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Distal interphalangeal joint arthrodesis: an analysis of complications.
- Source :
-
The Journal of hand surgery [J Hand Surg Am] 1992 Nov; Vol. 17 (6), pp. 1139-45. - Publication Year :
- 1992
-
Abstract
- One hundred thirty-nine patients underwent 181 arthrodeses of finger distal interphalangeal joints (144) and/or thumb interphalangeal joints (37). Techniques included (1) crossed Kirschner pins (111 joints), (2) interfragmentary wire and longitudinal Kirschner pin (43 joints), and (3) Herbert screw (27 joints). Each technique had a similar nonunion rate. There were 21 nonunions: 13 were pain free, 6 were successfully fused on the second attempt, 1 was painful (but the patient refused further surgery), and 1 was amputated. Inadequate bone stock, inadequate bone resection, premature pin removal, and infection appear to complicate the attainment of bony union. Twenty percent of the fusions had major complications (nonunion, malunion, deep infection, and osteomyelitis). Minor complications (dorsal skin necrosis, cold intolerance, proximal interphalangeal joint stiffness, paresthesias, superficial wound infection, and prominent hardware) occurred in 16% of the joints fused.
- Subjects :
- Arthrodesis adverse effects
Arthrodesis instrumentation
Bone Nails standards
Bone Screws standards
Bone Wires standards
Female
Follow-Up Studies
Fractures, Ununited diagnostic imaging
Fractures, Ununited etiology
Humans
Incidence
Male
Ohio epidemiology
Osteomyelitis diagnostic imaging
Osteomyelitis etiology
Postoperative Complications diagnostic imaging
Postoperative Complications etiology
Radiography
Reoperation methods
Reoperation standards
Reoperation statistics & numerical data
Surgical Wound Infection diagnostic imaging
Surgical Wound Infection etiology
Arthrodesis standards
Finger Joint surgery
Fractures, Ununited epidemiology
Osteomyelitis epidemiology
Postoperative Complications epidemiology
Surgical Wound Infection epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 0363-5023
- Volume :
- 17
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- The Journal of hand surgery
- Publication Type :
- Academic Journal
- Accession number :
- 1430956
- Full Text :
- https://doi.org/10.1016/s0363-5023(09)91081-4