5. Bunnell, S.: Surgery of the hand. 5th edit. Ed. by H. H. Boyes. Philadelphia: Lippincott 1970

    Google Scholar 

  6. Cregan, J. C. F.: Indications for surgical intervention in rheumatoid arthritis of the wrist and hand. Ann. Rheum. Dis. 18, 29 (1959)

    Google Scholar 

  7. Flatt, A. E.: The care of the rheumatoid hand, 2nd edit. St. Louis: Mosby 1968

    Google Scholar 

  8. Flatt, A. E.: Prosthetic replacement of joints in rheumatoid arthritis. Read at the Continuation Course in Orthopedic Surgery, University of Minnesota, November 23, 1963

  9. Fowler, S. B.: Surgery of the arthritic hand. Read at the meeting of the Clinical, Orthopaedic Society, Hermitage Hotel, Nashville, Tennessee, October 18, 1963

    Google Scholar 

  10. Fowler, S. B.: Operative treatment of the rheumatoid hand. Read at the meeting of the Continuation Course in Rheumatoid Arthritis, University of Minnesota, November 22, 1963

  11. Grant, G. H.: Management of the rheumatoid thumb. In: The rheumatoid hand, Groupe d'Etude de la Main, monograph no. 3. Ed. R. Tubiana, pp. 209–212. Paris: L'Expansion Scientifique Française 1969

    Google Scholar 

  12. Henderson, E. D., Lipscomb, P. R.: Rehabilitation of the rheumatoid hand by surgical means. Arch. Phys. Med. Rehabil. 42, 58 (1961)

    Google Scholar 

  13. Henderson, E. D., Lipscomb, P. R.: Surgical treatment of the rheumatoid hand. J. Am. Med. Assoc. 175, 431 (1961)

    Google Scholar 

  14. Iselin, F.: Les prothèses articulaires des doigts. Vie Médicale 14, 4657–4666 (1970)

    Google Scholar 

  15. Kay, A.: Development of deformities in the rheumatoid hand: A preliminary report, International Workshop on Artificial Finger. Ann. Rheum. Dis. (suppl.) 28, 95–97 (1969)

    Google Scholar 

  16. Kessler, I., Raunio, P., Vainio, K.: The rheumatoid hand: A comparative study of affected sites. Acta Rheum. Scand. 11, 241–246 (1965)

    Google Scholar 

  17. Laine, V. A. I., Sairanen, E., Vainio, K.: Finger deformities caused by rheumatoid arthritis. J. Bone Joint Surg. [Am.] 39, 527 (1957)

    Google Scholar 

  18. Linschoid, R. I., Lipscomb, P. R.: Advances in surgical treatment of the rheumatoid hand. Minn. Med. 45, 273 (1962)

    Google Scholar 

  19. Lipscomb, P. R.: Recent advances in surgical treatment of rheumatoid arthritis of the hand. Read at the meeting of the American Rheumatism Association, San Francisco, June 20–21, 1958

  20. Matev, I. B.: Silicon implantatum a kez helyreallito sebeszeteben. Traumatologis 14, 222–223 (1971)

    Google Scholar 

  21. Niebauer, J. J., Shaw, J. L., Doren, W. W.: Silicone-dacron hinge prosthesis: Design, evaluation, and application. Ann. Rheum. Dis. 28 (Suppl.) 56 (1969)

    Google Scholar 

  22. Riordan, D. D., Fowler, S. B.: Surgical treatment of rheumatoid deformities of the hand. J. Bone Joint Surg. [Am.] 40, 1431 (1958)

    Google Scholar 

  23. Savill, D. L.: Some aspects of rheumatoid hand surgery. In: The rheumatoid hand, Groupe d'Etude de la Main, monograph no. 3. Ed. R. Tubiana, pp. 107–110. Paris: L'Expansion Scientifique Française 1969

    Google Scholar 

  24. Straub, L. R.: The rheumatoid hand. Clin. Orthop. 15, 127 (1959)

    Google Scholar 

  25. Swanson, A. B.: A flexible implant for replacement of arthritic or destroyed joints in the hand. New York University, Int. Clin. Inform. Bull. 5, 1–7 (1969)

    Google Scholar 

  26. Swanson, A. B.: The need for early treatment of the rheumatoid hand. J. Mich. State Med. Soc. 60, 348–351 (1961)

    Google Scholar 

  27. Swanson, A. B., Yamauchi, Y.: Silicone rubber implants for replacement of arthritic or destroyed joints. In: Proceedings of the American Academy of Orthopaedic Surgeons, Scientific Exhibits. J. Bone Joint Surg. [Am.] 50, 1272 (1968)

    Google Scholar 

  28. Swanson, A. B.: Silicone rubber implants for replacement of arthritic or destroyed joints in the hand. Surg. Clin. North Am. 48, 1113–1127 (1968)

