6533b7d5fe1ef96bd1263de8

RESEARCH PRODUCT

Metacarpophalangeal joint of the thumb arthrodesis using intramedullary interlocking screws XMCP™

D. Montaner-alonsoJ. Morales-rodríguezC.n. Novoa-parra

subject

MaleArthrodesismedicine.medical_treatmentRadiographyBone ScrewsArthrodesisThumblaw.inventionArthritis RheumatoidMetacarpophalangeal JointIntramedullary rod03 medical and health sciencesFixation (surgical)0302 clinical medicinelawmedicineHumansOrthopedics and Sports Medicine030212 general & internal medicineAgedOrthodontics030222 orthopedicsbusiness.industryArthrodesis Arthrosis Articulación metacarpofalángica Artritis reumatoide Artrodesis Artrosis Metacarpophalangeal joint Rheumatoid arthritisMetacarpophalangeal jointMiddle AgedTreatment Outcomemedicine.anatomical_structureThumbRadiological weaponFemaleSurgeryImplantJoint DiseasesbusinessFollow-Up Studies

description

Abstract The study objective was to assess the results of a thumb metacarpophalangeal joint (MCPJ) arthrodesis using intramedullary interlocking screws at 25°, XMCP ™ (Extremity Medical, Parsippany, NJ). Radiographs evaluated the angle of arthrodesis, time of fusion and fixation of the implant. Clinical and functional outcomes were assessed using the DASH questionnaire and the VAS scale. Any complications found during surgery or the follow-up period were noted. We studied 9 patients. The mean follow-up was 27.6 months. Patients showed clinical and radiological evidence of fusion in an average of 8 weeks, the angle of fusion was 25°. There were no complications and no implant had to be removed. The XMCP™ system provides a reliable method for MCPJ arthrodesis for several indications and can be used with other procedures in the complex hand.

https://doi.org/10.1016/j.recote.2018.07.009