Universität zu Köln

Hohendorff, B., Spies, C. K., Unglaub, F., Mueller, L. P. and Ries, C. (2019). Anatomy of themetacarpophalangeal and proximal interphalangeal finger joint with respect to arthroplasty. Orthopade, 48 (5). S. 368 - 378. NEW YORK: SPRINGER. ISSN 1433-0431

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Abstract

BackgroundPrecise knowledge of the anatomy and biomechanics of the metacarpophalangeal and proximal interphalangeal joint is the basis for both indication and implantation of afinger joint prosthesis. Currently available finger joint prostheses inadequately take into account individual, ethnological, gender, age, and side differences. They can remain compromised despite the possible combination of their components.ObjectivesTo elucidate which problems of finger joint arthroplasty exist due to the anatomy and biomechanics of the metacarpophalangeal and proximal interphalangeal joints.MethodsThe anatomy and biomechanics of the metacarpophalangeal and proximal interphalangeal joint are described, and the problems and solutions of finger joint arthroplasty are presented.ResultsDespite precise knowledge of the anatomy and biomechanics of the metacarpophalangeal and proximal interphalangeal joint, not all problems of finger joint arthroplasty have been solved. However, a modular surface replacement appears promising for the proximal interphalangeal joint.ConclusionsArtificial joint replacement of the metacarpophalangeal and proximal interphalangeal joint is difficult with regard to morphology, small bone dimensions, complex biomechanics, and the strain of the hand. Further improvements, especially in design, should be achieved by exact anatomical imitation.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Hohendorff, B. UNSPECIFIED UNSPECIFIED UNSPECIFIED Spies, C. K. UNSPECIFIED UNSPECIFIED UNSPECIFIED Unglaub, F. UNSPECIFIED UNSPECIFIED UNSPECIFIED Mueller, L. P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Ries, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-149707
DOI:	10.1007/s00132-019-03716-7
Journal or Publication Title:	Orthopade
Volume:	48
Number:	5
Page Range:	S. 368 - 378
Date:	2019
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1433-0431
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language PIP TOTAL JOINT; MEDIUM-TERM OUTCOMES; METACARPOPHALANGEAL JOINT; VOLAR PLATE; PYROCARBON; BIOMECHANICS; IMPLANT; SURFACE; REPLACEMENT; OSTEOARTHRITIS Multiple languages Orthopedics Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/14970