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Correlation Between Range of Motion and Implant Fracture: A 5 Year Follow-Up of 72 Joints in 18 Patients in a Randomized Study Comparing Swanson and Avanta/Sutter Mcp Silicone Prosthesis

Tägil, Magnus LU ; Geijer, Mats LU ; Malcus, P. and Kopylov, Philippe LU (2009) In Journal of Hand Surgery, European Volume 34E(6). p.743-747
Abstract
Eighteen out of 18 rheumatoid patients (at one centre of a two-centre 30 patient study previously reported) with a mean age of 56 years, and 72/72 operated joints were randomized to Avanta/Sutter or Swanson MCP prostheses and followed for 5 years. Both ulnar deviation and extension lag were improved already at 6 weeks and remained improved at 5 years. The Avanta prosthesis had a better range of motion (ROM) than the Swanson. Six of nine patients with Avanta/Sutter implants had at least one implant fracture compared to 1/9 patients with the Swanson implant (P=0.05) but fracture did not change the outcome subjectively. The ROM at 3 months correlated with the occurrence of an implant fracture at 5 years and a greater early ROM may be related... (More)
Eighteen out of 18 rheumatoid patients (at one centre of a two-centre 30 patient study previously reported) with a mean age of 56 years, and 72/72 operated joints were randomized to Avanta/Sutter or Swanson MCP prostheses and followed for 5 years. Both ulnar deviation and extension lag were improved already at 6 weeks and remained improved at 5 years. The Avanta prosthesis had a better range of motion (ROM) than the Swanson. Six of nine patients with Avanta/Sutter implants had at least one implant fracture compared to 1/9 patients with the Swanson implant (P=0.05) but fracture did not change the outcome subjectively. The ROM at 3 months correlated with the occurrence of an implant fracture at 5 years and a greater early ROM may be related to implant fracture. At 5 years patients remained satisfied and the deformities remained corrected. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
motion, range of, prosthetic fracture, MCP arthroplasty, rheumatoid arthritis, ulnar deviation, extension lag
in
Journal of Hand Surgery, European Volume
volume
34E
issue
6
pages
743 - 747
publisher
SAGE Publications Inc.
external identifiers
  • wos:000273617800003
  • scopus:74549206347
ISSN
2043-6289
DOI
10.1177/1753193409346793
language
English
LU publication?
yes
id
2c5c4203-2641-4196-97c6-21eae55db076 (old id 1546629)
date added to LUP
2010-02-25 13:51:27
date last changed
2017-07-30 03:45:05
@article{2c5c4203-2641-4196-97c6-21eae55db076,
  abstract     = {Eighteen out of 18 rheumatoid patients (at one centre of a two-centre 30 patient study previously reported) with a mean age of 56 years, and 72/72 operated joints were randomized to Avanta/Sutter or Swanson MCP prostheses and followed for 5 years. Both ulnar deviation and extension lag were improved already at 6 weeks and remained improved at 5 years. The Avanta prosthesis had a better range of motion (ROM) than the Swanson. Six of nine patients with Avanta/Sutter implants had at least one implant fracture compared to 1/9 patients with the Swanson implant (P=0.05) but fracture did not change the outcome subjectively. The ROM at 3 months correlated with the occurrence of an implant fracture at 5 years and a greater early ROM may be related to implant fracture. At 5 years patients remained satisfied and the deformities remained corrected.},
  author       = {Tägil, Magnus and Geijer, Mats and Malcus, P. and Kopylov, Philippe},
  issn         = {2043-6289},
  keyword      = {motion,range of,prosthetic fracture,MCP arthroplasty,rheumatoid arthritis,ulnar deviation,extension lag},
  language     = {eng},
  number       = {6},
  pages        = {743--747},
  publisher    = {SAGE Publications Inc.},
  series       = {Journal of Hand Surgery, European Volume},
  title        = {Correlation Between Range of Motion and Implant Fracture: A 5 Year Follow-Up of 72 Joints in 18 Patients in a Randomized Study Comparing Swanson and Avanta/Sutter Mcp Silicone Prosthesis},
  url          = {http://dx.doi.org/10.1177/1753193409346793},
  volume       = {34E},
  year         = {2009},
}