scholarly journals Arthroscopic Interphalangeal Arthrodesis of the Thumb

2016 ◽  
Vol 5 (6) ◽  
pp. e1291-e1296
Author(s):  
Tun Hing Lui
Keyword(s):  
Interphalangeal Arthrodesis

Silicone arthroplasty versus screw arthrodesis in distal interphalangeal joint osteoarthritis

2020 ◽  
Vol 45 (6) ◽  
pp. 615-621 ◽  
Author(s):  
Lisa Neukom ◽  
Miriam Marks ◽  
Stefanie Hensler ◽  
Sylvia Kündig ◽  
Daniel B. Herren ◽  
...  
Keyword(s):  
Rating Scale ◽  
Numeric Rating Scale ◽  
Interphalangeal Joint ◽  
Joint Motion ◽  
Distal Interphalangeal Joint ◽  
Extension Deficit ◽  
Level Of Evidence ◽  
Distal Interphalangeal ◽  
Interphalangeal Arthrodesis ◽  
Numeric Rating

The aim of this study was to evaluate patient satisfaction after distal interphalangeal joint silicone arthroplasty and compare this outcome to that achieved with screw arthrodesis. On average 4.4 years after surgery, range of motion of the distal interphalangeal joint, pain on a numeric rating scale, satisfaction, and hand appearance of 48 patients (78 treated fingers) were assessed. For arthroplasty patients, mean distal interphalangeal joint motion was 28° with an extension deficit of 17°. Pain was low for arthroplasty and arthrodesis patients with scores of 0.2 and 0.6 out of a total of 10 points, respectively. The patients in both groups were satisfied with their outcomes, but arthroplasty patients were less satisfied with the appearance. Twenty-one per cent of the arthroplasties and 15% of the arthrodeses underwent reoperation. We suggest the motion-preserving distal interphalangeal arthroplasty as an alternative to distal interphalangeal arthrodesis for patients with higher functional demands and whose joints are stable preoperatively. In patients attaching importance to hand aesthetics and for unstable joints, distal interphalangeal joint arthrodesis is preferable. Level of evidence: III

A Simple Method of Intramedullary Fixation for Proximal Interphalangeal Arthrodesis

2014 ◽  
Vol 53 (6) ◽  
pp. 817-824 ◽  
Author(s):  
Michael B. Canales ◽  
Mark C. Razzante ◽  
Duane J. Ehredt ◽  
Coleman O. Clougherty
Keyword(s):  
Intramedullary Fixation ◽  
Simple Method ◽  
Interphalangeal Arthrodesis ◽  
Proximal Interphalangeal Arthrodesis

Bioabsorbable Fixation Screw for Proximal Interphalangeal Arthrodesis of Lesser Toe Deformities

2017 ◽  
Vol 38 (9) ◽  
pp. 1020-1025 ◽  
Author(s):  
Jascha Armin Wendelstein ◽  
Peter Goger ◽  
Peter Bock ◽  
Reinhard Schuh ◽  
Priv Doz ◽  
...  
Keyword(s):  
Case Series ◽  
Patient Acceptance ◽  
Bony Union ◽  
Retrospective Case ◽  
Level Of Evidence ◽  
Bioabsorbable Fixation ◽  
Fixation Devices ◽  
Fixation Screw ◽  
Interphalangeal Arthrodesis ◽  
Standard Fixation

Background: Although standard fixation of proximal interphalangeal (PIP) arthrodesis by K-wire is relatively inexpensive and well established, it does have some drawbacks, making newer fixation devices interesting. The aim of this study was to clinically and radiologically assess the operative correction of the lesser toe deformation in the form of a PIP arthrodesis using a bioabsorbable 2.7-mm fixation screw. Methods: From January 2011 until October 2013, 34 patients underwent a PIP arthrodesis using the TRIM-IT (Arthrex) 2.7-mm fixation screw and were contacted for this retrospective cohort study. At an average of 3.3 years after the operation, 24 patients and 26 toes were evaluated clinically, radiologically, through pedobarography, and a patient-satisfaction survey. Results: Using the PLLA screw for fixation, 84.6% showed bony union of the arthrodesis, and 84.6% were satisfied. Mean AOFAS score was 82.7 points and thus regarded as good. The mean VAS score was 1.3/10. Overall, 73.1% of the toes showed good alignment, and 7.7% had a painless recurrence of deformity and were still satisfied with the intervention. In addition, 34.6% had floating toes, but only 4.2% without Weil osteotomy or encroachment. Further, 3.8% were advised to undergo a revision because of severe misalignment. Conclusion: The 2.7-mm bioabsorbable fixation screw yielded results that were comparable to other fixation devices for PIP fusion fixation regarding success rate, revisions, and patient acceptance. Level of Evidence: Level IV, retrospective case series.

Minimally Invasive Interphalangeal Arthrodesis

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Celso R. Folberg ◽  
Jairo André O. Alves ◽  
Fernando M.S. Pereira
Keyword(s):  
Minimally Invasive ◽  
Interphalangeal Arthrodesis

Assessment of Workspace Attributes Under Simulated Index Finger Proximal Interphalangeal Arthrodesis

2016 ◽  
Vol 138 (5) ◽  
Author(s):  
Paul G. Arauz ◽  
Sue A. Sisto ◽  
Imin Kao
Keyword(s):  
Index Finger ◽  
Model Parameters ◽  
System Parameters ◽  
System A ◽  
Flexion Extension ◽  
Pip Joint ◽  
Interphalangeal Arthrodesis ◽  
Analysis System ◽  
The Impact ◽  
Proximal Interphalangeal Arthrodesis

This article presented an assessment of quantitative measures of workspace (WS) attributes under simulated proximal interphalangeal (PIP) joint arthrodesis of the index finger. Seven healthy subjects were tested with the PIP joint unconstrained (UC) and constrained to selected angles using a motion analysis system. A model of the constrained finger was developed in order to address the impact of the inclusion of prescribed joint arthrodesis angles on WS attributes. Model parameters were obtained from system identification experiments involving flexion–extension (FE) movements of the UC and constrained finger. The data of experimental FE movements of the constrained finger were used to generate the two-dimensional (2D) WS boundaries and to validate the model. A weighted criterion was formulated to define an optimal constraint angle among several system parameters. Results indicated that a PIP joint immobilization angle of 40–50 deg of flexion maximized the 2D WS. The analysis of the aspect ratio of the 2D WS indicated that the WS was more evenly distributed as the imposed PIP joint constraint angle increased. With the imposed PIP joint constraint angles of 30 deg, 40 deg, 50 deg, and 60 deg of flexion, the normalized maximum distance of fingertip reach was reduced by approximately 3%, 4%, 7%, and 9%, respectively.

Interphalangeal Arthrodesis of the Toe With a New Radiolucent Intramedullary Implant (Toegrip)

2015 ◽  
Vol 8 (6) ◽  
pp. 520-524 ◽  
Author(s):  
Christophe Averous ◽  
Frederic Leider ◽  
Hubert Rocher ◽  
Patrice Determe ◽  
Stephane Guillo ◽  
...  
Keyword(s):  
Intramedullary Implant ◽  
Interphalangeal Arthrodesis
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