Metacarpophalangeal Joint Salvage Following Gunshot Wounds: A Case Series And Literature Review
Metacarpophalangeal (MCP) joint arthroplasty may be considered for patients with destructive gunshot wound (GSW) injuries. We present a review of two patients who sustained a low-velocity GSW of the hand with involvement of an MCP joint requiring MCP joint salvage using arthroplasty. Differing arthr...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-01-01
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| Series: | Journal of Hand Surgery Global Online |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S258951412400224X |
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| author | Reece A. Moore, MD Jacob Franke, MD Matthew Fahrenkopf, MD |
| author_facet | Reece A. Moore, MD Jacob Franke, MD Matthew Fahrenkopf, MD |
| author_sort | Reece A. Moore, MD |
| collection | DOAJ |
| description | Metacarpophalangeal (MCP) joint arthroplasty may be considered for patients with destructive gunshot wound (GSW) injuries. We present a review of two patients who sustained a low-velocity GSW of the hand with involvement of an MCP joint requiring MCP joint salvage using arthroplasty. Differing arthroplasty methods were used for each patient including pyrocarbon hemiarthroplasty and silicone arthroplasty. For pyrocarbon hemiarthroplasty, total arc of motion at 9 months after surgery for the MCP, proximal interphalangeal, and distal interphalangeal joints were 70º, 110º, and 80º, respectively. For silicone arthroplasty, total arc of motion at 9 months after surgery for the MCP, proximal interphalangeal, and distal interphalangeal joints were 85º, 120º, and 80º, respectively. Both patients returned to work without restrictions and were without chronic pain at the last follow-up 9 months from salvage surgery. The application of pyrocarbon or silicone arthroplasty for GSWs is a viable option for joint salvage in this population. |
| format | Article |
| id | doaj-art-0bf5c1aa13a04464beab4c7d35331fb3 |
| institution | Kabale University |
| issn | 2589-5141 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Hand Surgery Global Online |
| spelling | doaj-art-0bf5c1aa13a04464beab4c7d35331fb32025-01-26T05:04:41ZengElsevierJournal of Hand Surgery Global Online2589-51412025-01-0171117120Metacarpophalangeal Joint Salvage Following Gunshot Wounds: A Case Series And Literature ReviewReece A. Moore, MD0Jacob Franke, MD1Matthew Fahrenkopf, MD2Michigan State University/Corewell Health Division of Plastic and Reconstructive Surgery, Grand Rapids, MI; Corresponding author: Reece A. Moore, MD, 100 Michigan St SE, Grand Rapids, MI, 49503.Michigan State University/Corewell Health Division of Plastic and Reconstructive Surgery, Grand Rapids, MIMichigan State University/Corewell Health Division of Plastic and Reconstructive Surgery, Grand Rapids, MIMetacarpophalangeal (MCP) joint arthroplasty may be considered for patients with destructive gunshot wound (GSW) injuries. We present a review of two patients who sustained a low-velocity GSW of the hand with involvement of an MCP joint requiring MCP joint salvage using arthroplasty. Differing arthroplasty methods were used for each patient including pyrocarbon hemiarthroplasty and silicone arthroplasty. For pyrocarbon hemiarthroplasty, total arc of motion at 9 months after surgery for the MCP, proximal interphalangeal, and distal interphalangeal joints were 70º, 110º, and 80º, respectively. For silicone arthroplasty, total arc of motion at 9 months after surgery for the MCP, proximal interphalangeal, and distal interphalangeal joints were 85º, 120º, and 80º, respectively. Both patients returned to work without restrictions and were without chronic pain at the last follow-up 9 months from salvage surgery. The application of pyrocarbon or silicone arthroplasty for GSWs is a viable option for joint salvage in this population.http://www.sciencedirect.com/science/article/pii/S258951412400224XGunshotJointMetacarpophalangealTraumaSalvage |
| spellingShingle | Reece A. Moore, MD Jacob Franke, MD Matthew Fahrenkopf, MD Metacarpophalangeal Joint Salvage Following Gunshot Wounds: A Case Series And Literature Review Journal of Hand Surgery Global Online Gunshot Joint Metacarpophalangeal Trauma Salvage |
| title | Metacarpophalangeal Joint Salvage Following Gunshot Wounds: A Case Series And Literature Review |
| title_full | Metacarpophalangeal Joint Salvage Following Gunshot Wounds: A Case Series And Literature Review |
| title_fullStr | Metacarpophalangeal Joint Salvage Following Gunshot Wounds: A Case Series And Literature Review |
| title_full_unstemmed | Metacarpophalangeal Joint Salvage Following Gunshot Wounds: A Case Series And Literature Review |
| title_short | Metacarpophalangeal Joint Salvage Following Gunshot Wounds: A Case Series And Literature Review |
| title_sort | metacarpophalangeal joint salvage following gunshot wounds a case series and literature review |
| topic | Gunshot Joint Metacarpophalangeal Trauma Salvage |
| url | http://www.sciencedirect.com/science/article/pii/S258951412400224X |
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