    Google Scholar 

  29. Swanson, A. B.: Finger joint replacement by silicone rubber implants and the concept of implant fixation by encapsulation. In: International Workshop on Artificial Finger Joints. Ann. Rheum. Dis. (suppl.) 28, 47–55 (1969)

    Google Scholar 

  30. Swanson, A. B.: Silicone rubber implants for replacement of arthritic or destroyed joints in the hand. In: The Rheumatoid Hand, Groupe d'Etude de la Main, monograph no. 3. Ed. R. Tubiana, pp. 176–189. Paris: L'Expansion Scientifique Française 1969

    Google Scholar 

  31. Swanson, A. B., Matev, I. B.: The proximal interphalangeal joint in arthritic disabilities and experience in the use of silicone rubber implant arthroplasty in the upper extremity. In: Proceedings of the American Academy of Orthopaedic Surgeons, Scientific Exhibits. J. Bone Joint Surg. [Am.] 52, 1265 (1970)

    Google Scholar 

  32. Swanson, A. B.: Arthroplasty in traumatic arthritic joints in the hand. Orthop. Clin. North Am. 1, 285–298 (1970)

    Google Scholar 

  33. Swanson, A. B.: Silicone rubber implants for the replacement of the carpal scaphoid and lunate bones. Orthop. Clin. North Am. 1, 299–309 (1970)

    Google Scholar 

  34. Swanson, A. B.: Surgery of established rheumatoid deformity in the hand. In: Surgery of Rheumatoid Arthritis, eds. R. I. Cruess, N. Mitchell, pp. 177–198. Philadelphia: Lippincott 1971

    Google Scholar 

  35. Swanson, A. B.: Flexible implant arthroplasty for arthritic finger joints-rational, technique and results of treatment. J. Bone Joint Surg. [Am.] 54, 435–455 (1972)

    Google Scholar 

  36. Swanson, A. B.: Flexible implant arthroplasty in the hand and extremities. St. Louis: Mosby 1973 (in publication)

    Google Scholar 

  37. Tubiana, R.: Anatomical physiopathological features. In: The Rheumatoid Hand, Groupe d'Etude de la Main, monograph no. 3. Ed. R. Tubiana, pp. 23–31. Paris: L'Expansion Scientifique Française 1969

    Google Scholar 

  38. Tubiana, R.: The mechanismus of deformities of the fingers due to musculo-tendinous imbalance. In: The Rheumatoid Hand, Groupe d'Etude de la Main, monograph no. 3. Ed. R. Tubiana, pp. 133–141. Paris: L'Expansion Scientifique Française 1969

    Google Scholar 

  39. Tubiana, R., Achach P., Rousso, M.: Les arthroplasties par implants en silicone au niveau de la main. Chirurgie 96, 1000–1004 (1970)

    Google Scholar 

  40. Tubiana, R., Hakstian, R.: Normal and pathological deviation of the fingers. In: The Rheumatoid Hand, Groupe d'Etude de la Main, monograph no. 3. Ed. R. Tubiana, pp. 44–50. Paris: L'Expansion Scientifique Française 1969

    Google Scholar 

  41. Vainio, K., Reiman, I., Pulkki, T.: Results of the arthroplasty of the metacarpophalangeal joints in rheumatoid arthritis. Reconstr. Surg. Traumatol. 9, 1–7 (1967)

    Google Scholar 

  42. Vainio, K.: Arthrodeses and arthroplasties in the treatment of the rheumatoid hand. In: The Rheumatoid Hand, Groupe d'Etude de la Main, monograph no. 1. Ed. R. Tubiana, pp. 30–35. Paris: L'Expansion Scientifique Française 1966

    Google Scholar 

  43. Vainio, K.: Synovectomies of the hand and wrist in rheumatoid arthritis. In: The Rheumatoid Hand, Groupe d'Etude de la Main, monograph no. 1. Ed. R. Tubiana, pp. 22–24. Paris: L'Expansion Scientifique Française 1966

    Google Scholar 

  44. Vainio, K.: Synovectomies of the hand and wrist in rheumatoid arthritis. In: The Rheumatoid Hand, Groupe d'Etude de la Main, monograph no. 3. Ed. R. Tubiana, pp. 111–114. Paris: L'Expansion Scientifique Française 1969

    Google Scholar 

  45. Vainio, K., Reiman, I., Pulkki, T.: Results of arthroplasty of the metarpaphalangeal joints in rheumatoid arthritis. Wiederherstellungschir. Traum. 9, 1–7 (1967)

    Google Scholar 

  46. Zancolli, E.: Structural and dynamic bases of hand surgery. Philadelphia: Lippincott 1968

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Sakellarides, H.T. The correction of rheumatoid ulnar drift by silicone prostheses with tendon transfer. International Orthopaedics 3, 97–101 (1979). https://doi.org/10.1007/BF00266878

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00266878

Key words

Navigation