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Journal of Hand Surgery (British and European Volume)
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Articles

The Value of Crossed Intrinsic Transfer after Metacarpophalangeal Silastic Arthroplasty: A Comparative Study

D. I. CLARK
R. DELANEY
J. H. STILWELL
I. A. TRAIL
J. K. STANLEY

From the Hand and Upper Limb Unit, Wrightington Hospital, Wrightington, UK

Correspondence: Mr David Clark, Department of Orthopaedics, Derbyshire Royal Infirmary, London Road, Derby DE1 4QY, UK E-mail: clark.sec{at}sdah-trtrent.nhs.uk

Seventy three hands in patients with rheumatoid arthritis undergoing primary index to small finger metacarpophalangeal joint replacements were studied retrospectively. In twenty eight hands a crossed intrinsic transfer was performed and in forty five hands it was not. A similar splintage and rehabilitation programme was followed in each group. The two treatment groups had similar preoperative ulnar drift (crossed intrinsic transfer group mean 278, comparative group 298). At a mean follow up of 50 months the crossed intrinsic transfer group had statistically less ulnar drift (crossed intrinsic transfer group mean 68, comparative group mean 148, P=0.01). There were no other significant differences at follow up.

Journal of Hand Surgery (British and European Volume), Vol. 26, No. 6, 565-567 (2001)
DOI: 10.1054/jhsb.2001.0644
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This article has been cited by other articles:


Home page
 J Hand Surg Eur VolHome page
P. B. HONKANEN, M. KELLOMAKI, Y. T. KONTTINEN, S. MAKELA, and M. U. K. LEHTO
A Midterm Follow-Up Study of Bioreconstructive Polylactide Scaffold Implants in Metacarpophalangeal Joint Arthroplasty in Rheumatoid Arthritis Patients
J Hand Surg Eur Vol., April 1, 2009; 34(2): 179 - 185.
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