Treatment of Tendon Rupture in Rheumatoid Hand

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Journal of the Korean Society for Surgery of the Hand 1998;3(2):190-196.
Published online January 1, 1998.

Kwang Hyun Lee,Myung Ryool Park,Kee Cheol Park

류마토이드 수부에서의 건 파열의 치료

이광현,박명률,박기철

Abstract

Tendon ruptures in the hand are common complication of rheumatoid arthritis and mean the advanced stage of rheumatoid arthritis. The objectives of the surgery are not only the reconstruction of ruptured tendon but also the prevention of subsequent ruptures and surgical reconstruction of the wrist joint. From July 1993 to Feb. 1997, we experienced 10 patients of tendon rupture in rheumatoid hand, which were EPL in 5 cases, EDC in 4 cases and FPL in 1 cases. These tendon ruptures were managed with reconstructive procedure combined with synovectomy, posterior interosseous neurectomy and hemiresectional arthroplasty. The clinical outcomes of these patients were normal function in 8 cases and limitation of motion in 2 cases, which were 300 extension lag in one case and flexion deficiency in the other. In conclusion, the results of our procedure at average 17 month follow-up period were satisfactory. The pain was relieved and the overall hand function was improved.

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