In RA, Hand Surgery Improves Function, Appearance

Benefit seen for severe hand deformities treated with silicone metacarpophalangeal joint arthroplasty

MONDAY, Sept. 3 (HealthDay News) -- Treating rheumatoid arthritis (RA) patients with severe hand deformities with a silicone metacarpophalangeal joint arthroplasty (SMPA) procedure produces significant, long-term improvement in hand function and appearance, according to research published in the September issue of Arthritis Care & Research.

Kevin C. Chung, M.D., of the University of Michigan Health System in Ann Arbor, and colleagues conducted a multicenter prospective cohort study involving 67 surgical and 95 nonsurgical RA patients with poor baseline functioning due to severe hand deformities to evaluate the efficacy and durability of response with the SMPA procedure.

The researchers found that, at baseline, surgical patients had worse Michigan Hand Outcomes Questionnaire (MHQ) function and functional measurements. Compared with the nonsurgical group, patients in the surgical group had significant improvements in their overall scores on the MHQ score and MHQ function, activities of daily living, aesthetics, and satisfaction section scores at three years. Significant improvement was also noted in ulnar deviation, extensor lag, and arc of motion in the metacarpophalangeal and proximal interphalangeal joints of surgical versus nonsurgical patients. Minimal complications were observed, with a fracture rate of 9.5 percent.

"The most important outcome for rheumatoid patients and hand surgeons considering surgery is improved function," the authors write. "Our three-year results have demonstrated that the SMPA procedure will improve function and activities of daily living and restore the appearance of severely deformed rheumatoid hands."

Abstract
Full Text (subscription or payment may be required)

Copyright © 2012 HealthDay. All rights reserved.

Powered by

jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles Recommended Nursing Articles

Dogs as Pets, Visitors, Therapists and Assistants
Home Healthcare Nurse, November/December 2014
Free access will expire on January 5, 2015.


Tracheostomy Care
Nursing2014 Critical Care, November 2014
Free access will expire on December 22, 2014.


Effective management of ARDS
The Nurse Practitioner, 13December 2014
Free access will expire on December 22, 2014.


More Recommended Articles

Subscribe to Recommended Articles

Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events