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Finger proximal interphalangeal joint gap arthroplasty

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European Journal of Plastic Surgery Aims and scope Submit manuscript

Abstract

Background

The proximal interphalangeal (PIP) joint plays an important role in both grasp and pinch. In terms of mobility and stability, an intact PIP joint plays an important role in isolated finger function as well as the function of the entire hand. Currently, there are only a few surgical management protocols: arthrodesis, arthroplasty without joint replacement and arthroplasty with prosthetic replacement. This study aims to evaluate the gap arthroplasty technique as an alternative method for PIP joint reconstruction and to identify its advantages and disadvantages.

Methods

This interventional prospective study was conducted in a university hospital setting. We performed PIP joint gap arthroplasty using a dynamic traction device system after resection of the ankylotic area. The assessed outcome parameters were pain relief and range of motion (ROM) at 6 months, post-operatively.

Results

The results showed a complete pain relief, excellent passive ROM (in mean 65°) and a good active ROM (in mean 41°). This allows the patient to move the four ulnar fingers together without interruption from the injured finger. Overall patient satisfaction was very good.

Conclusions

Gap arthroplasty is an easy and effective technique for the PIP joint, and it does not require expensive materials as do artificial joint procedures. However, further studies are needed to conduct a long-term functional evaluation.

Level of Evidence: Level IV, therapeutic study.

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Acknowledgments

The authors would like to express their appreciation to Dr. Mohamed Elsayed Abdelhameed, the hand physiotherapist who helped us a lot in this work. The authors would also like to thank Dr. Mohammed H. El Fahar for his peer-to-peer review of this paper.

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Authors and Affiliations

  1. Plastic and reconstructive surgery department, Mansoura university hospitals, Al-Gomhoria street, Mansoura, Dakhlia, Egypt

    Mohamed Elsaid Abdelshaheed, Ahmed Abdel-Galil Khalil, Reda Abdallah Younis, Ahmed Mohamed Bahaa El-Din Moustafa & Samy Ahmed Mahmoud Shehabeldin

Authors
  1. Mohamed Elsaid Abdelshaheed
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  2. Ahmed Abdel-Galil Khalil
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  3. Reda Abdallah Younis
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  4. Ahmed Mohamed Bahaa El-Din Moustafa
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  5. Samy Ahmed Mahmoud Shehabeldin
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Corresponding author

Correspondence to Mohamed Elsaid Abdelshaheed.

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Ethical standards

The study has been approved by the hospital’s Research Ethics Committee and has been performed in accordance with the ethical standards as laid down in the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.

Conflict of interest

Mohamed Elsaid Abdelshaheed, Ahmed Abdel-Galil Khalil, Reda Abdallah Younis, Ahmed Mohamed Bahaa El-Din Moustafa, and Samy Ahmed Mahmoud Shehabeldin declare that they have no conflict of interest.

Patient consent

Informed consent was obtained from all the patients before their inclusion in this study.

Funding

None.

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Cite this article

Abdelshaheed, M.E., Khalil, A.AG., Younis, R.A. et al. Finger proximal interphalangeal joint gap arthroplasty. Eur J Plast Surg 40, 117–122 (2017). https://doi.org/10.1007/s00238-016-1243-1

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  • DOI: https://doi.org/10.1007/s00238-016-1243-1

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