Volar Plate Interposition Arthroplasty for Posttraumatic Arthritis of the Finger Joints

Lin, Sung‐Yen; Chuo, Chin-Yi; Lin, Gou-Tyan; Ho, Mei-Ling; Tien, Yin-Chun; Fu, Yin‐Chih

doi:10.1016/j.jhsa.2007.10.020

Cited by 12 publications

(14 citation statements)

References 14 publications

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“…Arthritis of the PIP joint was often treated with arthrodesis in former times. Many alternatives to arthrodesis of the PIP joint have been developed such as resection interposition arthroplasty [15], joint denervation [18], synovectomy and free transplantation of vacularised toe joints [20].…”

Section: Discussionmentioning

confidence: 99%

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Proximal Interphalangeal Joint Replacement with Surface Replacement Arthroplasty (SR–PIP): Functional Results and Complications

Luther

Germann

Sauerbier³

2009

Hand (New York, N,Y.)

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The purpose of the study was to investigate patients with proximal interphalangeal (PIP) joint replacements regarding postoperative function, pain, complications and incidence of reoperations. From 2000 to 2007, 23 patients (11 male, 12 female) with an average age of 47 years (19-72 years) who had symptomatic posttraumatic (15) or idiopathic arthritis (nine) in 24 PIP joints underwent unconstrained PIP joint replacements (formerly AVANTA, now Small Bone Innovations TM ). All 23 patients were instructed in special hand exercises starting the first postoperative day. Thirteen of 23 patients had previous operations. The median history of pain was 12 months (2-120). Fourteen of 24 prostheses needed reoperations (58%): teno-arthrolysis (9×), PIP tenodesis (one in three with swan neck deformity) and explantation (four with infections/ loosening). The four explantations resulted in a PIP joint arthrodesis in all cases. Twenty-two patients were available for follow-up at an average of 27 months (4-73 months) postoperatively. The median postoperative pinch grip was 7.6 lbs (4-28 lbs), and the disabilities of the arm, shoulder and hand score was 24 (1-58). The active range of motion of the PIP joint was 33°preoperatively (min 0°, max 75°) and 54°p ostoperatively (min 0°, max 90°). On the Visual Analogue Pain Scale (VAS, range 0-10), seven patients had mild (VAS 1-3) and four moderate pain (VAS 4-7) in the finger on exercise. Seventy percent were overall satisfied with operation and functional results. The results of surface replacement arthroplasty of the PIP joint are overall satisfying; however, postoperative complications and incidence of reoperations are noticeable and should be mentioned to the patients in the preoperative setting.

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Section: Discussionmentioning

confidence: 99%

“…1a-b, Table 1). Eleven male and 12 female patients with an average age of 47 years (19-72 years) were treated with 24 PIP prostheses for posttraumatic (15) or idiopathic arthritis (nine) of the PIP joint. All patients complained of pain, deformity or limited motion (Fig.…”

Section: Methodsmentioning

confidence: 99%

Proximal Interphalangeal Joint Replacement with Surface Replacement Arthroplasty (SR–PIP): Functional Results and Complications

Luther

Germann

Sauerbier³

2009

Hand (New York, N,Y.)

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“…Arthrodesis of a finger joint limits grip strength, not only due to dysfunction of the fused digit, but also because the neighbouring fingers, although intact, will often have limited flexion because of the quadriga mechanism (Burton et al, 1986;Lin et al, 2008;Linscheid, 2000). Morgan et al (2000) assessed the impact of DIP joint fusion on grip strength and how this may be related to a profundus quadriga.…”

Section: Decreased Grip Strength After Finger Joint Arthrodesismentioning

confidence: 99%

The quadriga phenomenon: a review and clinical relevance

Schreuders

2011

J Hand Surg Eur Vol

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The flexor digitorum profundus tendons are markedly interconnected, making them less able to move independently than the tendons of the flexor digitorum superficialis. This difference is often attributed to the common muscle belly of the profundus, but also, more importantly, to cross-connections between the tendons of the profundus. The effect of this quadriga phenomenon is important in several clinical situations, including testing for strength, assessing movement of the tendons, and when deciding which exercises to teach the patient after a tendon injury. The anatomy and biomechanics of this phenomenon are reviewed in this article to help explain why certain conditions occur, and to improve the diagnosis and treatment of some conditions in rehabilitation medicine.

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“…Later, the original technique was modified preserving both collateral ligaments. 10 Unlike all these variants, we have neither sutured the volar plate to the dorsal capsule through bone tunnels, nor placed k-wire through PIP joints for 2–3 weeks, nor used pull-out wire or suture to secure the volar plate to the middle phalanx, but only let the volar plate fill the recipient bed, taking advantage of immobilization and spontaneous scarring. In this way, we avoided possible complications such as extensor injuries and/or adhesions, contractures, and stiffness, and started an early active and passive motion.…”

Section: Discussionmentioning

confidence: 99%

Volar Plate Interposition Arthroplasty of the Proximal Interphalangeal Joint: A Novel, Modified Malerich’s Technique

Faccio¹,

Galeano

Colonna

et al. 2022

Plastic and Reconstructive Surgery - Global Open

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Summary: The choice of prosthetic or autologous reconstruction for proximal interphalangeal (PIP) joint arthroplasty in degenerative osteoarthritis represents a challenge for hand surgeons, especially in consideration of complications and patient’s quality of life. We report the case of a 49-year-old woman who developed diffuse arthritis of the finger joints, especially at the PIP joint of the third right finger. Radiographs showed destruction of the PIP joint, large osteophytes, marked narrowing of joint space, severe sclerosis, and deformation of bone contour. Through a volar approach, we removed the osteophytes, reshaped the joint, and performed an arthroplasty with volar plate interposition. The patient had an improved range of motion at 3 months postoperatively. This case study gives a detailed description and discussion, together with literature revision, of volar plate interposition arthroplasty to treat PIP osteoarthritis, as an alternative to other methods.

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Volar Plate Interposition Arthroplasty for Posttraumatic Arthritis of the Finger Joints

Cited by 12 publications

References 14 publications

Proximal Interphalangeal Joint Replacement with Surface Replacement Arthroplasty (SR–PIP): Functional Results and Complications

Proximal Interphalangeal Joint Replacement with Surface Replacement Arthroplasty (SR–PIP): Functional Results and Complications

The quadriga phenomenon: a review and clinical relevance

Volar Plate Interposition Arthroplasty of the Proximal Interphalangeal Joint: A Novel, Modified Malerich’s Technique

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