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Journal of Long-Term Effects of Medical Implants

ISSN Print: 1050-6934
ISSN Online: 1940-4379

Journal of Long-Term Effects of Medical Implants

DOI: 10.1615/JLongTermEffMedImplants.2013004990
pages 285-292

Three- to Six-Year Results of Metacarpophalangeal Joints Arthroplasty in Psoriatic Arthritis

Alexander Buryanov
National Medical University n.a. Bohomoletz A.A., Department of Orthopedics and Traumatology, 01601, Shevchenko avenue 13, Kiev, Ukraine
Viktor Kotiuk
National Medical University n.a. Bohomoletz A.A., Department of Orthopedics;Kyiv City Clinical Hospital No. 12, City Center of Urgent Specialized Orthopedic and Traumatologic Aid, Department of Traumatology, Pidvisotskogo street 4A, Kiev, Ukraine
Vladimir Kvasha
National Medical University n.a. Bohomoletz A.A., Department of Orthopedics and Traumatology, 01601, Shevchenko avenue 13, Kiev, Ukraine
Anatoliy Samokhin
Kyiv City Clinical Hospital No. 12, City Center of Urgent Specialized Orthopedic and Traumatologic Aid, Department of Traumatology, Pidvisotskogo street 4A, Kiev, Ukraine

ABSTRACT

Background: Patients with psoriatic arthritis often need the replacement of the hand joints owing to the high prevalence of hand joints involvement and their often severe destruction and/or function loss. The long-term results of silicone arthroplasty of metacarpophalangeal joints in psoriatic patients are almost unreported in the scientific literature. Materials and methods: We analyzed 3- to 6-year results of 14 metacarpophalangeal joint replacements with silicone implants that we performed in nine psoriatic patients. Results: The metacarpophalangeal joints arthroplasty in all the patients led to the significant short-term and long-term increase of range of motions and decrease of pain. However, two complications occurred. The choice of the implant, the possibility, causes, and significance of the complications are justified. Conclusions: Metacarpophalangeal joints silicone arthroplasty in psoriatic arthritis during skin manifestations remission period is an effective and relatively safe method of finger joints contractures and deformities treatment.