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Proximal interphalangeal arthrodesis

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https://www.readbyqxmd.com/read/29217349/arthrodesis-of-the-proximal-interphalangeal-joint-of-the-4th-and-5th-finger-using-an-interlocking-screw-device-to-treat-severe-recurrence-of-dupuytren-s-disease
#1
C D Novoa-Parra, D Montaner-Alonso, J I Pérez-Correa, J Morales-Rodríguez, J L Rodrigo-Pérez, M Morales-Suarez-Varela
OBJECTIVE: To assess the radiological and functional outcome of arthrodesis of the 4th and 5th finger using the APEX™ (Extremity Medical, Parsippany,NJ)intermedullary interlocking screw system in patients with severe recurrence of Dupuytren's disease. MATERIAL AND METHOD: The DASH questionnaire and the VAS scale were used to assess the clinical outcomes. The angle of arthrodesis, fusion time and implant fixation were evaluated on x-rays. The patients were monitored for complications during surgery and the follow-up period...
December 4, 2017: Revista Española de Cirugía Ortopédica y Traumatología
https://www.readbyqxmd.com/read/29103889/minimally-invasive-hallux-interphalangeal-joint-arthrodesis-for-hallux-varus-in-pfeiffer-syndrome-a-case-report
#2
Miguel Flora, Pedro Diniz, Ana Luisa Neto, Nelson Teixeira, Paulo Carvalho, Francisco Guerra Pinto
Pfeiffer syndrome is a rare hereditary condition with an autosomal dominant transmission caused by a mutation that affects fibroblast growth factor receptors. It is one of the acrocephalosyndactyly diseases causing cranial malformations owing to early suture fusion. In the foot, it is typically associated with hallux varus, first ray hyperplasia, and partial lesser digit syndactyly. We report a clinical case of a 10-year-old patient with Pfeiffer type I syndrome with bilateral severe hallux varus due to a hypoplastic trapezoidal shaped proximal phalanx, a distal, medial-facing articular surface, and interphalangeal instability...
November 3, 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29071376/-corrective-procedures-and-indications-for-cavovarus-foot-deformities-in-children-and-adolescents
#3
REVIEW
J Hamel
Cavovarus deformities in children and adolescents require sound considerations concerning the timing for corrective surgery. Progression can be recognized best by repeated pedographic examination with evaluation of the typical features of cavovarus deformity. Surgical correction consists of a combination of soft tissue release, bony realignment, and restoration of muscle balance. In most cases plantar or medioplantar soft tissue release should be considered, whereas calf muscle lengthening is rarely indicated...
October 25, 2017: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/29026819/the-role-of-dynamic-ultrasound-in-the-immediate-conservative-treatment-of-volar-plate-injuries-of-the-pip-joint-a-series-of-78-patients
#4
Franck Marie Leclère, Lukas Mathys, Bettina Juon, Esther Vögelin
INTRODUCTION: The management of volar plate avulsion fractures in the context of a stable joint and a bony fragment of less than 30% has traditionally been conservative. This study was performed to assess volar plate healing with high-resolution ultrasound in order to provide early full mobilization. MATERIAL AND METHODS: Between January 2012 and December 2013, 78 patients with volar plate injuries of the proximal interphalangeal (PIP) joints (42 distortions and 36 dislocations) were treated conservatively in our department for volar plate avulsion fracture associated with stable joint and bony fragment inferior to 30% of the intra-articular surface assessed both by radiography and ultrasound...
August 2017: Plastic Surgery
https://www.readbyqxmd.com/read/28984654/joint-denervation-in-the-digits-technique-and-patient-satisfaction
#5
Russell J Madsen, Lindsay A Stone, Jeremiah B Knapp, Joel S Solomon
BACKGROUND: Traditional approaches to treating painful osteoarthritis of the fingers include arthrodesis and arthroplasty. Although highly effective for pain control, arthrodesis sacrifices joint motion and can be complicated by nonunion, malunion, and infection.Implant arthroplasty preserves motion but is likewise subject to complications-particularly at the level of the proximal interphalangeal joint. In contrast, finger joint denervation is a simple outpatient procedure that maintains joint motion...
October 3, 2017: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/28917431/results-of-toccata%C3%A2-resurfacing-pip-joint-arthroplasty-a-series-of-32%C3%A2-cases-at-a-mean-follow-up-of-5-9%C3%A2-years
#6
W Kim, B Renaud, P Dumontier, J-L Condamine
The objective of this study was to evaluate the long-term results of proximal interphalangeal (PIP) resurfacing arthroplasty for treating osteoarthritis: the PIP Toccata implant®. This was a retrospective study of 32 out of 33 PIP arthroplasty cases performed with a dorsolateral or a Chamay approach by two surgeons after a minimum follow-up of 24 months. Patients were reviewed using a standardized assessment of pain, function, mobility and radiological changes. The average follow-up was 5.9 years. The mean active range of motion was 67° (15-95)...
