"Metacarpophalangeal Joint Salvage Following Gunshot Wounds: A Case Ser" by Reece A. Moore, Jacob Franke et al.
 

Metacarpophalangeal Joint Salvage Following Gunshot Wounds: A Case Series And Literature Review.

Document Type

Article

Publication Date

11-25-2025

Publication Title

Journal of hand surgery global online

Abstract

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.

Volume

7

Issue

1

First Page

117

Last Page

120

DOI

10.1016/j.jhsg.2024.11.004

ISSN

2589-5141

PubMed ID

39991612

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