Arthrodesis of the interphalangeal joints of the hand by two-dimensional intraosseous wiring.
Arthrodesis
Bone union
Surgical Complications
Two-dimensional intraosseous wiring (two-DIOW)
Journal
BMC musculoskeletal disorders
ISSN: 1471-2474
Titre abrégé: BMC Musculoskelet Disord
Pays: England
ID NLM: 100968565
Informations de publication
Date de publication:
25 Oct 2023
25 Oct 2023
Historique:
received:
11
05
2023
accepted:
16
10
2023
medline:
27
10
2023
pubmed:
26
10
2023
entrez:
25
10
2023
Statut:
epublish
Résumé
Numerous techniques for arthrodesis have been described to fix interphalangeal (IP) joints, and the fixation method should be considered on a case-by-case basis. This study aimed to investigate the availability of IP joint arthrodesis of the hand, using a two-dimensional intraosseous wiring (two-DIOW) method. A total of 43 joints (19 thumb IP joints, 9 proximal finger interphalangeal (PIP) joints and 15 distal interphalangeal (DIP) joints in 29 patients with a mean age of 66 years (range, 24-85 y) were retrospectively analyzed. All operations were performed with two-DIOW method. We evaluated the bone union rate, correction loss, presence of any surgical complications, and oral steroid use in cases of joint fixation using the two-DIOW method. Of these 43 digits, 42 achieved bone union (97.7%). Non-union was seen in a thumb IP joint of mutilans rheumatoid arthritis. Mean correction loss of deviation was 1.0°, and flexion or extension angulation was 1.6° in the direction of extension. Surgical complications included mild nail deformity in 2 digits and wire irritation necessitating wire removal in 2 digits. Oral steroids were used for 18 of the 43 digits, including 2 digits complicated by nail deformities. There was no infection and skin necrosis in all digits with or without steroid use. The two-DIOW method appears to offer an effective method of IP joint fixation, but caution should be exercised in digits of severe joint destruction and in the treatment of wire knot.
Sections du résumé
BACKGROUND
BACKGROUND
Numerous techniques for arthrodesis have been described to fix interphalangeal (IP) joints, and the fixation method should be considered on a case-by-case basis. This study aimed to investigate the availability of IP joint arthrodesis of the hand, using a two-dimensional intraosseous wiring (two-DIOW) method.
METHODS
METHODS
A total of 43 joints (19 thumb IP joints, 9 proximal finger interphalangeal (PIP) joints and 15 distal interphalangeal (DIP) joints in 29 patients with a mean age of 66 years (range, 24-85 y) were retrospectively analyzed. All operations were performed with two-DIOW method. We evaluated the bone union rate, correction loss, presence of any surgical complications, and oral steroid use in cases of joint fixation using the two-DIOW method.
RESULTS
RESULTS
Of these 43 digits, 42 achieved bone union (97.7%). Non-union was seen in a thumb IP joint of mutilans rheumatoid arthritis. Mean correction loss of deviation was 1.0°, and flexion or extension angulation was 1.6° in the direction of extension. Surgical complications included mild nail deformity in 2 digits and wire irritation necessitating wire removal in 2 digits. Oral steroids were used for 18 of the 43 digits, including 2 digits complicated by nail deformities. There was no infection and skin necrosis in all digits with or without steroid use.
CONCLUSIONS
CONCLUSIONS
The two-DIOW method appears to offer an effective method of IP joint fixation, but caution should be exercised in digits of severe joint destruction and in the treatment of wire knot.
Identifiants
pubmed: 37880669
doi: 10.1186/s12891-023-06972-z
pii: 10.1186/s12891-023-06972-z
pmc: PMC10601124
doi:
Substances chimiques
Steroids
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
843Informations de copyright
© 2023. BioMed Central Ltd., part of Springer Nature.
Références
J Hand Surg Am. 2014 Jan;39(1):24-8
pubmed: 24275559
J Hand Surg Am. 1986 Sep;11(5):678-82
pubmed: 3760494
J Hand Surg Am. 2006 Jan;31(1):85-9
pubmed: 16443110
J Hand Surg Am. 1996 May;21(3):438-43
pubmed: 8724477
J Foot Ankle Surg. 2018 Mar - Apr;57(2):332-338
pubmed: 29478480
J Hand Surg Am. 1994 Mar;19(2):181-8
pubmed: 8201177
Arch Orthop Trauma Surg. 2008 Mar;128(3):307-11
pubmed: 17929045
Arch Orthop Trauma Surg. 2012 May;132(5):663-9
pubmed: 22012197
Hand Surg. 1999 Jul;4(1):51-55
pubmed: 11089156
Acta Chir Orthop Traumatol Cech. 2005;72(2):111-5
pubmed: 15890143
J Hand Surg Am. 1978 Sep;3(5):427-35
pubmed: 701766
J Hand Surg Br. 1994 Apr;19(2):208-11
pubmed: 8014552
J Foot Ankle Surg. 2014 May-Jun;53(3):291-4
pubmed: 24666980
Arch Orthop Trauma Surg. 2005 Apr;125(3):145-52
pubmed: 15742194
Mod Rheumatol. 2018 May;28(3):490-494
pubmed: 28836879
J Hand Surg Am. 1993 Mar;18(2):194-7
pubmed: 8463577
J Hand Surg Am. 2007 Sep;32(7):1113-9
pubmed: 17826568
J Hand Surg Am. 2008 Jan;33(1):31-4
pubmed: 18261662
J Hand Surg Am. 1992 Nov;17(6):1139-45
pubmed: 1430956
J Hand Surg Am. 1988 Jul;13(4):600-3
pubmed: 3418068
Clin Orthop Relat Res. 1993 Jul;(292):172-6
pubmed: 8519107