December 2017: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/28676916/-correction-of-flexible-lesser-toe-deformity-transfer-of-the-flexor-digitorum-longus-tendon
#7
D Arbab, D Frank, B Bouillon, C Lüring
OBJECTIVE: Realignment and pain relief of toes 2-5 by flexor-to-extensor tendon transfer of the flexor digitorum longus (FDL) muscle. INDICATIONS: As an isolated procedure in flexible proximal interphalangeal (PIP) joint flexion and/or flexible metatarsophalangeal (MTP) joint extension (hammer toe). In combination with a metatarsal osteotomy or PIP joint arthrodesis in case of flexible MTP joint extension. CONTRAINDICATIONS: General medical contraindications to surgical interventions...
July 4, 2017: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/28673625/current-european-practice-in-the-treatment-of-proximal-interphalangeal-joint-arthritis
#8
REVIEW
Daniel B Herren
There are increasing numbers of proximal interphalangeal (PIP) arthroplasties performed in Europe. Meanwhile, most surgeons prefer arthroplasty over arthrodesis. Silastic arthroplasties remain the most widely used implants. The main disadvantage of the Silastic implants is the limited stability they provide. Correction of pre-existing deformation is difficult. Soft tissue handling and postoperative scarring have an influence on the results of PIP arthroplasty. Different surgical approaches are possible. The most popular approach in Europe is dorsal...
August 2017: Hand Clinics
https://www.readbyqxmd.com/read/28627315/bioabsorbable-fixation-screw-for-proximal-interphalangeal-arthrodesis-of-lesser-toe-deformities
#9
Jascha Armin Wendelstein, Peter Goger, Peter Bock, Reinhard Schuh, Priv Doz, Hans-Jörg Trnka
BACKGROUND: Although standard fixation of proximal interphalangeal (PIP) arthrodesis by K-wire is relatively inexpensive and well established, it does have some drawbacks, making newer fixation devices interesting. The aim of this study was to clinically and radiologically assess the operative correction of the lesser toe deformation in the form of a PIP arthrodesis using a bioabsorbable 2.7-mm fixation screw. METHODS: From January 2011 until October 2013, 34 patients underwent a PIP arthrodesis using the TRIM-IT (Arthrex) 2...
September 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28616779/-arthrodesis-of-the-distal-interphalangeal-joint-using-the-headless-compression-screw
#10
REVIEW
C K Spies, B Hohendorff, S Löw, L P Müller, J Oppermann, P Hahn, F Unglaub
OBJECTIVE: Arthrodesis of the distal interphalangeal joint of the fingers and interphalangeal joint of the thumb in order to gain reliable stability and function. INDICATIONS: Primary and secondary osteoarthritis, rheumatoid arthritis, defect lesions, septic joint destruction, posttraumatic joint deviation, fatal joint instability, fatal tendon lesions. CONTRAINDICATIONS: Persistent infections (empyema, osteomyelitis, phlegmon), deficient soft tissue mantle, bone/screw mismatch...
June 14, 2017: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/28576189/digital-arthrodesis-of-the-lesser-toes
#11
REVIEW
James P Sullivan, Catherine L Churchill
Foot and ankle surgeons frequently treat digital deformities of the lesser toes surgically. Arthrodesis of the proximal interphalangeal joint is the workhorse procedure for correction of hammer toe contractures. Fusion of the interphalangeal joint can be fixated with a variety of methods, including K-wire fixation, intramedullary implants, absorbable pins, and screws. Each method of fixation has advantages and disadvantages, such as variations in complication rates, cost, and fusion rates. Further research is necessary to determine the best method of fixation for digital interphalangeal joint fusion...
July 2017: Clinics in Podiatric Medicine and Surgery
https://www.readbyqxmd.com/read/28479225/biomechanics-and-pinch-force-of-the-index-finger-under-simulated-proximal-interphalangeal-arthrodesis
#12
Paul Arauz, Karen DeChello, Alexander Dagum, Sue Ann Sisto, Imin Kao
PURPOSE: To analyze the effect of simulated proximal interphalangeal (PIP) joint arthrodesis on distal interphalangeal (DIP) joint free flexion-extension (FE) and maximal voluntary pinch forces. METHODS: Five healthy subjects were tested with the PIP joint unconstrained and constrained to selected angles to produce (1) free FE movements of the DIP joint at 2 selected angles of the metacarpophalangeal joint, and (2) maximal voluntary tip (thumb and index finger) and chuck (thumb, index, and middle fingers) pinch forces...
May 4, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28458971/successful-arthroplasty-using-cadaveric-meniscus-for-osteochondral-defects-in-the-wrist-and-hand-joints
#13
Don Hoang, Vivi W Chen, Daniel J Gould, Myles J Cohen, David A Kulber
BACKGROUND: Osteochondral defects of the radiocarpal, metacarpophalangeal (MCP), and proximal interphalangeal (PIP) joints often necessitate joint arthrodesis or mechanical arthroplasty, which has a limited lifespan. In severely arthritic wrist and finger joints, we propose a novel adjunct for joint salvage using cadaveric meniscus for joint resurfacing as an off-the-shelf alternative to address osteochondral defects and restore normal intraarticular contact stress. METHODS: A total of 14 patients with osteochondral defects in 5 radiocapitate, 5 MCP, 3 PIP, and 1 carpometacarpal joints received cadaveric meniscus to facilitate arthroplasty...
