Distal interphalangeal joint arthrodesis for degenerative osteoarthritis with compression screw: results in 102 digits.

Abstract

PURPOSE:

To assess objective and subjective outcomes of distal interphalangeal joint arthrodesis with a headless compression screw for degenerative osteoarthritis.

METHODS:

We retrospectively analyzed 102 cases of distal interphalangeal joint arthrodesis performed with headless compression screws on 59 patients. We included only primary cases of degenerative osteoarthritis with a minimum follow-up of 7 months. We identified appropriate bone coaptation and hardware positioning on postoperative radiographs in all digits. The mean follow-up period was 26 months (range, 7-67 mo).

RESULTS:

In 89 of 102 cases, patients were fully satisfied; in 9 cases, they were satisfied. Four complications occurred: 2 cases of prominent hardware, 1 complex regional pain syndrome type 1, and 1 symptomatic bony callus on the fused joint. Secondary surgery was required in each of these 4 cases. No nonunion, malunion, nail dystrophy, pseudarthrosis, or infection occurred. All arthrodeses healed.

CONCLUSIONS:

Distal interphalangeal joint arthrodesis with headless compression screws was shown to be safe and effective in cases of degenerative osteoarthritis, with a low complication rate.

• Authors: Federico Villani, Bastian Uribe-Echevarria, Luca Vaienti
• Journal: The Journal of hand surgery (J Hand Surg Am) Vol. 37 Issue 7 Pg. 1330-4 (Jul 2012) ISSN: 1531-6564 [Electronic] United States
• PMID: 22537584 (Publication Type: Journal Article)
• Copyright: Copyright © 2012 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

Chemical References

• Titanium

Topics

• Adult
• Aged
• Aged, 80 and over
• Arthrodesis (instrumentation)
• Bone Screws
• Bone Wires
• Equipment Design
• Female
• Finger Joint (diagnostic imaging, surgery)
• Fluoroscopy
• Humans
• Male
• Middle Aged
• Osteoarthritis (diagnostic imaging, surgery)
• Pain Measurement
• Postoperative Complications
• Reoperation
• Retrospective Studies
• Titanium
• Treatment Outcome