Arthrodesis of the distal interphalangeal joint: description of a new technique and clinical follow-up at 2 years

Abstract

The technique is simple and reliable giving consistent clinical results.

Distal interphalangeal joint arthrodesis with a headless compression screw: morphometric and functional analyses

“…Because each technique has its own advantages and problems, no single technique has gained universal popularity. Early techniques such as a single K-wire, crossed K-wires and intraosseous wiring provided stabilization of the joint but produced poor compression of the fusion surfaces [13][14][15]. The complication rate of these early techniques was high, with hardware protrusion or migration, loosening, nonunion, pin-track infections, dorsal skin necrosis, osteomyelitis, or stiffness of the adjacent joint [3].…”

Distal Interphalangeal Joint Arthrodesis for Degenerative Osteoarthritis With Compression Screw: Results in 102 Digits

“…2,11 Several studies have reported the results of compression screw techniques, ranging from 0% to 15% nonunion and from 14% to 44% overall complications (Table 1). 2,4,6,12,13 The oblique placement of an AO lag screw has been reported to result in nonunion in 4% of cases Figure 2 showing the screw correctly placed and good bone coaptation. at 8 weeks' mean follow-up.…”

“…1 Arthrodesis is commonly performed for symptomatic arthritis at the DIP joint. [1][2][3][4][5] A variety of arthrodesis techniques have been described. 1,2,[5][6][7][8] Whereas favorable results have been reported, rates of nonunion and implant-related complications remain considerable.…”

Custom-Made Splint Treatment for Osteoarthritis of the Distal Interphalangeal Joints

“…4,5,8,9,15 High level evidence-based recommendations for splint therapy for osteoarthritis of the DIP joint have not been established, 11,12,16 -18 in contrast to studies of osteoarthritis of the carpometacarpal joint or wrist joint that have been more carefully described. 13,19 According to previous studies that examined hand splints for osteoarthritis of the carpometacarpal joint and wrist joint, the primary focus is the patient's motivation and compliance in using the splint.…”

“…For the latter, surgical interventions such as arthrodesis are often required. [1][2][3][4][5] For cases with early-stage symptoms and at earlier radiographic stage, nonsurgical treatments such as medication with nonsteroidal anti-inflammatory drugs 6,7 or immobilization with a splint 8,9 have been recommended. Although osteoarthritic changes are also partly related to the normal aging phenomenon and occasionally progress to joint destruction, acute flare-up symptoms may often resolve in the long run.…”