Proximal interphalangeal surface replacement in patients with severe longitudinal joint axis deviation.

We compared the 2 year outcomes after proximal interphalangeal joint surface replacement in 68 joints with severe (>15°) preoperative longitudinal axis deviation and 50 joints without (<5°) preoperative deviation. Patients in both groups had a mean preoperative brief Michigan Hand Outcomes Questionnaire score of 47 and had similar 2 year scores of 72 (95% CI 68-77) (severe deviation) and 70 (95% CI 65-76) (no deviation). Pain, proximal interphalangeal joint range of motion, grip strength and complications did not differ between the groups at 2 years.

My Best and My Worst Operations in Rheumatoid Arthritis.

Patients with rheumatoid arthritis often undergo multiple surgical interventions throughout their lives, underscoring the importance of collaboration between surgeons and rheumatologists to stay abreast of medical advancements and ensure comprehensive patient care. The author aims to share insights into approaches and procedures that have proven effective overtime, while acknowledging those with less predictable outcomes. These insights are gleaned from the collective wisdom of hand surgery luminaries whose technical prowess and compassionate care have shaped our practice.

[Red eye : common ocular pathologies in outpatient care].

Red eye is a common condition characterized by eye redness, often accompanied by itching, burning, pain, or discharge. This condition can be caused by a multitude of factors, ranging from minor irritations to severe infections. Red eyes are a frequent complaint in outpatient practice.

Which would you choose again? Comparison of trapeziometacarpal implant versus resection arthroplasty in the same patient.

We invited 14 women who had undergone implant arthroplasty in one thumb and resection-suspension-interposition arthroplasty (RSIA) in the other to a follow-up visit at a median time of 2.2 and 6.2 years after implant and RSIA, respectively.

Proximal interphalangeal joint arthroplasty: current trends and evidence-based practice.

Arthroplasty of the proximal interphalangeal joint (PIPJ) has evolved since its inception over 60 years ago. This review examines the indications for surgery, highlights the differences in current arthroplasty designs, variances in surgical techniques, clinical controversies, current implant outcomes data and salvage options for the failed implant. Overall, PIPJ implant arthroplasty is a good and reliable option for symptomatic PIPJ degenerative, post-traumatic or inflammatory arthritis given the proper clinical setting.