{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T00:01:33Z","timestamp":1777852893380,"version":"3.51.4"},"reference-count":22,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2004,12,1]],"date-time":"2004-12-01T00:00:00Z","timestamp":1101859200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Hand Surgery"],"published-print":{"date-parts":[[2004,12]]},"abstract":"<jats:p>Ten patients with scleroderma and severe hand problems required surgery, and seven were available for follow-up (two died from scleroderma-related complications and one was lost to follow-up). The mean duration of follow-up was 4 (range 1.5\u20139) years. Thirty-three procedures were carried out, including five metacarpophalangeal joint exisional arthroplasties, 13 proximal interphalangeal joint fusions, ten distal interphalangeal joint fusions, and one thumb interphalangeal joint fusion. The metacarpophalangeal joint excision arthroplasties and proximal interphalangeal joint fusions were performed for the correction of severe fixed \u201cfinger-in-palm\u201d deformities. Lesions of cutaneous calcinosis were removed in four patients.<\/jats:p>\n                  <jats:p>Fixation was satisfactory in all cases of interphalangeal joint fusion, with no cases of non-union. Wound healing was satisfactory in six of seven patients. A second surgical procedure was required in three patients for the removal of tension band wires following interphalangeal fusion. Calcinosis was effectively removed using a high-speed dental burr. The results of hand surgery for systemic sclerosis are reliable, but goals must be limited and patient expectations should be modest.<\/jats:p>","DOI":"10.1016\/j.jhsb.2004.03.013","type":"journal-article","created":{"date-parts":[[2004,7,7]],"date-time":"2004-07-07T20:34:31Z","timestamp":1089232471000},"page":"599-603","source":"Crossref","is-referenced-by-count":27,"title":["Surgery of the Hand in Severe Systemic Sclerosis"],"prefix":"10.1177","volume":"29","author":[{"given":"M. K.","family":"GILBART","sequence":"first","affiliation":[{"name":"From the Division of Orthopaedic Surgery, University of Toronto, St. Michael\u2019s Hospital, Toronto, Ontario, Canada, H\u00f4pital Orthop\u00e9dique de la Suisse Romande, CHUV, University of Lausanne, Lausanne, Switzerland, Department of Medicine, Mount Sinai Hospital and Department of Surgery, Martin Family Centre for Arthritis Care and Research, Mobility Program, St Michael\u2019s Hospital, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B. 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