Arthrodesis of the proximal interphalangeal joint of the finger - a systematic review

Michael Millrose*, Markus Gesslein, Till Ittermann, Simon Kim, Hans-Christoph Vonderlind, Mike Ruettermann

*Corresponding author for this work

    Research output: Contribution to journalReview articleAcademicpeer-review

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    Abstract

    Arthrodesis of the proximal interphalangeal (PIP) joint of the finger is an established procedure for advanced osteoarthritis. As there are different techniques of fusion, it seems necessary to evaluate the results. Primary outcome of this review was to evaluate different arthrodesis methods of the PIP joint and describe different numbers of non-unions. Secondary outcome was to evaluate time to consolidation. Respective complications, if mentioned, were listed additionally. The review process was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The selected databases were PubMed, Medline, Embase, Google Scholar and Cochrane Library. Studies reporting outcomes of the arthrodesis with a defined technique and radiological consolidation were included. Complication rates and types were recorded. In total, 6162 articles could be identified, 159 full-texts were assessed and 64 studies were included. Methodological quality was assessed using Methodological Index for Non-Randomized Studies. A total of 1923 arthrodeses of the PIP joint could be identified. Twelve different surgical techniques were described, four of these techniques with compression at the arthrodesis site. The most frequently used techniques were K-wires (n = 743, 14 studies), tension-band (n = 313, 15 studies) and compression screws (n = 233, 12 studies). The lowest rate of described non-unions in compression techniques was 3.9% with the compression screw. The highest non-union rate of 8.6% was achieved by interosseous wiring. All the described techniques can achieve the goal of fusing an osteoarthritic joint. There is a tendency in the more recent literature for the use of compression techniques.

    Original languageEnglish
    Pages (from-to)49-58
    Number of pages10
    JournalEfort open reviews
    Volume7
    Issue number1
    Early online date11-Jan-2022
    DOIs
    Publication statusPublished - Jan-2022

    Keywords

    • &nbsp
    • arthrodesis PIP joint
    • arthrodesis interphalangeal joint
    • arthrodesis interphalan-geal joint
    • arthrodesis PIP joint&nbsp
    • fusion PIP joint
    • fusion PIP joint&nbsp
    • osteoarthritis PIP joint
    • fusion interphalangeal&nbsp
    • joint
    • fusion interphalangeal joint&nbsp
    • osteoarthritis interpha-langeal joint
    • osteoarthritis PIP joint&nbsp
    • treatment osteoarthritis finger
    • osteoarthritis interpha-langeal joint&nbsp
    • fusion interphalangeal joint
    • treatment osteoarthritis&nbsp
    • finger
    • TENSION-BAND ARTHRODESIS
    • COMPRESSION-ARTHRODESIS
    • KIRSCHNER WIRES
    • HAND
    • SURGERY
    • OSTEOARTHRITIS
    • INDEX
    • PEG
    • METACARPOPHALANGEAL
    • ARTHROPLASTY

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