Category Archives: Publications

Metacarpal Shortening Osteotomy for the Metacarpophalangeal Rheumatoid Arthritis. Techniques in Orthopaedics 2013. In press

Metacarpal Shortening Osteotomy for the Metacarpophalangeal Rheumatoid Arthritis
Dominique Le Viet, Sebastian E. Valbuena and Vytautas Gasiunas, MD
Techniques in Orthopaedics, section Tips & Pearls

Abstract

Minolta DSCMetacarpal shortening osteotomy may be indicated for the treatment of mild metacarpophalangeal rheumatoid arthritis. Nineteen metacarpophalangeal joints in 7 patients were included in this study.

We evaluated mobility, ulnar drift, pain, recurrence of the deformity, and complications for each metacarpophalangeal joint. With a mean follow-up of 29.5 months (range, 12 to 63 mo), we obtained a 57.9% of excellent and good results, 26.32% of regular results and, 15.79% of poor results. The described surgical indications are based on the anteroposterior view of x-rays with radial correction and ulnar exaggerated deviation of the fingers.

Keywords: rheumatoid hand, metacarpophalangeal rheumatoid arthritis, dynamic x-rays, metacarpal-shortening, metacarpal osteotomy.