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. Therapeutic IV. © 2012 American Society for Surgery of the Hand. All rights reserved.
|Titolo:||Distal interphalangeal joint arthrodesis for degenerative osteoarthritis with compression screw : results in 102 digits|
VAIENTI, LUCA (Ultimo)
|Parole Chiave:||adult; aged; arthrodesis; article; bone screw; complex regional pain syndrome type I; degenerative osteoarthritis; distal interphalangeal joint arthrodesis; female; follow up; human; interphalangeal joint; major clinical study; male; osteoarthritis; postoperative complication; priority journal; radiography; retrospective study, Adult; Aged; Aged, 80 and over; Arthrodesis; Bone Screws; Bone Wires; Equipment Design; Female; Finger Joint; Fluoroscopy; Humans; Male; Middle Aged; Osteoarthritis; Pain Measurement; Postoperative Complications; Reoperation; Retrospective Studies; Titanium; Treatment Outcome|
|Settore Scientifico Disciplinare:||Settore MED/19 - Chirurgia Plastica|
|Data di pubblicazione:||lug-2012|
|Digital Object Identifier (DOI):||10.1016/j.jhsa.2012.02.048|
|Appare nelle tipologie:||01 - Articolo su periodico|