Chopra Rajat, Jain D K, Murali Raj, Chelliah E Gladston
Department of Clinical Research, Wrightington Hospital, Hall Lane, Appley Bridge, Wigan, Lancashire, WN6 9EP, UK.
Cases J. 2009 Sep 10;2:7864. doi: 10.4076/1757-1626-2-7864.
Metacarpophalangeal joint replacement is one of the most common surgery performed for rheumatoid hand deformities. The systemic and progressive nature of rheumatoid arthritis and other inflammatory arthritis make isolated assessment and treatment of metacarpophalangeal joint joints challenging.Extensive joint involvement and systemic nature of the illness has an impact in the prognosis of the illness. The long term outcome of the surgical procedure depends on how best the illness is controlled. Technical aspects of the surgery in patients with rheumatoid arthritis can be widely variable and can make implant arthroplasty challenging. We present a case report of an unusual presentation of a rare complication following metacarpophalangeal joint replacement performed 17 years ago.
掌指关节置换术是治疗类风湿性手部畸形最常见的手术之一。类风湿性关节炎和其他炎性关节炎的全身性和进行性,使得对掌指关节进行单独评估和治疗具有挑战性。疾病广泛的关节受累和全身性对疾病的预后有影响。手术的长期结果取决于疾病的控制程度。类风湿性关节炎患者手术的技术方面差异很大,可能使植入物置换术具有挑战性。我们报告一例17年前进行掌指关节置换术后出现罕见并发症的不寻常病例。