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

Abstract

The purpose of this case report is to contribute to the literature on the physiotherapy assessment and treatment methodsfollowing metacarpophalangeal (MCP) joint arthroplasty and to present the results of our treatment program. The patientwas a 27-year-old male military staff with a left hand traumatic injury. One year after injury, MCP joint was replaced witha pyrocarbon implant. Hand therapy was planned as four consecutive stages. The first phase focused on early interventionsand patient education. After 4 weeks, active joint movements were emphasized. Additional emphasis was placed onstrengthening exercises and prevention of the complications in the later stages. In the late-term rehabilitation program after12th week, return to work and daily life was targeted. The patient was assessed at the 4th, 8th, 12th and 16th weeks after thesurgery. The results of the range of motion, grip and pinch strength, functional test and disability level all improved withthe treatment program. Initial signs of potential complications were also noted and precaution was taken. Patient-tailoredhand therapy program provided significant functional improvements after post-traumatic MCP arthroplasty. Besides, signsof potential complications were recognized through early interventions and regular assessments and any deformity wasprevented.