000			03524nam a22005657a 4500
008			170616s20172017 xxu||||| |||| 00| 0 eng d
022			_a2151-464X
040			_aOvid MEDLINE(R)
099			_a27696739
245			_aSeven-Year Outcomes of the Silicone Arthroplasty in Rheumatoid Arthritis Prospective Cohort Study.
251			_aArthritis care & research. , 2016 Oct 01
251			_aArthritis care & research. 69(7):973-981, 2017 Jul
252			_aArthritis Care Res (Hoboken). , 2016 Oct 01
252			_aArthritis Care Res (Hoboken). 69(7):973-981, 2017 Jul
253			_aArthritis care & research
260			_c2016
260			_fFY2017
266			_d2017-06-16
520			_aCONCLUSION: Benefits of the SMPA procedure are maintained over 7 years with low rates of implant fracture or deformity. Non-SMPA patients remained stable in their hand function over the 7-year study duration.
520			_aCopyright (c) 2016, American College of Rheumatology.
520			_aMETHODS: RA patients between ages 18 to 80 years with severe deformity at the MCP joints were referred to 1 of the 3 study sites. Subjects who elected to undergo silicone metacarpophalangeal joint arthroplasty (SMPA) while continuing with medical management were followed in the SMPA cohort. Subjects who elected to continue with medical management alone without surgery were followed in the non-SMPA cohort. Objective measurements included grip and pinch strength as well as arc of motion, ulnar drift, and extensor lag of the MCP joints. Patient-reported outcomes included the Michigan Hand Questionnaire (MHQ) and the Arthritis Impact Measurement Scales questionnaire. Radiographs of SMPA implants were assessed and graded as intact, deformed, or fractured.
520			_aOBJECTIVE: Rheumatoid arthritis (RA) causes destruction of the metacarpophalangeal (MCP) joints, leading to hand deformities, pain, and loss of function. This study prospectively assessed long-term functional and health-related quality-of-life outcomes in RA patients with severe deformity at the MCP joints.
520			_aRESULTS: MHQ scores showed large improvements post-SMPA, and baseline-adjusted expected outcomes in the SMPA group were significantly better at year 7 in function, aesthetics, satisfaction, and overall score compared to non-SMPA. SMPA subjects did not improve in grip or pinch strength, but achieved significant improvement and maintained the improvement long term in ulnar drift and extensor lag.
546			_aEnglish
650			_a*Arthritis, Rheumatoid/dg [Diagnostic Imaging]
650			_a*Arthritis, Rheumatoid/th [Therapy]
650			_a*Arthroplasty/mt [Methods]
650			_a*Internationality
650			_a*Joint Prosthesis
650			_a*Silicones/ad [Administration & Dosage]
650			_aAged
650			_aArthritis, Rheumatoid/ep [Epidemiology]
650			_aArthroplasty/td [Trends]
650			_aCohort Studies
650			_aFemale
650			_aFollow-Up Studies
650			_aHumans
650			_aJoint Prosthesis/td [Trends]
650			_aMale
650			_aMiddle Aged
650			_aProspective Studies
650			_aTime Factors
650			_aTreatment Outcome
651			_aCurtis National Hand Center
657			_aJournal Article
700			_aWilgis, E F Shaw
790			_aBurke FD, Burns PB, Chung KC, Fox DA, Kim HM, Kotsis SV, Wilgis EFS
856			_uhttps://dx.doi.org/10.1002/acr.23105 _zhttps://dx.doi.org/10.1002/acr.23105
942			_cART _dArticle
999			_c2650 _d2650