March 2017: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/28447473/a-midterm-review-of-lesser-toe-arthrodesis-with-an-intramedullary-implant
#14
James Lee Harmer, Anthony Wilkinson, Anthony John Maher
Lesser toe deformities are one of the most common conditions encountered by podiatric surgeons. When conservative treatments fail surgical correction is indicated. Many surgical options have been described to address the complex nature of these deformities but no perfect solution has been reported to date. However, with the continued advancement of internal fixation technology, interphalangeal joint (IPJ) arthrodesis with an intramedullary implant may be a good option. This retrospective study presents patient reported outcomes and complications at 6 months and 3 years following lesser toe proximal interphalangeal joint (PIPJ) arthrodesis with a polyketone intrameduallary implant (Toe Grip, Orthosolutions, UK)...
April 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28341088/the-latest-treatment-strategy-for-the-rheumatoid-hand-deformity
#15
Hajime Ishikawa
With a remarkable improvement in the pharmacotherapy of rheumatoid arthritis (RA), severely handicapped patients are very rare to see. Healing, repair and drug-free, and toward radical cure are coming to be possible. In the clinical practice, more than 50% of the patients are in remission. However, some patients are still difficult to reach remission due to comorbidities and economic burden. In the patient with clinical remission, smoldering synovitis so called "silent destructor" is often detected by ultrasonograpy or by synovial histology in the small joints of the hand...
March 22, 2017: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://www.readbyqxmd.com/read/28277466/early-results-of-surgical-management-of-camptodactyly
#16
Brady T Evans, Peter M Waters, Donald S Bae
BACKGROUND: We hypothesize that surgery for moderate-to-severe camptodactyly (>50 degrees) results in modest gains in range of motion and improved digital position. METHODS: A retrospective analysis of patients undergoing surgery for camptodactyly at a tertiary children's hospital between 2000 and 2014 was performed. Surgery was indicated for patients with persistent, functionally limiting flexion contractures despite observation, therapy, and splinting. Data were collected on demographics, clinical history and presentation, nonoperative management, surgery, and clinical follow-up, focusing on range of motion at the involved joint...
July 2017: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/28160036/-treatment-of-recurrent-dupuytren-s-disease
#17
T Pillukat, L Walle, R Stüber, J Windolf, J van Schoonhoven
BACKGROUND: The tendency of recurrence or progression is a frequent problem in Dupuytren's disease. The management of recurrence is adapted to the individual situation and the patient's needs. In mild cases a non-operative approach is recommended. Revision surgery is reserved for disabling situations with acceptable circulation and sensation in absence of dystrophy. It is complicated by a combined formation of scar tissue and new cords. This increases the risk of soft tissue loss and injuries to the neurovascular bundles, which impair sensation and circulation and may result in loss of the finger...
April 2017: Der Orthopäde
https://www.readbyqxmd.com/read/28064244/recurrence-of-an-intra-articular-osteoid-osteoma-of-the-great-toe-a-case-report-and-review-of-the-literature
#18
Josep Torrent, Alberto Bailez, Jordi Asuncion
Osteoid osteoma (OO) is a benign tumor that it is not generally seen in the foot and even less frequently in the phalanx (2-4%). The diagnosis when its location is intra-articular is a challenge and often delayed because the symptoms mimic a real arthritis. We report a clinical case involving a 16-year-old male patient who complained of persistent pain of the interphalangeal joint (IPJ) of the left hallux. A juxta-articular OO of the condyle of the proximal phalanx was identified. The patient underwent surgery that included tumor removal preserving the articular cartilage...
January 6, 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/27999464/simultaneous-arthrodesis-of-proximal-and-distal-interphalangeal-joints-in-hand-trauma
#19
Sreedharan Sechachalam
No abstract text is available yet for this article.
December 2016: Journal of Hand and Microsurgery
https://www.readbyqxmd.com/read/27825603/experimental-study-of-the-optimal-angle-for-arthrodesis-of-fingers-based-on-kinematic-analysis-with-tip-pinch-manipulation
#20
Paul Arauz, Sue Ann Sisto, Imin Kao
To evaluate the appropriate angle for arthrodesis of the index finger proximal interphalangeal (PIP) joint, the functional range of motion (ROM) of the joints and manipulabilities at three selected tip-pinch manipulation postures of the finger were studied experimentally under imposed PIP joint arthrodesis angles. A kinematic model of the index finger was used in experiments which involved three postures. Experiments were conducted using seven healthy subjects in tip-pinch manipulation tasks to obtain the measurements of finger motions under imposed angles of joint constraint, including the functional ROM of the joints and the three criteria of kinematic manipulability...
December 8, 2016: Journal of Biomechanics
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