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

Federico Villani, Bastian Uribe-Echevarria, Luca Vaienti

Research output: Contribution to journalArticlepeer-review

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. Therapeutic IV.

Original languageEnglish
Pages (from-to)1330-1334
Number of pages5
JournalJournal of Hand Surgery
Volume37
Issue number7
DOIs
Publication statusPublished - Jul 2012

Keywords

  • Arthrodesis
  • bone screw
  • hand
  • osteoarthritis
  • surgery

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

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