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Case Report  

Hand therapy following post-traumatic metacarpophalangeal joint arthroplasty: A case report

Zeynep Tuna, Mustafa Sari, Deran Oskay.


Abstract
The purpose of this case report is to contribute to the literature on the physiotherapy assessment and treatment methods following metacarpophalangeal (MCP) joint arthroplasty and to present the results of our treatment program. The patient was a 27-year-old male military staff with a left hand traumatic injury. One year after injury, MCP joint was replaced with a pyrocarbon implant. Hand therapy was planned as four consecutive stages. The first phase focused on early interventions and patient education. After 4 weeks, active joint movements were emphasized. Additional emphasis was placed on strengthening exercises and prevention of the complications in the later stages. In the late-term rehabilitation program after 12th week, return to work and daily life was targeted. The patient was assessed at the 4th, 8th, 12th and 16th weeks after the surgery. The results of the range of motion, grip and pinch strength, functional test and disability level all improved with the treatment program. Initial signs of potential complications were also noted and precaution was taken. Patient-tailored hand therapy program provided significant functional improvements after post-traumatic MCP arthroplasty. Besides, signs
of potential complications were recognized through early interventions and regular assessments and any deformity was prevented.

Key words: Hand function, hand therapy, metacarpophalangeal joint arthroplasty, physiotherapy

 

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How to Cite this Article
Pubmed Style

Tuna Z, Sari M, Oskay D. Hand therapy following post-traumatic metacarpophalangeal joint arthroplasty: A case report. doi:10.5455/handmicrosurg.9243


Web Style

Tuna Z, Sari M, Oskay D. Hand therapy following post-traumatic metacarpophalangeal joint arthroplasty: A case report. http://handmicrosurgeryjournal.com/?mno=9243 [Access: September 23, 2019]. doi:10.5455/handmicrosurg.9243


AMA (American Medical Association) Style

Tuna Z, Sari M, Oskay D. Hand therapy following post-traumatic metacarpophalangeal joint arthroplasty: A case report. doi:10.5455/handmicrosurg.9243


Vancouver/ICMJE Style

Tuna Z, Sari M, Oskay D. Hand therapy following post-traumatic metacarpophalangeal joint arthroplasty: A case report. doi:10.5455/handmicrosurg.9243


Harvard Style

Tuna, Z., Sari, . M. & Oskay, . D. (2020) Hand therapy following post-traumatic metacarpophalangeal joint arthroplasty: A case report. doi:10.5455/handmicrosurg.9243


Turabian Style

Tuna, Zeynep, Mustafa Sari, and Deran Oskay. 2020. Hand therapy following post-traumatic metacarpophalangeal joint arthroplasty: A case report. doi:10.5455/handmicrosurg.9243


Chicago Style

Tuna, Zeynep, Mustafa Sari, and Deran Oskay. “Hand therapy following post-traumatic metacarpophalangeal joint arthroplasty: A case report.” doi:10.5455/handmicrosurg.9243


MLA (The Modern Language Association) Style

Tuna, Zeynep, Mustafa Sari, and Deran Oskay. “Hand therapy following post-traumatic metacarpophalangeal joint arthroplasty: A case report.” doi:10.5455/handmicrosurg.9243


APA (American Psychological Association) Style

Tuna, Z., Sari, . M. & Oskay, . D. (2020) Hand therapy following post-traumatic metacarpophalangeal joint arthroplasty: A case report. doi:10.5455/handmicrosurg.9243