Alternative to the distal interphalangeal joint arthrodesis: lateral approach and plate fixation |
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Authors: | Mantovani Gustavo Fukushima Walter Y Cho Alvaro Baik Aita Marcio A Lino Waldo Faria Fabiano Nunes |
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Institution: | Faculdade de Medicina do ABC, Santo Andre, SP, Brazil. mantaray2@uol.com.br |
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Abstract: | PURPOSE: Several fixation techniques for distal interphalangeal (DIP) joint arthrodesis have been described, with good clinical results and complication rates between 10% and 20%. We propose an alternative technique and fixation method using a lateral approach and 1.3-mm plate and screws fixation. METHODS: Between March and September 2005, 11 patients, totaling 15 fingers, had DIP joint arthrodesis by the described technique. The indications were posttraumatic arthritis in 8 fingers, degenerative or rheumatoid arthritis in 5 fingers, and isolated flexor digitorum profundus tendon lesions in 2 fingers. Patients were analyzed for osseus union, pain relief, and functional mobility of the finger. RESULTS: Arthrodesis relieved pain and restored stability at the 12th week, on average, with osseous union in all patients. All patients maintained full proximal interphalangeal joint motion with pulp-to-palm distance of zero at 6 months of follow-up evaluation. There were no rotational or angular deformities, nail bed lesions, or skin complications. CONCLUSIONS: The lateral approach with plate and screws fixation is an option for DIP joint arthrodesis. TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic IV. |
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Keywords: | Distal interphalangeal joint joint arthrodesis joint fusion lateral approach plate fixation |
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