Outcomes of Proximal Interphalangeal Joint Pyrocarbon Implants.
(2010) In The Journal of Hand Surgery 35A. p.38-43- Abstract
- PURPOSE: To prospectively register and report the hand function and occupational performance of patients with proximal interphalangeal joint-pyrocarbon arthroplasty, using both objective tests and subjective outcome instruments. METHODS: From 2004 to 2008, 53 joints in 43 patients were reconstructed with a proximal interphalangeal joint-pyrocarbon prosthesis. The patients underwent a rehabilitation program allowing early motion with an extension stop to limit hyperextension. Range of motion, grip strength, and pain (Visual Analog Scale [VAS]) were recorded and the subjective outcome was evaluated using Canadian Occupational Performance Measure (COPM) and Disabilities of the Arm, Shoulder, and Hand score. RESULTS: Seven patients were... (More)
- PURPOSE: To prospectively register and report the hand function and occupational performance of patients with proximal interphalangeal joint-pyrocarbon arthroplasty, using both objective tests and subjective outcome instruments. METHODS: From 2004 to 2008, 53 joints in 43 patients were reconstructed with a proximal interphalangeal joint-pyrocarbon prosthesis. The patients underwent a rehabilitation program allowing early motion with an extension stop to limit hyperextension. Range of motion, grip strength, and pain (Visual Analog Scale [VAS]) were recorded and the subjective outcome was evaluated using Canadian Occupational Performance Measure (COPM) and Disabilities of the Arm, Shoulder, and Hand score. RESULTS: Seven patients were reoperated on (2 infections, 2 arthrodesis, 2 tenolysis, and 1 hyperextension). Pain (VAS) at rest improved from 3.1 cm preoperatively to 0.4 cm (p < .001) and pain (VAS) at activity from 6.2 to 2.0 cm (p < .001) at the latest follow-up (mean, 24 months; minimum, 12 months [+/- 2 weeks]). Disabilities of the Arm, Shoulder, and Hand score improved from a median of 39 to 29 (p = .026). The COPM subjective measurement of occupational performance, improved from a median of 4.6 preoperatively to 5.9 (p = .013) at the latest follow-up, and the COPM, measurement of satisfaction improved from a median of 3.8 to 5.9 (p = .002). Range of motion and grip strength were unchanged. CONCLUSIONS: All patients reported decreased pain, and although we found no improvement in range of motion and grip strength, one third of patients reported a clinically significant improvement in occupational performance and satisfaction. A total of 13% of the joints required a secondary surgical procedure. TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic IV. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1511648
- author
- Wijk, Ulrika LU ; Wollmark, Margareta ; Kopylov, Philippe LU and Tägil, Magnus LU
- organization
- publishing date
- 2010
- type
- Contribution to journal
- publication status
- published
- subject
- in
- The Journal of Hand Surgery
- volume
- 35A
- pages
- 38 - 43
- publisher
- Elsevier
- external identifiers
-
- wos:000277092600008
- pmid:19931987
- scopus:72449205574
- ISSN
- 1531-6564
- DOI
- 10.1016/j.jhsa.2009.08.010
- language
- English
- LU publication?
- yes
- id
- 88293070-95ae-4c43-ab30-443bb7a81b1d (old id 1511648)
- alternative location
- http://www.ncbi.nlm.nih.gov/pubmed/19931987?dopt=Abstract
- date added to LUP
- 2016-04-04 09:20:59
- date last changed
- 2022-03-15 18:52:48
@article{88293070-95ae-4c43-ab30-443bb7a81b1d,
abstract = {{PURPOSE: To prospectively register and report the hand function and occupational performance of patients with proximal interphalangeal joint-pyrocarbon arthroplasty, using both objective tests and subjective outcome instruments. METHODS: From 2004 to 2008, 53 joints in 43 patients were reconstructed with a proximal interphalangeal joint-pyrocarbon prosthesis. The patients underwent a rehabilitation program allowing early motion with an extension stop to limit hyperextension. Range of motion, grip strength, and pain (Visual Analog Scale [VAS]) were recorded and the subjective outcome was evaluated using Canadian Occupational Performance Measure (COPM) and Disabilities of the Arm, Shoulder, and Hand score. RESULTS: Seven patients were reoperated on (2 infections, 2 arthrodesis, 2 tenolysis, and 1 hyperextension). Pain (VAS) at rest improved from 3.1 cm preoperatively to 0.4 cm (p < .001) and pain (VAS) at activity from 6.2 to 2.0 cm (p < .001) at the latest follow-up (mean, 24 months; minimum, 12 months [+/- 2 weeks]). Disabilities of the Arm, Shoulder, and Hand score improved from a median of 39 to 29 (p = .026). The COPM subjective measurement of occupational performance, improved from a median of 4.6 preoperatively to 5.9 (p = .013) at the latest follow-up, and the COPM, measurement of satisfaction improved from a median of 3.8 to 5.9 (p = .002). Range of motion and grip strength were unchanged. CONCLUSIONS: All patients reported decreased pain, and although we found no improvement in range of motion and grip strength, one third of patients reported a clinically significant improvement in occupational performance and satisfaction. A total of 13% of the joints required a secondary surgical procedure. TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic IV.}},
author = {{Wijk, Ulrika and Wollmark, Margareta and Kopylov, Philippe and Tägil, Magnus}},
issn = {{1531-6564}},
language = {{eng}},
pages = {{38--43}},
publisher = {{Elsevier}},
series = {{The Journal of Hand Surgery}},
title = {{Outcomes of Proximal Interphalangeal Joint Pyrocarbon Implants.}},
url = {{http://dx.doi.org/10.1016/j.jhsa.2009.08.010}},
doi = {{10.1016/j.jhsa.2009.08.010}},
volume = {{35A}},
year = {{2010}},
}