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Long-term clinical outcome of tendon transfer and tendon graft for extensor tendon ruptures in rheumatoid hands.
Lee, Young Seok; Kim, Hee Soo; Kim, Yeong Hwan; Jo, Young-Hoon; Lee, Bong Gun; Lee, Chang-Hun.
Afiliação
  • Lee YS; Department of Orthopedic Surgery, Hanyang University Guri Hospital, Guri, Republic of Korea.
  • Kim HS; Department of Orthopedic Surgery, Saeum Hospital, Seoul, Republic of Korea.
  • Kim YH; Department of Orthopedic Surgery, College of Medicine, Hanyang University, Seoul, Republic of Korea.
  • Jo YH; Department of Orthopedic Surgery, Hanyang University Guri Hospital, Guri, Republic of Korea.
  • Lee BG; Department of Orthopedic Surgery, College of Medicine, Hanyang University, Seoul, Republic of Korea.
  • Lee CH; Department of Orthopedic Surgery, College of Medicine, Hanyang University, Seoul, Republic of Korea. drlch79@hanyang.ac.kr.
BMC Musculoskelet Disord ; 23(1): 865, 2022 Sep 16.
Article em En | MEDLINE | ID: mdl-36114494
PURPOSE: To evaluate the objective and subjective long-term clinical outcomes of tendon transfer and tendon graft for extensor tendon ruptures in rheumatoid hands. METHODS: We evaluated the long-term clinical outcomes of tendon transfer and tendon graft for extensor tendon ruptures in rheumatoid hands of 37 patients (43 hands) followed up for a mean of 14 years (range, 10-21 years). RESULTS: The mean time from rupture to surgery was 13.1 weeks (range, 3-48 weeks). The mean extension lag of the metacarpophalangeal joint was 8.7° (range, 0-40°), the mean pulp-to-palm distance was 0.4 cm (range, 0-3 cm), and the mean overall satisfaction rate was 86.5 (range, 70-100). There were no significant differences in clinical outcomes between tendon transfers and tendon grafts. There was a significant correlation between extension lag of the metacarpophalangeal joint and overall satisfaction rate (R2 = 0.155; p = 0.009). Time to surgery was significantly correlated with extension lag of the metacarpophalangeal joint (R2 = 0.437; p = 0.001) in the tendon graft group. CONCLUSIONS: Both tendon transfer and tendon graft for extensor tendon ruptures in rheumatoid hands achieve satisfactory results that are maintained for an average of 14 years. In cases of tendon graft, the time to surgery should be considered, and there is concern over extension lag of MP joint. LEVEL OF EVIDENCE: IV.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Traumatismos dos Tendões / Transferência Tendinosa Limite: Humans Idioma: En Ano de publicação: 2022 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Traumatismos dos Tendões / Transferência Tendinosa Limite: Humans Idioma: En Ano de publicação: 2022 Tipo de documento: Article