Reconstruction of Extensor Tendons in Rheumatoid Arthritis Patients
Author Information
Author(s): Chu Po-Jung, Lee Hung-Maan, Hou Yao-Tung, Hung Sheng-Tsai, Chen Jung-Kuei, Shih Jui-Tien
Primary Institution: Department of Orthopaedic Surgery, Taoyuan Armed Forces General Hospital
Hypothesis
The study aims to evaluate the clinical outcomes of autogenous palmaris longus tendon grafting for extensor tendon ruptures in rheumatoid arthritis patients.
Conclusion
The study found that using autogenous palmaris longus tendon grafting for multiple extensor tendon ruptures in rheumatoid arthritis patients leads to good clinical functional results.
Supporting Evidence
- The average range of MCP joint flexion after reconstruction was 66°.
- Extension lag at the metacarpophalangeal joint improved from a preoperative mean of 38° to a postoperative mean of 16°.
- All patients reported satisfaction with the clinical results and returned to their previous occupations.
Takeaway
Doctors can use a tendon from the wrist to fix broken tendons in the hands of people with arthritis, helping them move their fingers better again.
Methodology
The study involved reconstructing 36 ruptured extensor tendons in 14 rheumatoid arthritis patients using autogenous palmaris longus tendon grafts, with evaluations based on subjective and objective criteria.
Limitations
The study is retrospective and may not account for all variables affecting outcomes.
Participant Demographics
14 middle-aged rheumatoid arthritis patients (11 women and 3 men) with a mean age of 47.3 years.
Statistical Information
P-Value
p<0.05
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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