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Applying Evidence in the Care of Patients with Rheumatoid Hand and Wrist Deformities

Rehim, Shady A. M.B., B.Ch., M.Sc.; Chung, Kevin C. M.D., M.S.

Plastic and Reconstructive Surgery: October 2013 - Volume 132 - Issue 4 - p 885–897
doi: 10.1097/PRS.0b013e31829fe5e1
Hand/Peripheral Nerve: Outcomes Article

Summary: The traditional approach in managing rheumatoid hand deformities is based on the individual surgeon’s experiences. In the current era of evidence-based medicine, formulating treatment for the rheumatoid hand fits perfectly within the framework of evidence-based medicine by leveraging the best evidence from the literature, incorporating surgeons’ experience and considering patients’ preferences. In this Special Topic article, we use a case example to illustrate how evidence-based medicine can be practiced within the framework of treating rheumatoid hand deformities by distilling the best evidence from the literature to guide surgeons in a rational approach for treating this common condition.

Ann Arbor, Mich.

From the Section of Plastic Surgery, Department of Surgery, University of Michigan Health System; and the Section of Plastic Surgery, University of Michigan Medical School.

Received for publication January 30, 2013; accepted February 13, 2013.

Disclosure: Neither of the authors has a financial interest in any of the products, devices, or drugs mentioned in this article.

Kevin C. Chung, M.D., M.S., Section of Plastic Surgery, University of Michigan Health System, 2130 Taubman Center, SPC 5340, 1500 East Medical Center Drive, Ann Arbor, Mich. 48109-5340,

©2013American Society of Plastic Surgeons