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1
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3142709416
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A prospective outcomes study of Swanson metacarpophalangeal joint arthroplasty for the rheumatoid hand
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This study presented 6-month and 1-year prospective outcomes data from patients who had undergone MCP joint reconstruction. Functional assessment by grip strength, pinch strength, and Jebsen-Taylor test did not improve significantly when compared with preoperative values. Subjective assessment by the Michigan Hand Outcomes Questionnaire (MHQ), however, did improve significantly. Ulnar drift significantly decreased 1 year after surgery by an average of 24°, and MCP joint range of motion increased, but this change was not significant. Continued follow-up evaluation of this cohort will determine whether these improvements are maintained in the long term. (Level III evidence)
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KC Chung, SV Kotsis and HM Kim (2004) A prospective outcomes study of Swanson metacarpophalangeal joint arthroplasty for the rheumatoid hand. J Hand Surg [Am] 29 646-653. This study presented 6-month and 1-year prospective outcomes data from patients who had undergone MCP joint reconstruction. Functional assessment by grip strength, pinch strength, and Jebsen-Taylor test did not improve significantly when compared with preoperative values. Subjective assessment by the Michigan Hand Outcomes Questionnaire (MHQ), however, did improve significantly. Ulnar drift significantly decreased 1 year after surgery by an average of 24°, and MCP joint range of motion increased, but this change was not significant. Continued follow-up evaluation of this cohort will determine whether these improvements are maintained in the long term. (Level III evidence)
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(2004)
J Hand Surg [Am]
, vol.29
, pp. 646-653
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Chung, K.C.1
Kotsis, S.V.2
Kim, H.M.3
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2
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32444436932
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Reasons why rheumatoid arthritis patients seek surgical treatment for hand deformities
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The purpose of this study was to determine how function, pain, and aesthetics rank in order of importance to rheumatoid arthritis patients who are considering MCP joint arthroplasty for rheumatoid hand deformities. Function, pain, and aesthetic domains from the MHQ were used in a logistic regression model to determine the factors associated with choosing hand reconstruction. Patients with less function and greater pain were more likely to choose MCP joint arthroplasty. Aesthetics was not a statistically significant predictor. (Level III evidence)
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KC Chung, SV Kotsis, HM Kim, FD Burke and EFS Wilgis (2006) Reasons why rheumatoid arthritis patients seek surgical treatment for hand deformities. J Hand Surg [Am] 31 289-294. The purpose of this study was to determine how function, pain, and aesthetics rank in order of importance to rheumatoid arthritis patients who are considering MCP joint arthroplasty for rheumatoid hand deformities. Function, pain, and aesthetic domains from the MHQ were used in a logistic regression model to determine the factors associated with choosing hand reconstruction. Patients with less function and greater pain were more likely to choose MCP joint arthroplasty. Aesthetics was not a statistically significant predictor. (Level III evidence)
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(2006)
J Hand Surg [Am]
, vol.31
, pp. 289-294
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Chung, K.C.1
Kotsis, S.V.2
Kim, H.M.3
Burke, F.D.4
Wilgis, E.F.S.5
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3
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0034130250
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Patient outcomes following Swanson Silastic metacarpophalangeal arthroplasty in the rheumatoid hand: systematic overview
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This study initiated our National Institutes of Health RO1 study to determine the outcomes of MCP joint arthroplasty. Although MCP joint arthroplasty had been performed for over 30 years, the research studies on this procedure varied greatly in length of follow-up, outcome assessments, and study design. (Level III evidence)
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KC Chung, CP Kowalski, HM Kim and IS Kazmers (2000) Patient outcomes following Swanson Silastic metacarpophalangeal arthroplasty in the rheumatoid hand: systematic overview. J Rheumatol 27 1395-1402. This study initiated our National Institutes of Health RO1 study to determine the outcomes of MCP joint arthroplasty. Although MCP joint arthroplasty had been performed for over 30 years, the research studies on this procedure varied greatly in length of follow-up, outcome assessments, and study design. (Level III evidence)
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(2000)
J Rheumatol
, vol.27
, pp. 1395-1402
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Chung, K.C.1
Kowalski, C.P.2
Kim, H.M.3
Kazmers, I.S.4
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