Compression-Arthrodesis of Finger Joints using Kirschner Wires and Cerclage

Abstract

A retrospective series of forty-three finger joint arthrodesis is presented. The failure rate was seven per cent. A new method of introducing a cerclage wire into bone is demonstrated. Septic arthritis of finger joints is considered to be an indication for acute arthrodesis.

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

“…6 Another study reported a 38% rate of nonunion for posttraumatic arthritis. 10 Compression has been a key point in the evolution of hardware for arthrodesis, improvement of union rates, time to union, and time to return to work. 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).…”

“…10 Nonunion and malunion are generally identified with the presence of a radiolucent line on radiographs. We believe that after a minimum 6-month follow-up, satisfactory retrospective evaluation can be performed.…”

Die Arthrodese des Fingermittelgelenkes: eine Literaturanalyse

“…Die Ergebnisse von Arthrodesen mit intraossärer Drahtnaht haben u. a. Buck-Gramcko und Oehme, Brüser und Noever sowie Høgh und Jensen beschrieben (▶Tab. 2) [10,12,79].…”

“…Hierfür können Fingerschienen eingesetzt werden, einige Autoren setzen hierfür aber auch einen Unterarmgips bzw. -cast oder eine Intrinsic-Plus-Schiene unter Einschluss des benachbarten Fingers ein und Wechseln im Verlauf, häufig nach 14 Tagen, auf eine Fingerschiene [8,26,32,64,74,79,80,85].…”

Percutaneous arthrodesis of small joints in the hand

“…1,2 These include the cup-and-cone, 2 the convex-concave, 3 the dowell fusion, 4,5 end-on-mitring, 6 the AO, 7,8 the tension-band, 9 intraosseous wiring 10 and the intramedullary peg techniques. 11,12 The reported rate of failure ranges from 2% to 15% and complications include infection, malunion and pseudarthro-O sis.…”