Biomechanical analysis of internal fixation techniques for proximal interphalangeal joint arthrodesis |
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| Authors: | J C Kovach F W Werner A K Palmer S Greenkey D J Murphy |
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| Affiliation: | 1. Department of Orthopaedic Surgery, Faculty of Medicine, The University of Tokyo, Tokyo, Japan;2. Department of Joint Surgery, Research Hospital, The Institute of Medical Science, The University of Tokyo, Tokyo, Japan;3. Center for Translational Research, Research Hospital, The Institute of Medical Science, The University of Tokyo, Tokyo, Japan;4. Department of Infectious Diseases and Applied Immunology, Research Hospital, The Institute of Medical Science, The University of Tokyo, Tokyo, Japan;1. Tri-Institutional PhD Program in Chemical Biology, Memorial Sloan Kettering Cancer Center, New York, NY 10065, USA;2. Weill Cornell/Rockefeller/Sloan Kettering Tri-Institutional MD-PhD Program, New York, NY 10065, USA;3. Chemical Biology Program, Memorial Sloan Kettering Cancer Center, New York, NY 10065, USA;4. Pharmacology Program of the Weill Cornell Graduate School of Medical Sciences, Memorial Sloan Kettering Cancer Center, New York, NY 10065, USA;1. National Key Laboratory of Medical Immunology, Institute of Immunology, Second Military Medical University, Shanghai, 200433, China;2. Department of Immunology, Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences, Beijing, 100005, China;3. Frontier Research Center for Cell Response, Institute of Immunology, College of Life Sciences, Nankai University, Tianjin, 300071, China;1. Department of Orthopedic Surgery, Port Said Hospital for Health Insurance, Port Said;2. Department of Orthopedic Surgery and Trauma, Suez Canal University Hospitals, Ismailia, Egypt;1. Institute for Materials Research, Tohoku University, Sendai 980-8577, Japan;2. Graduate School of Environmental Studies, Tohoku University, Sendai 980-8579, Japan;3. Department of Biomedical Engineering, Faculty of Engineering and Architecture, Katip Celebi University, Izmir 35620, Turkey;4. WPI-Advanced Institute for Materials Research, Tohoku University, Sendai 980-8577, Japan;1. Department of hand surgery, SOS main, CCOM, university hospital of Strasbourg, FMTS, university of Strasbourg, Icube CNRS 7357, hôpital de Hautepierre, 1, avenue Molière, 67200 Strasbourg cedex, France;2. Department of orthopedic surgery, Juntendo university, 2-1-1 Hongo, Bunkyo-ku, 113-8431 Tokyo, Japan |
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| Abstract: | Although numerous fixation techniques have been developed for performing small joint arthrodesis, no previous study of the biomechanical properties of these constructs has been published. The strength of specimens of arthrodesis of the proximal interphalangeal joint performed with cadaver material was determined for three-point anteroposterior bending, axial torsion, and lateral cantilever bending stress. Crossed Kirschner wires, intraosseous wiring, and figure of eight tension-band wiring were studied. Figure of eight tension-band wiring demonstrates superior strength in anteroposterior bending and torsion. For lateral bending stress, no significant difference exists among the techniques studied. |
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