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- W2080937557 abstract "Two hundred sixty-four patients with rheumatoid arthritis were treated with 901 Swanson silastic arthroplasties of the metacarpophalangeal joints. Average followup was 8 years with a minimum of 2 years. Preoperative ulnar deviation averaged 45° and improved to an average of 15° postoperatively. Active flexion arc averaged 40° preoperatively and 50° postoperatively, an increase of 10°. The extensor lag postoperatively improved to 10° from 50° preoperatively, placing the arc of metacarpophalangeal joint motion between 10° and 60° flexion. Complications included dehiscence and delayed wound healing (2%), superficial infection (0.5%), deep infection (3%), and prosthetic fracture (14%). Subjectively, most patients thought that their postoperative function was improved. This was thought to be attributable in part to the correction of the ulnar deviation deformity of the fingers, and the shifting of the arc of motion of the metacarpophalangeal joints to one allowing increased metacarpophalangeal extension, thereby improving the opening capacity of the digits and the overall function of the hand." @default.
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- W2080937557 date "1997-09-01" @default.
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- W2080937557 title "Silastic Metacarpophalangeal Joint Arthroplasty in Patients With Rheumatoid Arthritis" @default.
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- W2080937557 doi "https://doi.org/10.1097/00003086-199709000-00004" @default.
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