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- W4379600586 abstract "Septic arthritis of the metacarpophalangeal joint (MCPJ) compromises 9% of hand infections in Singapore. Common surgical treatment is open arthrotomy and joint washout. The wound is often left open for drainage postoperatively. Repeated debridement and secondary closure are frequently needed after the index surgery. We describe a method of continuous catheter irrigation of septic MCPJ joint using an infant feeding catheter. This method provides great infection clearance to avoid repeated debridement and allows primary closure of the wound to avoid secondary closure. This method also significantly reduces postoperative pain so that to facilitate early mobilization of the joint, which is crucial for functional recovery. We illustrate the techniques of this procedure and key points of postoperative management in the ward with case examples to demonstrate its simplicity, safety, and efficacy in treating MCPJ septic arthritis." @default.
- W4379600586 created "2023-06-08" @default.
- W4379600586 creator A5048280661 @default.
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- W4379600586 date "2023-06-07" @default.
- W4379600586 modified "2023-09-23" @default.
- W4379600586 title "Techniques for Continuous Catheter Irrigation of a Septic Metacarpophalangeal Joint" @default.
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- W4379600586 doi "https://doi.org/10.1097/bth.0000000000000440" @default.
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