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Research Article| Volume 13, ISSUE 4, P510-515, July 1988

Psoriatic arthritis mutilans: Digital distraction lengthening: Pathophysiologic and current therapeutic review

  • Robert L. Walton
    Correspondence
    Reprint requests: Robert L. Walton, MD, Division of Plastic Surgery, University of Massachusetts Medical Center, 55 Lake Ave., N, Worcester, MA 01605.
    Affiliations
    From the Division of Plastic and Reconstructive Surgery, and the Department of Medicine, Division of Rheumatology and Immunology, University of Massachusetts Medical Center, Worcester, Mass., USA
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  • Richard E. Brown
    Affiliations
    From the Division of Plastic and Reconstructive Surgery, and the Department of Medicine, Division of Rheumatology and Immunology, University of Massachusetts Medical Center, Worcester, Mass., USA
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  • David F. Giansiracusa
    Affiliations
    From the Division of Plastic and Reconstructive Surgery, and the Department of Medicine, Division of Rheumatology and Immunology, University of Massachusetts Medical Center, Worcester, Mass., USA
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      This paper is only available as a PDF. To read, Please Download here.
      A patient with advanced arthritis mutilans secondary to psoriatic arthritis had distraction lengthening of the index and long fingers of his left hand followed by interphalangeal joint debridement and iliac crest bone grafting. After operation, he demonstrated improved pinch (1.5 pounds to 8 pounds) and grip function (40 pounds to 60 pounds) in the hand and maintenance of the achieved digital length.
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