Accurate screw arthrodesis of the distal interphalangeal joint

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Distal interphalangeal joint arthrodesis with Herbert screw

Fifteen patients underwent arthrodesis of finger distal interphalangeal joint (DIP) and/or thumb interphalangeal joint (IP). Only Herbert screw intramedullary compression fixation was used. There was one faulty proximal thread placement with some pain, but the patient refused further surgery. Full union was achieved in 14 of the cases, with prominent hardware in one and intolerance to cold in two.

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Arthrodesis of the distal interphalangeal (DIP) joint is a reliable means of achieving pain relief in a symptomatic DIP joint afflicted by a variety of degenerative, inflammatory, or posttraumatic conditions. Successful arthrodesis is more reproducible when rigid compression of the joint is achieved. The emergence of an increasing number of commercially available headless or variable pitch comp...

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ژورنال

عنوان ژورنال: The Annals of The Royal College of Surgeons of England

سال: 2014

ISSN: 0035-8843,1478-7083

DOI: 10.1308/rcsann.2014.96.3.245