Distal interphalangeal joint arthrodesis using a minimally invasive technique with the herbert screw

The authors performed six joint arthrodeses of the distal interphalangeal joint in five patients without surface preparation of the joint using the Herbert screw. After the surgery, the joint was not splinted and the finger could be used in daily living activities, provided the patient did not attempt powerful pinching or gripping maneuvers with the affected finger. Although bony union of the joint was delayed, firm bone union was ultimately obtained in all joints. If it is acceptable to position the arthrodesis of the distal interphalangeal joint with 0 degrees of flexion, this technique can be considered very useful. Although the omission of joint surface treatment in this technique prolongs the period before bony union of the joint is attained, patients feel no inconvenience in using their fingers in daily living activities.