Abstract
Fifteen patients underwent arthrodesis of finger distal interphalangeal joint (DIP) and/or thumb interphalangeal joint (IP). Only Hebert 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.
Highlights
Conditions that cause pain, instability or joint deformity are common indications for distal interphalangeal (DIP) joint arthrodesis: There are many fixation techniques, which include: single Kirschner wire, crossed Kirschner wire, intraosseous wiring, bone peg, mini plate fixation, polypropylene peg, compression clamping, tension bands, Herbert screw and A-O compression screws
We found that the Herbert screw fixation was the most stable and the least complicated
The Herbert tap is introduced from the distal phalanx to the middle phalanx to the mid portion of the diaphysis to permit the leading threads of the Herbert screw to engage the endosteal cortex
Summary
From 10th Congress of the Asia-Pacific Federation of Societies of Surgery fo the Hand and the 6th Congress of Asia-Pacific Federation of Societies of Hand Therapists Kuala Lumpur, Malaysia. 2-4 October 2014. From 10th Congress of the Asia-Pacific Federation of Societies of Surgery fo the Hand and the 6th Congress of Asia-Pacific Federation of Societies of Hand Therapists Kuala Lumpur, Malaysia. Summary Fifteen patients underwent arthrodesis of finger distal interphalangeal joint (DIP) and/or thumb interphalangeal joint (IP). Hebert 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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