Surgical treatment features and rehabilitation approaches in patients with septic arthritis of the metacarpophalangeal and interphalangeal joints of the hand

Introduction. Hand trauma and the hand diseases are the socially significant problems. Septic arthritis of the metacarpophalangeal or interphalangeal joints are prone to aggressive course, with severe complications and inappropriate outcome, that is more likely in inadequately postponed or insufficient treatment. The indications for finger amputation in some studies were up to 26 %. Issues regarding the surgery technique and the rehabilitation approach remain the subject of discussion.Purpose of the research. To analyze the features and results of surgical treatment, as well as approaches to rehabilitation after septic arthritis of the metacarpophalangeal and interphalangeal joints.Materials and methods of research. The search and analysis of literary sources in the PubMed, Web of Science, Google Scholar databases, as well as in the Russian Science Citation Index (RSCI) system in the period from 1990 to 2022 was carried out. More than 50 scientific publications have been explored.Conclusion. The analysis of treatment timing showed that immediate surgical intervention is of critical importance for the long-term result. Persistent dysfunction along with painful arthrosis after septic arthritis of the hand may be the reason for performing arthrodesis of the finger in about 40 % of patients. Immobilization is still a question for discussion: ranges from 24 hours to 4 weeks or more. Public attention should be pointed to the search of an effective strategies of the septic arthritis of the metacarpophalangeal and interphalangeal joints of the hand treatment.