Novel Use of Joint Replacement in a Thumb Interphalangeal Joint

Arthrodesis of the interphalangeal (IP) joint of the thumb is widely acknowledged as the indicated treatment for trauma and osteoarthritis of this joint. Joint replacement was offered to a young patient as an alternative treatment after traumatic joint loss of the IP joint in her thumb. This allowed...

Full description

Saved in:
Bibliographic Details
Published in:Case reports in orthopedics 2019, Vol.2019 (2019), p.1-4
Main Authors: McKee, Desirae, Domingo-Johnson, E. L.
Format: Article
Language:English
Subjects:
Activities of daily living
Antiarthritic agents
Arthritis
Care and treatment
Case Report
Case reports
Fingers & toes
Fractures
Hand surgery
Joint replacement
Joint surgery
Medical equipment
Osteoarthritis
Pain
Patient satisfaction
Polyethylene
Prostheses
Surgery
Transplants & implants
Trauma
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Arthrodesis of the interphalangeal (IP) joint of the thumb is widely acknowledged as the indicated treatment for trauma and osteoarthritis of this joint. Joint replacement was offered to a young patient as an alternative treatment after traumatic joint loss of the IP joint in her thumb. This allowed her to maintain motion of the joint as she did not wish to move forward with fusion. In the present case, a Humanitarian Use Device (HUD) was utilized in an off-label manner and placed into the interphalangeal joint of the patient’s thumb. The patient did well postoperatively with reasonable pain-free range of motion of the interphalangeal joint with an arc of 40 degrees. We propose that joint replacement is a viable alternative to arthrodesis in select patients who do not wish to be fused. We believe this represents the first thumb IP joint replacement using a semiconstrained joint presented in the medical literature.
ISSN:2090-6749
2090-6757
DOI:10.1155/2019/2603098