In RA, hand surgery improves function, appearance

September 3, 2012

(HealthDay)—Treating rheumatoid arthritis (RA) patients with severe hand deformities with a silicone metacarpophalangeal joint arthroplasty (SMPA) procedure produces significant, long-term improvement in hand function and appearance, according to research published in the September issue of Arthritis Care & Research.

Kevin C. Chung, M.D., of the University of Michigan Health System in Ann Arbor, and colleagues conducted a multicenter prospective cohort study involving 67 surgical and 95 nonsurgical RA patients with poor baseline functioning due to severe hand deformities to evaluate the efficacy and durability of response with the SMPA procedure.

The researchers found that, at baseline, surgical patients had worse Michigan Hand Outcomes Questionnaire (MHQ) function and functional measurements. Compared with the nonsurgical group, patients in the surgical group had significant improvements in their overall scores on the MHQ score and MHQ function, activities of daily living, aesthetics, and satisfaction section scores at three years. Significant improvement was also noted in ulnar deviation, extensor lag, and arc of motion in the metacarpophalangeal and proximal interphalangeal joints of surgical versus nonsurgical patients. Minimal complications were observed, with a fracture rate of 9.5 percent.

"The most important outcome for rheumatoid patients and hand surgeons considering surgery is improved function," the authors write. "Our three-year results have demonstrated that the SMPA procedure will improve function and activities of daily living and restore the appearance of severely deformed rheumatoid hands."

Explore further: Rheumatoid arthritis patients have low expectations after knee replacement surgery

More information: Abstract
Full Text (subscription or payment may be required)

Related Stories

Gender, high DAS28-P index predictive of pain in early RA

May 18, 2012

(HealthDay) -- For patients with rheumatoid arthritis (RA), female gender and having a high proportion of disease activity score (DAS28) attributable to patient-reported components (joint tenderness and visual analog score) ...

Recommended for you

Team finds gene that confirms existence of psoriatic arthritis

February 5, 2015

PsA is a common form of inflammatory form of arthritis causing pain and stiffness in joints and tendons that can lead to joint damage. Nearly all patients with PsA also have skin psoriasis and, in many cases, the skin disease ...

Blocking one receptor could halt rheumatoid arthritis

September 10, 2014

Researchers at the University of Illinois at Chicago College of Medicine have shown for the first time how the activation of a receptor provokes the inflammation and bone degradation of rheumatoid arthritis—and that activation ...


Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.