MP joint replacement
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Destroyed MP joints in rheumatoid arthritis. Incision dotted in |
Skin mobilised to allow access to the joints |
Skin mobilised to allow access to the joints |
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Joint opened up by cutting beside the extensor (straightening) tendons |
Joint inflammatory tissue (synovitis) removed |
Soft tissues around the joint are released |
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Soft tissues around the joint are released |
Metacarpal head excised |
Further soft tissue releases are performed |
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Further soft tissue releases are performed |
Instrumentation for MP joint replacement |
Bone holes prepared |
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Bone holes prepared |
Two trial joint replacements in place |
Stitches placed through bone for ligament reconstruction |
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Stitches placed through bone for ligament reconstruction |
Further stitching |
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