Abstract
Background: Treatment of finger joint destruction still remains an unsolved problem in hand surgery.
Arthrodesis, which restricts life quality of the patient to a large extent, is often
the only therapeutic option. Numerous implants have been tested in the past decades,
yet results were never really satisfactory.
Methods: Between May 1999 and December 2000 we operated 15 patients and implanted 16 newly
developed total joint replacements made of ceramic (the Moje prosthesis). 13 patients
and 14 joint replacements were reexamined and results were evaluated.
Results: Mean time of follow-up was 11.2 months (one to 19.5 months). Active range of motion
in the operated proximal interphalangeal joint (p < 0.001) and grip strength compared
to the contralateral side (p = 0.011) increased significantly. Evaluation of the postoperative
outcome perceived by the patients was measured according to the DASH score and showed
a significantly improved function of the hand (p = 0.001).
Conclusion: Our results after total joint replacement using the Moje prosthesis are highly promising.
Long-term studies are necessary to confirm our very positive experiences.
Key words
Prosthesis - Moje - Total joint replacement - Finger
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Dr. Stefan Ruf
Praxis für Plastische und Handchirurgie
Ludwigstrasse 8
93047 Regensburg
Germany
Phone: +49/9 41/5 86 25 50
Fax: +49/9 41 /5 86 25 51
Email: stefan.ruf@plastische-und-handchirurgie.de
